Laserfiche WebLink
CITE' of ORO NOPERMIT NQ 3725 <br />Building Permit <br />DATE ISSUED • 3 ' 1 % - 7 ? <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS 3 G• -S n t l FE S r <br />LEGAL DESCRIPTION: PROP. ID. <br />LOT 3 BLOCK SUBDIVISION - + <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />REAR L.SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS <br />INSPECTION REQUIRED <br />WNER <br />(Name) (Address) 34• 10 (Phone) <br />73 <br />' 1 EE T r-302 <br />ARCHITECT/ENGINEER <br />— Must Certif Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) (Address) <br />(Phone) <br />BUILDER <br />(Firm) (lj <br />(Phone)as <br />20ss1 <br />n" Erg' io NUD <br />TYPES OF WORK Addition Remodel Renovate <br />relw,� <br />Ci fV 7 E <br />BLDG SIZE <br />EST. t�pNST. VALUATION <br />F'Ptsrnt, <br />L. W Ht. <br />PERMIT FEES <br />ommmoommmomm <br />RESIDENTIAL <br />STORIES B 1 2 3 <br />BDRMS/FLR <br />B PERMIT 3Z DO <br />2 5 <br />DWELL <br />UNITS <br />STATE FEE • <br />O Q <br />PLAN REVIEW <br />GAR STALLS <br />SEPTIC <br />3' Ile __ <br />ATT. <br />APP DATE <br />DET. <br />PENALTY <br />DOCK <br />PARK FEE <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE <br />OCC <br />C LASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE ys• <br />_ FOOTING before pour <br />_ FRAMING rough in <br />INSULATION <br />_ WALLBOARD Before Taping <br />__ FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BE SUB- <br />JECT TO PENALTY. <br />INSPECTION HOURS 473-7357 <br />CALL 8 12 A.M. INSP. 1 4 P.M <br />CALL 1 4 P.M. INSP, NEXT DAY' <br />WORK REQUIRINC3 <br />SEPARATE PERMITS <br />PLUMBING _ ___ <br />MECHANICAL <br />WELL <br />SEPTIC <br />SEWER - - -- <br />WATER <br />GRADING & FILLING <br />ELECTRICAL from State <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />ANCE OF ALL INfOHMATION, CONDITIONS AND REQUIRE <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BU L ING CODE REQUIREMENTS <br />Signature `` Date- -___- <br />COPY: WHITE --FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD RECEIPT <br />PINK- ASSESSOR <br />Approved City of Orono <br />