Laserfiche WebLink
CITYof OIZ()N() PERMIT N� ' 5445 � <br /> Building Permit �.�a � _ � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY �^TE ISSUE� <br /> EXPIRES <br /> P.O. BOX 66, CRYS1"AL BAY, MN 55323 473-7357 <br /> ZONINGDISTRICT SITEADDRESS �� � � C.��CG (�C,��rV'; <br /> LEGAL DESCRIPTION: PROP. ID. .� U -•/) 7 0'�33 1 C���� <br /> LOT BLOCK SUBDI VISION <br /> FIRE ZONE <br /> WNER (Name► (Address) (Phone) <br /> VAR. DATE a` ► ,Q (�j�1 L, c�-9 � S C" �G £�, <br /> ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH BUILDER (Firm) (Address) (Phone) <br /> �. L�.1�� � 5uN <br /> PROPOSEDSETBACKS <br /> FRONT R.SIDE TYPE OF WORK New Addition Remodel Renovate <br /> REAR L.SIDE �� ! � � O � �A '(�AC�� <br /> CONST. TYPE BLDG. SIZE EST.CONST. VALUATION <br /> LAKE WETLANDS <br /> L. W. Ht. ���r <br /> ACCESS RESIDENTIA STOR�ES B 1 2 3 PERMIT FEES <br /> NEW EXISTING BLDG. PERMIT �.C�. C:�Ze' <br /> DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE UNITS STATE FEE 5C� <br /> CITY GAR.STALLS SEPTIC PLAN REVIEW <br /> ATT. APP. DATE <br /> COUNTY �ET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT occ. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DUE �,�� �C� <br /> REMARKS: �������c� �2wt� fi Rr� �� EE� �G�' ��1�..➢ �}{�}(� <br /> INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT <br /> FOOTING before pour SEPARATE PERMITS <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> FRAMING rough-in <br /> INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br /> WALLBOARD Before Taping MECHANICAL — UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> F I NA L before occupancy <br /> SEPTIC <br /> MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> WORK BEYOND OR WITHOUT A RE- SEWER <br /> 1UIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> ECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> GRADING&FILLING <br /> INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. <br /> :ALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State � ' � <br /> Signature ��C.T-�' I��/tj/ Date v�'�� <br /> WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT _��+ � 1� � ) 1 <br /> PINK---ASSESSOR Approved r �f a� "-'�"�'t' `' ��� JCity of Orono <br />