HomeMy WebLinkAbout1986-5984 (Building) CITY of ORONO _ _
Buildin Permit PERMIT NO. 59H4
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AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ��� ��J'�'
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT L� �� Q �f
SITE ADDRESS � / �� � ���C' Y � �`- ' �
PROPERTY IDENTIFICATION NO.(PID) �f/7'� � � �/ G�pC) �/
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Address) (Phone)
, �I c,�.��`�r �
VAR. DATE ARCHITECT/ENGINEER- Must Certify Mu�ti-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH DEPTH �` �t'// �`/�� -
TYPE OF WORK New Addition Remodel enovate
PR PO SETBACKS/� � `
FR; T R. SID U �� �/(�- , � L�
CONST.TYPE BUILDING SIZE timated Construct�n y luation
RE i' I �
t 1 �
L. W. H t.
LAK WETLANDS
OCCUPANCY PERMIT FEES
CLASSIFICATION �� ��
ACC S DWELL. STORIES g 1 2 3 BLDG. PERMIT
UNITS �
STATE FEE
NEW EXISTING GAR. STALLS NUMBER OF BEDROOMS
AGENCY-APPROV. DATE ATT. PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUNTY PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY �� � `�
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
/ � .�i� � � ����`/ ,�.� TOTAL DUE ��� �
REMARKS: f �=K.�f �L., L�:l��L , �--� D �
�I� a�� vk oQ�--� ����/ IX�Q�PC'��
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WORK REQUIRING ACKNOWLEDGEMENT
INSPECTION REQUIRED SEPARATE PERMITS
❑ . . . . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ . . . . . . 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-
FINAL before occupancy WELL......... ❑
� . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTNER AGREES TO DO ALL WORK IN STRICT COM-
QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
JECT TO PENALTY. WATER.............................. ❑
GRADING&FILLING ............... ❑
OF MINNESOTA BUILDING CODE REQUIREMENTS.
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE................................. ❑ � ,
Signature �.� � � �L.�lti�pate 1�< �P��
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved City of Orono
Brooklyn Prtg.&Adv.Co.Ina (612)561�470