HomeMy WebLinkAbout1979-08-09 Permit, Pool #4061CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 4737357
ZONING DISTRICT SITE ADDRESS— �D
LEGAL DESCRIPTION: PROP. ID.
LOT BLOCK
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS:
PERMIT N? 4061
DATE ISSUED
JP -
EXPIRES
SUBDIVISION
WN�
(Name
1 (Ad ress) one)
J .297
ARCHITECT/ENGINEER
— Must Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO. ft'
( Firm)
(Address) (Phone)
BU ER
(F'
(Add ss1 (Phone)
-
TYPE OF WORK New
Addition emodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
L. / 7
W. 3,:�r HI.
RESIDENTIAL
STORIES B
1 2 3
PERMIT FEES
BDf1MS/FLR
BLDG. PERMIT
DWELL.
UNITS
STATE FEE SQ
PLAN REVIEW
GAR STALLS
SEPTIC
ATT.
APP. DATE
DET.
PENALTY
DOCK
PARK FEE
NON-RESID.
PROPOSED USE
SAC CHARGE
OCC.
C LASS.
ORIES
COUNCIL
L
APP. DATE
TOTAL DUE T3 S,d
INSPECTION REQUIRED
�
� FOOTING before pcur
FRAMING rough ,n
INSULATION
WAA LBOARD Before Taping
FINAL before occupancy
WORK BEYOND OR WITHOUT A RE
OUIRED INSPECTION WILL PE SUB-
JECT TO PENALTY,
INSPECTION HOURS 473-7357
CALL 8 12 A.M. INSP. 1 4 P.M.
CALL 1 - 4 P.M. INSP NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING _ I_
MECHANICAL
WELL --
SEPTIC
SEWER -- -
WATER --- ---_-
GRADING & FILLING
ELECTRICAL from State
COPY: WHITE -FILE GREET: FINANCE
CANARY --INSPECTOR GOLD R_CEIPT
PINK - ASSESS:.1R
ACKNOWLEDGEMENT
THE UNDERSIGNED 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 WORKS IN STRICT COM
PLIANCE WITH ALL CITY OF ORONOORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS
Signature'J'�"l {�— Date
App,
��C,ry of O,onc