HomeMy WebLinkAbout1987-07-22 App. & Permit, Sports Bldg-8Pgs #6474CITY of ORONO
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
I ICT:]
P
A
TMENT
POST OFFICE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH
DEPTH
PROPOSED
FRONT
ETBACKS:
R. SIDE
REAR
SIDE
LAKE
VETLANDS
ACCESS
NEW
AGENCY
XISTING
�,OV. DATE
CITY
COUNTY
STATE
PRIVATE EASEMENT
PERMIT NO. 6474 r
DATE ISSUED i) .AJ U 2-
SITE ADDRESS
PROPERTY
IDENTIFICATION NO
IP101 L .>>' / 7
LOT
BLOCK
SUBDIVISION
OWNER
(Name)
(Address)
(Phone)
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fhaevh, 11 r f rL
ARCHITE
/ENGIN ER - Must Certify ultl-Family. Commercial & Industrial Construction Plans
(Firm)
(Address)
hone)
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BUILDER
(Firm)
(Address)
(Phone
13 ��-
jj Gr<,
TYPE OF
ORK ew j
Addition Remodel
Reno to
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Z -
I. `- �GiC't
CONST TYPE
BUILDING SIZE
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Estimated Construction aluatlon
L W
^ r` Ht
r
CUPANCY
SSIFICATION _
LL. STORIES B i 2_' 3
TS
STALLS NUMBER OF BEDROOMS
SEPTIC
APP DATE
PROPOSED USE
iCOUNCIL
APP DATE
REMARKS: / �r f 1 �- C_z)
Ll C-'1�'�-- `_ J
INSPECTION REQUIRED
WORK REQUIRING
SEPARATE PERMITS
.... FOOTING before pour
..... FRAMING rough .n
PLUMBING
.... INSULATION
MECHANICAL
...... WALLBOARD before taping
......FINAL before occupancy
WELL
❑ ...... SITE INSPECTION
SEPTIC
WORK BEYOND OR WITHOUT A RE.
SEWER
OUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY
WATER
INSPECTIONS MUST BE CALLED -IN
...
GRADING A FILLING ...
24 HOURS IN ADVANCE
FIRE ..•.•..... ..
COPY WHITE -FILE GREEN -FINANCE
CANARY -INSPECTOR GOLD
RECEIPT
PINK -ASSESSOR
Moouyn ►rty •AW Co Inc 16121 661440
PERMIT FEES
BLDG. PERMITSTATE
y(
FEE
FEE
PLAN REVIEW
SAC CHARGE
_
SEWER UNIT
PARK FEE
PENALTY
OTHER
TOTAL DUE
ACKNOWLEDGEMENT
THL UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED AND DECLARES
UNDER PFNALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT
ANCL OF ALL INFORMATION CONDITIONS AND REQUIRE
MENTS REPRESENTED ON THIS DOCUMENT THE UNDER-
SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM
PLIANCL WITH ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS
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Srynaturv' Uatr - it 47
Approved dy nI Oro nc.