HomeMy WebLinkAbout1987-05-26 Permit, Move House #6379CITY of ORONO
Building Permit
and appucation for certificate of occupancy
^^gOX6R^RYSTAL_BA^ 55323 473-7357
ZONING DISTRICT 3o4/:/
Tir ^epartmen T
POST OFFICI
SITE ADDRESS----------------------' JUf) I i* J '
property identification no (PIDI . —
block -------SUBDIVISION
owner :r“T“!AdS
permit no. 6379
DATE ISSUED ■ ^
(J2
VAR. Di (Firm) (Aoaressi
(Phone)
lot area
BUILDER
WIDTH
,Kc A'/nz/.ni
TYPE OF WORK ' New gddilion Re
ICONST TYPE BUILDING SIZE
OCCUPANCY
ACCESI
NtfW"^ ^XISTING
age Ncyapptov. date
CITY
[DWELL
UNITS
GAR. STALLS
ATT
DET
STORIES B 1 2 3 1
number of BEDROOMS
SEPTIC
APP DATE ____________
Estimated Construction Valuation
permit fees
BLDG. PERMIT
priva >s»easement COUNCIL
APP DATE
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
total due
/ SO- c:0
3P_i^.
REMARKS:
NSPECTION REQUIRED
□ .....footing before pour
□ ......FRAMING fouo^'**''
□ ......INSULATION
□ ......WALLBOARD before taping
□ .....FINAL before occupancy
□ .....SITE INSPECTION
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL BE SUB
JEPT TO PENAL nr.
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE
WORK REOUIRING
SEPARATE PERMITS
plumbing .............
mechanical .......
WELL
SEPTIC.........................
SEWER .................
WATER ............
GRADING & FILLING
FIRE
acknowledgement
the UNOERSiGr^EO HEREBY REQUESTS PERMISSION TO MAKE
THE real improvements SPECIFIED 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 BUILDING CODE REQUIREMENTS
Signatui
Date
COPY WHITE FILE
CANARY-INSPECTOR
PINK ASSESSOR
C. lilTJUI-MIO
GREEN-FINANCE
GOLD RECEIPT .C«tv Of Orono