HomeMy WebLinkAbout1987-07-22 App. & Permit, Caretaker Res-2Pgs #6475(:ITS' of ORON10
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
NIRICT
1 T
E ART ENTT
FPOS
OFFICE
VAR. DATE
COND. USE
Q kTE
LOT AREA
WIDTH
DEPTH
PROPOSED
FRONT
ETBACKS
R SIDE
REAR
L. SIDE
LA E-N
WETLANDS
ACC SS
NE EXISTING
AGENC -A PROV. DATE
CITY
COUNTY
STATE
If
PRIVATE EASEMENT
REMARKS:
PERMIT NO. 6475 '
DATE ISSUED'-) Ark P
SITE ADDRESS
PROPERTY IDENTIFICATION NO. (PID1 Ci
-'I
LOT BLOCK
_ SUBDIVISION
NER (Name)
(Address)
(Phone)
i btn
FARC
HIT T/ENGINEER - Must C rtify Multi -Family, Commercial & Industrial Construction Plans
(Firm)
(Address;
Phone)
BUILDER (Firm) ki
(Address)
(Phone)
' t( (0
t1cIL
t)'DNoA« S.1
s
TYPE OF FORK f.JNew) Addition
Remodel
Ren vale
T. TYPE BUILDING SIZE
L. tj ar W. Ht
OCCUPANCY
CLASSIFICATION
DWELL. STORIES B 1 2 i 3
UNITS
GAR. STALLS NUMBER OF BEDROOMS
ATT- -4
DET. SEPTIC
APP. DATE
PROPOSED USE
t
ILATE
Estated Construction Valuation
1S/)v(-�
PERMIT FEES
BLDG. PERMIT / D SZ)
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
TOTAL DUE 3
niDAM
e
INSPECTION REQUIRED
WORK n�OUIRING
-
ACKNOWLEDGEMENT
SEPARATE PERMITS
.....FOOTING before pour
C
THE UNDERSIGNED HEREBY REUUESTS PERMISSION TO MAKE
.... FRAMING rough -in
P�U 1 G
THE REA( IMPROVEMENTS SPECIFIED AND DECLARES
INSULATION
MECHANICAL
UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
.... WALLBOARD before taping
WELL
ANCE OF ALL INFORMATION CONDITIONS AND REQUIRE-
......FINAL ^vlore occupancy
..... SITE INSPECTION
SEPTIC
MENTS REPRESENTED ON THIS DOCUMENT THE UNDER.
WORK BEYOND OR WITHOUT A RE-
SEWER
SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
QUIRED INSPECTION WILL BE SUB-
WATER
PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
JECT TO PENALTY
INSPECTIONS MUST BE CALLED -IN
GRADING FILLING
b
OF MINNESO A BUILDING CODE REQUIREMENTS
r
24 HOURS IN ADVANCE
FIRE
-1
S gnatum r Date
COPY WHITE FILE GREEN -FINANCE
CANARYINSPECTOR GOLD
PINK ASSESSOR
RECEIPT
/ I
Approved / % CILG Iy of Orono
M �"n M"s a 16171561 M70