HomeMy WebLinkAbout1987-6473 - replace steps/re-roof/2nd layer CITY of OKONO _ _ _
Buildin Permit PERMIT NO. 64�3 �
g �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT 3 � �
SITE ADDRESS °
PROPERTY IDENTIFICATION NO.(PID) I 7� ' � OI�
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE O NER (Name� (Address) (Phone)
(-� � / �,� / �
VAR. DATE ARCHITECT/E GINEER- M Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. U DATE �
LO AR BUILDER (Firm) (Address) (Phone)
WI H EPTH ' `"' / ,�
^� T E OF WORK New A ition Remodel Renovate
PROP SE ETBACKS: `�t / ��/'
FRON R. SIDE �C-�� �' � � W G � �
CO ST.TYPE BUILD NG SIZE Estimate Construction Val ation
REAR L. SIDE
L. W. Ht - �L'C-�
LAKE WETLANDS
OCCUPANCY PERMIT FEE
CLASSIFICATION �� ' �y�
ACCESS DWELL STORIES g � 2 3 BLDG. PERMIT `_ C� _
UNITS STATE FEE ' �
NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS
AGENCY-APPROV. DATE ATT. PLAN REVIEW
CITY DET. SEPTIC SAC CHARGE
APP. DATE
COUNTY PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
TOTALDUE
REMARKS:
���• ! �
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 ACKNOWL.EDGEMENT AND ACCEPT-
. . . . . WALL60ARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
WELL ............................... ❑
. . . . . . FINAL before occupancy
❑ . . . . . . SITE INSPECTION MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
SE PTIC.............................
WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
SEWER..............................
QUIRED INSPECTION WILL BE SUB- P�IANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
JECT TO PENALTY. WATER.............................. ❑
OF MINNESOTA BUILDING CODE REQUIREMENTS.
GRADING&FILLING ............... ❑
INSPECTIONS MUST BE CALLED-IN / "'
24 HOURS IN ADVANCE. FIRE................................. ❑ :_._--J� 7�� f77
Signature �= - Date l 0 �
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved � of Orono
Brooklyn Prtg.&Adv.Co.Ina (612)561-4470