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HomeMy WebLinkAbout1983-5082 - antenna CITY of OIZONO � - -_ - PERMIT N� ` 5Og2 � Building Permit � z DATE ISSUED � ��� � ) AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRE P.O. BOX 66, CRYSI-AL BAY, MN 55323 473-7357 � . , �_/ ZONING DISTRICT SITE ADDRESS � 1/?r7 � C�! �it � LEGAL DESCRIPTION: PROP. ID. �j� �'"/� � " � � � ��_�; �(: �� �" —r �� LOT BLOCK SUBDIVISION FIRE ZONE W R (Name1� (Address) (Phone) VAR. DATE 1 '� �- / �G� �, Q -�I � L _ `��,/ ARCHITECT/ENGINEER — st Certify ulti-Family, Commercial & Industrial Construction Plans COND. USE DATE ERT.NO. (Firm) (Address) (Phone) LOT AREA WIDTH DEPTH B LDER (Firm) (Address) (Phone) , , - `��_ � � :S�'"7 ) � --:3��� PROPOSED SETBACKS FRONT_� R.SIDE TYPE OF WORK New� Addition Remodel Renovate REAR L.SIDE �,� (�� ' ' � CONST. TYPE BLDG.SIZE EST.CONST. VALUATION LAKE WETLANDS —� L. W. Ht � ��� C''�,=— ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES BLDG. PERMIT , ` (''1 NEW EXISTING DWELL. BDRMS/FLR AGENCY-APPROV. DATE urviTs STATE FEE �• �/ � CITY GAR.STALLS SEPTIC ATT. APP. DATE PLAN REVIEW COUNTY �ET. PENALTY OOCK STATE NON-RESID. PROPOSED USE PARK FEE PR. EASEMENT OCC. SAC CHARGE C LASS. STORIES COUNCIL APP. DATE TOTAL DU _�- � , �K � , / �' - / � / REMAR KS: �'e .. �__ � , , , � �,-,.% ��C.' r � � iT INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT __�_FOOTING before pour SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE FRAMING rough-in INSULATION PLUMBING _ THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- F I NA L before occupancy - SEPTIC - MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— WORK BEYOND OR WITHOUT A RE- SEWER QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- WATER JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE INSPECTION HOURS 473-7357 GRADING& FILLING CALL 8 - 12 A.M. INSP. 1 -4 P.M. OF MINNESOTA BUILDING CODE REQUIREMENTS. CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State //� 1�1 / Signature v�� � � �.�.f Date 7 `� �� COPY: WHITE—FILE GREEN—FINANCE . CANARY—INSPECTOR GOLD—RECEIPT PINK—ASSESSOR Approved =� —'�J �—City of Orono CiTI OF ORt�.tiO � BliILDI?�G Fi2?•;IT APPLICATION AUII.DING PFP.MI'f APYLICATION RFOUIRE1�iFNTS P.equirer�c-nts to be h,�nded in with Euilding Permi[ Application: Construc[ion Plans should include: 1) Building Permit Application - [o be filled out 6 signed a) First floor plan 2) Mechanical Pennit Application S Calculation filled ou[ b) Footing 6 foundation plan 3) Energy Calculations - filled out c) Elevations (of all sides) 4) Furnish Septic Report 6 Design d) Wall sections & cross sections 5) Furnish a Certificate of Survey B) Details - stairs and any special connections 6) Furnish � sets of Construc[ion Plans: a) 1 set for City to keep on file b) 1 set for builder to use on site THE ABOVE INFORMATION MUST BE SUBMITTED BEFORE PIAN REVIEW IS DONE Work beyond or without a required inspection will be subject to a penalty CITY use o�LY SITE A.DD'r:ESS � � ��•> h n s �T� l��I B UILDINC PEkMIT � N 0. DATE LEGAL DESCRIPTION:PROP.ID. LOT BIOCK SUBDIVISION 20NING DISTRICT WNER (Name) (Address) (Phone) FIRE ZONE 2 'l E� ' Y" � �-L� - 0 k h • /' �� V� � 7� — 'p j ✓ ARCHITECT/ENGI EER — Must Certify Multi-Family, Commercial & Industrial Construction Plans . VAR.DATE � ERT.NO. � COND.ItSEDATE (Firm) (Address) (Phone) � LOT AiiEA C+ tr� �'��Q -{� -y� , qp / J � /2NHA � /PLy ��'.�L �q�N 5�7.'Y/ �C �hai � - 3N �.� WIDTH DEPTH _— BUILDER •(Firm) (Address) (Phone) . PROPOSEDSETBACKS FRONT R.SiDE .S��fe`C;�'�e � �rp47 N �ti ri�L�G r�C.: REAR �.S�DE TYPE OF WORK �} Addition Remodel Renovate �� IAKE WETLANDS � ACCESS New ExisnNc CONST. TYPE BLDG. SIZE EST. CONST. VALUATION AGENC��APPROV.DATE �/ � Cl '� cirv L. W. Ht. S. �' �'�� c>v couNrr RESIDENTIA STORIES B 1 2 3 REMqRKs. STATE PR.EASEMENT DWELL. BDRMS/FLR UNITS ___ _ GAR.STALLS SEPTIC PERh11T FEES ATT APP. DATE ALOG.PERMIT DET. STATE FEE _. DOCK PLAN REVIEW � � NON-RESID. PROPOSED USE PENn.�TV PARK FEE '— OCC. SACCHARGE — CLASS. — STORIES COUNCIL TOTAL DUE APP. DATE INSPECTION HE�UIRED WORK RE�UIRING I, SEPARATEPERMITS The undersigned hereby makes application for a building i FOOTING4dw�paur permit for the work described, agrees to do all work in strict �' Fa�M�nc�ow��� pLUMtlING accordance with [he ordinances of the City of Orono and rulings i INSUTATION p WaIIBOANDBdw�T.,,M, MECIIANICAL_ —_ OL the S[ate Building Code Division, and declares [hat all �i FiN��e.�o..�w.,xY WE" facts and represeq[ations stated herein are [rue and correct. I sEvric WOPK BEYOND OX WITHOUT A HE� SEWER I OUIREO INS1'ECTION WI�L BE SU6 yyqTER �ECT TO YENALTY, GRADING 6 FILLING INSPECTION HUUHS 177�7751 CA�L B�17 A.M.I NSP.1-�P.M. D8 C C �L g[1 d[ll C 2 ��' CAIL 1� �V.M.INSP.NExT OAv ELECTNIUL Irom Suu �