|
rR ),--,. ."',;,•;,:-' x s. r ."'Y'`'''.'''. ' 1',.. Y "i''r ^6'.,. 4a• '':','s . y ss. F T , ,... .rf v j
<br /> r ,� r,�s�r �j '''.1&'''"k':"Y° 't T.,. r S s�,r ° Vie, � .y ar s s ;,k ,�� � 1 ?r;�u' I':+�5
<br /> l',4
<br /> °u.:- sTAIn r s'7 f, ''
<br /> i ti, .'..4`'I''''. ,� 7 s ' +Tri 3wt v,r°' {' : eta ,stn -..,16.,..4,0,,, '�)+ ;
<br /> ',r a y 3'. -. `, w rt ,-", ' y i y 9 r� ,:, 1,,,,!,4„,••,,,`7i ° '7s'km� t� .rs"R'�" .7
<br /> r s crt i .„ rK ,f. a •'qtr., aY +E'4 a4M' :.5•, t
<br /> /\ rYOf ORONO PERMIT N9 _ 46461
<br /> .Juilding Permit -- ,�
<br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED /l)
<br /> EXPIRES
<br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
<br /> ZONING DISTRICT, SITE ADDRESS / ✓ 1 A'..4t a l
<br /> 112.-/A LEGAL DESCRIPTION: PROP. ID, • — I i .? .r
<br /> LOT BLOCK_ _SUBDIVISION
<br /> FIRE ZONE
<br /> •KER (Name / (Address
<br /> (Address) (Phone)
<br /> VAR.DATE r a ,)d,l,,- re AFCHICT/ NEER
<br /> —Must Certify Multi-Family.Commercial& Industrial Construction Plans
<br /> COND.USE DATE ERT.NO.
<br /> (Firm) (Add ess) (Phone) ,'
<br /> LOT AREA /La t.: I/'. .1./ , / . ' !. ' • !.//t' ,
<br /> i
<br /> WIDTH DEPTH BUILDER Firm) (Address) (1
<br /> PPhone)) '
<br /> PROPOSED SETBACKS
<br /> Fybrkbr E R.SIDE TYPE OF WORK ''ew Addition Remodel Renovate
<br /> REAR L.SI �/V/ ?,1J &ag
<br /> CONST.TYPE BLDG.SIZE EST.CONST.VALUATION
<br /> LAKE WETLANDS //]�) lialeaTeO
<br /> ACCESS RESIDENTIAL) STORIES B 1 2 3 h' PERMIFEES, P!
<br /> NEW EXISTING I BLDG.PERMIT 'V,U
<br /> .14' DWELL. BDRMS'FLR �© �� s}
<br /> 0, AGENCY•APPROV. DATE 'UNITS 0 STATE FEE
<br /> CITY • ' GAR STALLS SEPTIC SIS 0
<br /> AT7 APP DATE
<br /> COUNTY DET. PENALTY
<br /> I DOCK
<br /> r -
<br /> STATE s NON RESID. PROPOSED USE PARK FEE
<br /> PR. EASEMENT OCC. SAC CHARGE i,
<br /> CLASS.
<br /> STORIES COUNCIL ,
<br /> APP DATETOTAL DUE .cam •
<br /> P'`; REMARKS:
<br /> v INSPEC?�ON REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
<br /> ......___67,4_.v/� /......___67,4_.FOOTING before pour SEPARATE PERMITS
<br /> `` FRAMING rough in
<br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
<br /> _ —INSULATION PLUMBING _ __________ THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
<br /> WALLBOARD Before Taping MECHANICAL__`moi UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT.
<br /> FINAL before occupancy WELL _-'.-' -._ ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE.
<br /> SEPTIC _, __-__- • MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
<br /> WORK BEYONI'OR WITHOUT A RE• SEWER -___-___ ___ _____
<br /> OUIRED INSPECTION WILL BE SUB- WATER _____ SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
<br /> _
<br /> )ECT TO PENALTY. ' PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE •
<br /> INSPECTION HOURS 473.7357 GRADING&FILLING_
<br /> CALLB•12 A.M.INSP. 1•4 P.M. OF MINNESOTA BUILDING CODE REQUIREMENTS.
<br /> c
<br /> ' CALL 1• 4 P.M.INSP.NEXT DAY ELECTRICAL from State
<br /> Signature t A4.a, Date /0-023-�f
<br /> COPY: WHITE-FILE GREEN-FINANCE
<br /> t CANARY-INSPECTOR GOLD RECEIPT
<br /> Approved /
<br /> ' PINK-ASSESSORs � /9 (Ci)
<br /> of Orono
<br /> -,Y
<br /> ;:1 ':44;3:1,4TM r s
<br /> k'V'-'•• •1.14: �x ?tr1Moew yt4.".4k.11•40„,.1,' • $� k & 4 ` ` � " fin: >' ,.
<br /> �
<br /> yi' ik ;y.i r*a ., Al! 3 r..�.# ,i'' f < .-; . ..''4�ta • �< ti ? • k C ' ,15 -6s l' k'x • � , :, .,IEn`4';:
<br /> a..
<br />
|