Laserfiche WebLink
i ' <br />CITY of ORONO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY. MN 55323 473-7357 <br />REMARKS: <br />SITE ADDRESS____________Q <br />PROPERTY IDENTIFICATION NO (PID) <br />•-OT------------- _BLOCK <br />PERMIT NO. 6374 ' <br />_________________SUBDIVISION.._________________ <br />OWNER <br />•AdtJross) IPhone) <br />BUILDER <br />(Phone) <br />(Phone) <br />Addiiion Remodel <br />On.. <br />type of work <br />Jrj Remodel Re^iov^ <br />CONST TYPE BUILDING SIZE <br />Eslimated Construction Valuation <br />L. <br />OCCUPANCY <br />CLASSIFICATION <br />1 DWELL <br />luNITS STORIES B 1 2 3 1 <br />IGAR STALLS <br />Iatt <br />■ rMT T <br />NUMBER OF BEDROOMS I <br />IDtT SEPTIC -------------------------I <br />APP DATE 1 <br />PROPOSED USE <br />COUNCIL <br />APP date <br />BLDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />total due <br />PERMITTEES <br />JS>OZ) <br />30.-iT> <br />INSPECTION REQUIRED <br />^...........FOOTING before pour <br />O « FRAMING rough'in <br />Q...........INSULATION <br />. . . WALLBOARD before taping <br />^ , . . FINAL before occupancy <br />D............SITE INSPECTION <br />yyORK BEYOND OR WITHOUT A RE­ <br />QUIRED INSPECTION WILL BE SUB- <br />ECT TO PENALTY <br />must be CALLED-IN <br />24 HOURS IN ADVANCE <br />COPY WHITE FILE <br />CANARY-INSPECTOR <br />pink -assessor <br />Brooklyn a Adv Co Iih 16171561-4470 <br />□□□ <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING ......................... <br />mechanical <br />WELL <br />SEPTIC.................................... Q <br />SEWER................................. Q <br />WATER....................................... Q <br />GRADING & FILLING.................. Q..... □ <br />green -finance <br />gold-receipt <br />5 » <br />L <br />ACKNOWLEDGEMENT <br />the UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />the real IMPROVEMENTS SPECIEIED AND DECLARES <br />UNDER penalty OF LAW ACKNOWLEOGEMENl AND ACCEPT- <br />ANCE OF ALL INEQRMATION CONDITIONS AND REQUIRE­ <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER­ <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM­ <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS <br />Signature I <br />Approved ,Drono