HomeMy WebLinkAbout1985-5757 - rebuild lakeshore access stairs CITY of ORONO _ _ _ _
Buildin Permit PERMIT NO. Jr�S� �
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AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �-' l � ' �S
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT
SITE ADDRESS �C_�
PROPERTY IDENTIFICATION NO.(PID) � � 1 —' '"3� QO S
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Address) (Phone)
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VAR. DATE ARCHITECT/ENGINEE - Must Certify Multi-Family,Commercial& I d strial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE � �
/
LOT AREA BUILDER (Firm) (Address) (Phone)
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WIDTH DEPTH
TYPE OF WORK ew Addition Remodel Renovate
PROPOSED SETBACKS:
FRONT R. SIDE
CONST. TYPE BUILDING SIZE Estimated Construction Valuation
REAR L. SIDE
L W. Ht. /C! ��� �•
LAKE WETLANDS
OCCUPANCY PERMIT FEES
CLASSIFICATION
ACCESS DWELL STORIES g � 2 3 BLDG. PERMIT ��-�`• ��
UNITS , �'Q
NEW EXISTING STATE FEE
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
� TOTAL DUE � ��� ���
REMARKS:
����-+�'�— 6u.N�[�- � � �}��'^�
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 REPRESENTEO 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- P�IANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
JECT TO PENALTY. WATER............. ❑
GRADING 8 FILLING ............... ❑
OF MINNESOTA BUILDING CODE REQUIREMENTS.
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE................................. ❑ g • j ,� �✓
Si nature � Date�_` � �
COPY:WHITE-FILE GREEN-FINANCE �
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved � City of Orono
Brooklyn Prtg.&Adv.Co.Inc. (612)561�470