HomeMy WebLinkAbout1987-6467 - re-side CITY of ORONO '
Building Permit PERMIT NO. 646 1 �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED -� � 7
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT �� ���"' '�,����-U �/�
SITE ADDRESS Y
PROPERTY IDENTIFICATION NO.(PID) C.% � JJ��_3 ��'-� �c��
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE O�ER (Name) ' (Address) (Phone)
� �� .
i '�' � ���� I�t� � � ' �� > -�
VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family, Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
BUILDER (Firm) (Address)- h n �
LOT AREA � �C�� / ��1�t ..�lV+.� /-�/�-''� .
WIDTH DEPTH � I�14"'�`i- . �� / tC� �- f� , J�I I��A�1�,��� L'"�`?�.. ,XJ'-� �
TYPE OF WORK New Addition , emodel Renovate
PROPOSED SETBACKS:
�" �
FRONT R. SIDE � J C� ` i� �� �_�
CONST.TYPE BUILDING SIZE Estimat Construction Valuation
REA� � L. SIDE
, F�,
L. W. Ht. ��
LA -LANDS
�+ OCCUPANCY PERMIT FEES
CLASSI FICATION -
�_'�
ACC S DWELL. STORIES B � 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
TOTALDUE /�
REMARKS: J • [ ��
INSPECTION REQUIRED WORK REQUIRING ACKNOW�EDGEMENT
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 beforetaping 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
JECT TO PENALTY. WATER.............................. ❑
OF MINNE T BUI I /CODE R Q EMENTS.
GRADING 8 FILLING ............... ❑
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE........................._...... ❑ . _� �
Signatur � � Date���
COPY:WHITE-FILE GREEN-FINANCE �
CANARY-INSPECTOR GOLD-RECEIPT �[
PINK-ASSESSOR Approved � ��+% -� -G`"�� of Orono
Brooklyn Prtg.&Adv.Co.Ina (612)561-0470