HomeMy WebLinkAbout1987-06-29 Permit, New Outhouse #6439CITYofOROXO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357
PERMIT NO. 6439'
DATE ISSUED,
ZONING^STRICT
FIRE DEPARTMENT
POST OFFICE
VAR DATE
COND USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
7FRONT R ^»IDE^
REAR L SIDE
?0 4 pr)' -i-
LAKE , WETLANDS
/SO
ACCESS
NEW EXISTING
AGENCY APPROV DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
SITE ADDRESS.
PROPERTY IDENTIFICATION NO iPiDl Z-?- Ill t ^ ^ H}, OOS^ Q
LOT______________BLOCK__________________SUBDIVISION__________________________________
OWNER (Name) (Address) (Ptione)
"TTiy Cic^so/J HB'S'l -
ARCHITECT/ENGINEER - Must Certify Multi-Family Commercial & Industrial Construction Ptans
(Firm) (Address) (Phone)
---- --------- LpO-lOZX
BUILDER (Firm)(Adoress)(Phone)
TYPE OF WORK (New j Addition Remodel
,OLfrf(t)irsp^
Renovate
CONST TYPE BUILDING SIZE
t ^ j f 1
L .5^ W / Ht ^
Estimated Construction Valuation
(DCCUPANCY PERMIT FEES _
CLASSIFICATION
DWELL STORIES B 1 2 3
BLDG. PERMIT .
UNITS .RTATP PPP
GAR STALLS NUMBER OF BEDROOMS
ATT PLAN REVIEW
OET SEPTIC
APP DATE SAC CHARGE _
PROPOSED USE
COUNCIL
APP DATE
REMARKS />e
L r»r APPt- / IaK'i^
SEWER UNIT
PARK FEE
PENALTY
OTHER
TOTAL DUE # ’2^e>
INSPECTION REOUIRED
□ .....................FCX)TINO before oour
□ .....................FRAMING rough in
□ .....................INSULATION
□ .....................WALL BOARD before taping
VT.............final before occupar^*^
^.............SITE INSPECTION
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL BE SUB
JECT ;0 penalty
INSPECTIONS MUST BE CALLED IN
?4 HOURS IN advance
WORK REQUIRING
SEPARATE PERMITS
PLUMBING ..............
MECHANICAL..............
WELL ................
SEPTIC ........................
SEWER .....................
WATER ................
GRADING A FILLING
FIRE
□□□□□□□□
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE real improvements SPECIHED AND DECLARES
UNDER penalty Of LAW ACKNOWLEDGEMENT AND ACCEPT
ANCE Of ALL INFORMATION CONDITIONS AND REQUIRE
MENTS REPRESENTED ON THIS DOCUMENT THE UNDER
SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM
PLIANCE WITH All city of ORONO ORDINANCES AND STATE
OF MINNESOTA amLDiNG CODE REOUlRFMtNTS
SHinatuff*.
COPY WMITI MLL
canary inspector
PfN»c ASSESSOR
GRLLN I iNANCt
GOlDRfCLiPT
Approwet)
iOTA BifuDiNG CODE REOUlRrMtNTS
«Cilv of Orono