HomeMy WebLinkAboutSign permit CITY of ORONO _ _ :
Building Permit PERMIT NO. 6Og8 �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �d
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 �(Q� �j J�.'��
ZONING DISTRICT /�
SITE ADDRESS C� '� IC.� '
PROPERTY IDENTIFICATION NO.(PID) � ( —���'oZ.� 33 �Crr'G �'j
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE O NER (Na ) �AaId�6�1 ;�- ,,,4 (Phone)
,..7Y�` / L.S��w�[
�� u � �-
VAR. DATE ARCHITECT/E GINEER - st Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH DEPTH /
TYPE F WORK New Addition Remodel Renovate
PROPOSED SETBACKS: �,
FRONT R. SIDE
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REAR L. SIDE
LAKE � WETLAN S �' W� Ht.
OCCUPANCY PERMIT FEES
CLASSIFICATION � `�
BLDG. PERMIT ���J
A C SS DWELL. STORIES B 1 2 3
4i UNITS `
STATE FEE � J
EW ISTING GAR. STALLS NUMBER OF BEDROOMS
AG N - P OV. DATE q�J PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUNTY PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY
PRIVATE EASEMENT COUNCIL
APP. DATE v .�.';; -.�� ' OTHER
REMARKS: l�� � TOTAL DUE � C � C�
� J
�1� �' i�t �h�j�
,-- �� �,�, ACKNOWLEDGEMENT
INSPECTION REC �%)�� �,�
❑ . . . . . . Foor�n � � / THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ . . . . . . FRAMI� � !-� — ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES
❑ . . . . . . INSULP ���� �`
`. j ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
�. .❑ . . WALLB ❑
ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
FINAL t �
❑ . . . . . . SITE IN � /�, � �/�x��/�/ ��_<` . � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
WORK BEYOND � � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
QUIRED INSPEC L '� � PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
JECT TO PENAL7 ���Gi 7 �� ^
� OF MINNES ILD CO EQUI ENTS
INSPECTIONS M f-i- �
24 HOURS IN AD ��` / � �'Y^�' ❑ �
Sign ture Date -�
COPY:WHITE-FILE �2�-�
CANARY-INS
PINK-ASSES: Approved City of Orono
Brooklyn Prtg.&Adv.Co.Ini �