HomeMy WebLinkAbout1986-10-17 App. & Permit, Radio Tower #6195CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
W.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT
FtaE DEPARTMENT
POST OFFICE
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
PRIVATE EASEMENT
REMARKS: _
t
PERMIT NO. 6195 r
DATE ISSUED JC 17
SITE ADDRESS 'SC_rD if ! !r, i I ojd/if% ":�.
PROPERTY IDENTIFICATION NO (PID) (- 7 + ! -7 " ;�-=' .. GC,L-
LOT BLOCK SUBDIVISION
OWNER (t(Name) (Address) (Phone)
iVAETTA. MN2Lc;�+� -S.4%_C 47 1
ARCIHITECT/ENGINEER - Must Certify Multi -Family, Commercial & Industrial Construction Plans
(Firm) (Address) (Phone)
BUILDER (Firm) (Address)
(Phone)
)(A,
`r !.
TYPE OF WORK New l Addition Remodel Renovate
C�T. T PE BUILDING SIZE
L. W Ht
OCCUPANCY
CLASSIFICATION
DWELL. STORIES B T
UNITS
GAR STALLS NUMBER OF BEDROOMS
ATT.
DET. SEPTIC
APP. DATE
PROPOSED USE
ICOUNCIL
APP. DATE
%�j�(t'_ C\L.
INSPECTION REQUIRED
WORK REOUIRIN
SEPARATE PERMITS
FOOTING before pour
❑ ...... FRAMING rough--n
PLUMBING
L) ...... INSULATION
MECHANICAL
❑ ...... WALLBOARD before taping
El ......FINAL before occupancy
WELL
❑ ...... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE-
SEWER
OUIRED INSPECTION WILL BE SUB-
WATER
JECT TO PENALTY
GRADING d FILLING
INSPECTIONS MUST BE CALLFFr IN
24 HOURS IN ADVANCE
FIRE
COPY WHITE -FILE GREEN FINANCE
CANARY -INSPECTOR GOLD
RECEIPT
PINK -ASSESSOR
rod.Iv" r.Ira. 6 Ado co Inc 4121 twr 4410
-
Egerated Construction Valuation
PERMIT FEES
]C O C.
BLDG. PERMIT
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
TOTAL DUE
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL itAPROVEME.NTS SPFCIFIED AND DFCI.ARES
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 QQD REQUIREMENTS
G� r " � /- 1 Inei
Sup,aur�e
-- -- fI
Appr. veQ / r` 2
Date
_/ 6
�I /
C,IY of OronG