HomeMy WebLinkAbout1985-5784 (bldg) CITY of ORONO _ __
Building Permit PERMIT NO. �J�S4 �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �G� � US
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING D�STRICT � � � *
SITE ADDRESS
PROPERTY IDENTIFICATION NO.(PID) _ C��' I� — �3 1 � C�C�I�
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Address) . (Phone)
��� - I � . 4 3 :� f
VAR. DATE ARCHITECT/ENGINEER- Must ertify Multi-Family,Commercial& Indus ial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH DE
` U� � �� ►� 35� Qa 473-
TYPE OF WORK ew Addition , emo_ Renovate
�
PROPOSED SET C S: �
FRONT R.SI E ' r I
CONST.TYPE BUILDING SIZE Estim d Construction Valuation
REAR L. DE
L. W. Ht.
LAKE WET AN S
OCCUPANCY PERMITFEES
CLASSIFICATION -� C��
ACCESS DWELL STORIES g 1 2 3 BLDG. PERMIT • _
UNITS �
STATE FEE �
NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS
AGENCY- OV. DATE ATT. PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUN Y PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
TOTAL DUE
REMARKS: � . c
INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ . . . . . . FOOTING before pour
❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES
❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
❑ . WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE-
WELL ............................... ❑
�. . . : FINAL before 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- � PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
WATER..............................
JECT TO PENALTY.
OF MINNESOTA BUILDING CODE REQUIREMENTS.
GRADING&FILLING ............... ❑
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE................................. ❑ ^ `r �— ,Y
Signat ate ��
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT -
PINK-ASSESSOR Approved � � � �� City of Orono
Brooklyn Prtg.&Adv.Co.Ina (612)561�470