HomeMy WebLinkAbout1985-5702 - reside CITY of ORONO
Building Permit PERMIT NO. Jr�OZ �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED /`�����) �
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITEADDRESS `� / ��> �-'i %�K. �
PROPERTY IDENTIFICATION NO.(PID) f 7 ��7' � `�� ���r�
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Address) (Phone)
�,. C-k.. ; 'L-- ����_
VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. SE DATE
LO A Aj BUILDER (Firm) (Address) (Phone)
A. � � � � �>��1S � �'� (�S_3�1�
W D DEPT � Z' � - ��' I L�C1 /S � ��
� TYPE OF WORK New Addition Remodel novate
OPO ED,� T �� " '---
RONT SI�� � �
CONST.TYPE BUILDING SIZE Estim ted Construction Va�a�ipn
REAR L. SIDE , j' '� �� �
QY l __�
L. W. Ht. f,�
LAKE WETLANDS
OCCUPANCY PERMIT FEES
CLASSIFICATION � �_ .4
ACCESS DWELL. BLDG. PERMIT � �
STORIES B 1 2 3
UNITS STATE FEE �—� �O G
NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS
AGENCY-APPROV. DATE q�. 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: - . � �
WORK REQUIRING ACKNOWLEDGEMENT
INSPECTION REQUIRED SEPARATE PERMITS
❑ .. . . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ . . . . . . 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 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 MINNESOT BUILDING CO E REQUIREMENTS. '
GRADING&FILLING ............... ❑
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE................................. ❑ x� �
Signatur Date
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT 1
PINK-ASSESSOR Approved �y of Orono
Brooklyn Prtg.&Adv.Co.Inc (612)561-4470
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