HomeMy WebLinkAbout1985-07-09 App. & Permit, Demolition-2Pgs #5675‘1
ClTYofOROXO
Building Permit
I,
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
P.O. BOX 66. CRYSTAL BAY. MN 55323 473*7357
PERMIT NO. 5675 ‘
DATE ISSUED 7 - ^ ~
ZONING DISTRICT
FIRE 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;
SITE address:
Q ^
PROPERTY IDENTIFICATION NO (PIDl
LOT BLOCK---------------SUBDIVISION.i.
OWNER (Name)
i Sac,
(Address)(Phonel
^73
ARCHITECT/ENGINEER - Must Certify Multi-Family. Commercial & Industrial Construction Plans
(Firm) (Address) (Phone)
BUILDER
/
(Firm)(Address)(Phone)
r\Ci
TYPE OFVrORK
L.AVCC
New Addition Remodel Renovate
CONST. TYPE BUILDING SIZE
L. W.Ht.
OCCUPANCY
CLASSIFICATION
DWELL.
UNITS
STORIES B 1 2 3
GAR STALLS
ATT.
DET.
NUMBER OF BEDROOMS
SEPTIC
APP DATE
PROPOSED USE
COUNCIL
APP DATE
Estimated Construction Valuation
PERMIT FEES
BLDG. PERMIT
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
0 -
S'o
TOTAL DUE SLo.s
Ii
INSPECTION REOUIRED
□ ............FOOTING before pour
□ ............FRAMING rough in
□ ............INSULATION
Q............WALLBOARD belore taping
□ ............FINAL belore occupancy
□ .............SITE INSPECTION
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB
JECT TO PENALTY.
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE.
WORK REOUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL ........
WELL........................
SEPTIC.......................
SEWER.......................
WATER
GRADING ^ FILLING
FIRE ..........
□□□□□□□□
ACKNOWLEDGEMENT
THE UNDERSIGNED 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 ALL CITY OF ORONO ORDINANCES AND STATE
OF MINNESOTA BUILDING CODE REQUIREMENTS
COPY white-file
CANARY-INSPECTOR
PINK-ASSESSOR
atooklyn Prif. • Co Inc 16121 561-4470
GREEN FINANCE
GOLD-RECEIPT
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AADrovecl
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.C'lv of Oiono
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