HomeMy WebLinkAbout1987-05-20 Permit, Demolish Residence #6374i '
CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY. MN 55323 473-7357
REMARKS:
SITE ADDRESS____________Q
PROPERTY IDENTIFICATION NO (PID)
•-OT------------- _BLOCK
PERMIT NO. 6374 '
_________________SUBDIVISION.._________________
OWNER
•AdtJross) IPhone)
BUILDER
(Phone)
(Phone)
Addiiion Remodel
On..
type of work
Jrj Remodel Re^iov^
CONST TYPE BUILDING SIZE
Eslimated Construction Valuation
L.
OCCUPANCY
CLASSIFICATION
1 DWELL
luNITS STORIES B 1 2 3 1
IGAR STALLS
Iatt
■ rMT T
NUMBER OF BEDROOMS I
IDtT SEPTIC -------------------------I
APP DATE 1
PROPOSED USE
COUNCIL
APP date
BLDG. PERMIT
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
total due
PERMITTEES
JS>OZ)
30.-iT>
INSPECTION REQUIRED
^...........FOOTING before pour
O « FRAMING rough'in
Q...........INSULATION
. . . WALLBOARD before taping
^ , . . FINAL before occupancy
D............SITE INSPECTION
yyORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB-
ECT TO PENALTY
must be CALLED-IN
24 HOURS IN ADVANCE
COPY WHITE FILE
CANARY-INSPECTOR
pink -assessor
Brooklyn a Adv Co Iih 16171561-4470
□□□
WORK REQUIRING
SEPARATE PERMITS
PLUMBING .........................
mechanical
WELL
SEPTIC.................................... Q
SEWER................................. Q
WATER....................................... Q
GRADING & FILLING.................. Q..... □
green -finance
gold-receipt
5 »
L
ACKNOWLEDGEMENT
the UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
the real IMPROVEMENTS SPECIEIED AND DECLARES
UNDER penalty OF LAW ACKNOWLEOGEMENl AND ACCEPT-
ANCE OF ALL INEQRMATION 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
Signature I
Approved ,Drono