HomeMy WebLinkAbout1985-10-28 Permit, Demolition #5816CITY of ORONO
Building Permit PERMIT NO. 58161
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE !SSUED (6
P.O. BOX 66, CRYSTAL RAY, MN !:5323 473-7357
ZONING DISTRICT
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FIRE OEPARTKIENT
POST OFFICE
VAR. DATE
COND. USE DA i E
LOT AREA
WIDTH DEPTH
PROrOSED SETBACKS'
FRONT R EIDE
REAR L SIDE.
LAKE WETLANDS
ESS
• N EXISTING
AGFNCY-APPROV. DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
SITE ADDRESS
PROPERTY IDENTIFICATION NO (PID) 4%_ " 117 25 P+ 00 SY
LOT BLOCK _ _ _ SUBDIVISION
r 70WNER (Name) (Address) (Phone)
ARCHITECT/ENGINEER - Must Certify Multi -Family. Conn*,--iat
(Firm) (Address)
steal Construction Plans
IPhord)
BUILDER (Firm) (t..:dress) (Phone)
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TYPE OF WORK New AddKialn Remodel Renovate
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ICONST TYPE[ BUILDING SIZE IEstimated Construction Va uation
L. W
OCCUPANCY
CLASSIFICATION
DWELL.
STORIES B I
UNITS
_
GAR STALLS
NUMBER OF BEDROOMS
ATT
DET
SEPTIC
APP DATE
PROFOSE0 USE
COUNCIL
APP DATc
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INSPECTION REOUIRED
WORK REOUIRING
SEPARATE PERMITS
❑ ...... FOOTINGbefore pour
❑ ... , .. FRAMING tough in
PLUMBING .. .
1
Cl ......INSULATION
MECHANICAL. _.
❑ ..... WALLBOARD before taping
❑ .... FINAL before occuporCY
WELL . .. .
n ...... SITE INSPECTION
SEPTIC. .. .
WORK BFYOND OR WITHOUT A RE-
SEWER
`
OUIRED INSPECTION WILL BE SUB
WATER
JECT TO PENALTY
GRADING d FILLING
INSPECTIONS MUST BE CALLED IN
_
24 HOURS IN ADVANCE
FIRE
COW WHITE FILE GRLLN r1NANGL
CAKARY-INSPECTOR G01 D
RECEIPT
W W /K-ASSESSOR
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HI
PERMIT FEES
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BLDG. PERMIT —36.
2 3
STATF FEE
PLAN REVIEW
SAG CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
TOTAL DUE �Jr�
ACKNOWLEDGEMENT
THE UNDFRSIGNED 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 ALI. CITY OF ORONO ORDINANCES AND STATE
❑ OF MINNESOTA BUILDING CODE REQUIREMENTS
❑ l r
S,gnatuFe
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