HomeMy WebLinkAbout1987-05-11 Permit, Demo Garage #6359CITYofORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 56323 473-7357
PERMIT NO.
DATE ISSUED
6359
ZONING DISTRICT
FIRE DEPARTMENT
POST OFFICE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
CITY
COUNTY
STATE
PRIVATE EASEMENT
SITE ADDRESS____
PROPERTY IDENTIFICATION NO. (PID)
LOT_____________BLOCK
lOMMOtPIDI
SUBDIVISION.
O^R
m 111.
ARCHITECT/BN6INEER - ^8t Cer
(Firm)
(Address)(Phone)
~ Must Certify Multi-Family. Commercial & Industrial Construction Ptans
(Address) (Phone)
BUILDER (Firm) (Address)(Phone)
[TYPE OF WORK New Addition
CONST. TYPE BUILDING SIZE
L \
Remodel Renovate
OCCUPANCY
CLASSIFICATION
DWELL.
UNITS
GAR. STALLS
ATT.
DET.
STORIES
NUMBER OF BEDROOMS
SEPTIC
APP. DATE
PROPOSED USE
COUNCIL
APP. DATE
REMARKS:__________r—1________________________________________________________ *
_________ntervid 1 r 4-fon .
Estimated Construction ValuationKj C^structior
jjiro
PERMIT FEES
BLOa PERMIT . .
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
•SO
TOTAL DUE
INSPECTION REQUIRED
□ ................FCX>TINQ before pour
□ ................FRAMING rough-in
□ ................INSULATION
^.........WALLBOARO before lapmg
f .........RNAL before occupancy
^.........SITE INSPECTION
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE
WORK REQUIRING
SEPARATE PERMITS
PLUMBING.............
MECHANICAL..........
WELL.....................
SEPTIC....................
SEWER....................
WATER....................
GRADING a FILLING
FIRE........................
□□□□□□□
n
copy WHITE file
CANARY-INSPECTOR
PINK-ASSESSOR
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GREEN-FINANCE
GOLD-RECEIPT
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 WORK IN STRICT COM
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE ffCDUIREMENTS.
SMjnalure ^ ^
Approved
i"- A-
of Orono