Laserfiche WebLink
(.I "I"Yoi ORO NO� PERMIT N:' _ 4824 � <br />Building Permit <br />DATE ISSUED <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES - <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 _ <br />ZONING DISTRICT SITE ADDRESS �%S__�oZ��f �i.`� .Ca •�-- <br />LEGAL DESCRIPTION: PROP. ID.Z_ <br />LOT RI nr.K CI lanlvlclnnl <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />O <br />REAFr L.SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />I ____ _ - __j <br />REMARKS <br />WNER, (Name <br />(Address) (Phone) - 7( <br />ARCHITECT/ENGINEER - Must Certify Multi-FarTily, Commercial 81rindustrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />BUILDER (Firm) <br />(Address) (Phone) <br />TYPE OF WORK New Addition <br />Remodel Renovate <br />CONST. TYPE <br />BLDG SIZE <br />EST CO ST. VALUATION <br />F <br />L E <br />RESIDENT <br />STORIES B 1 <br />3 <br />PERMIT FEES <br />✓ <br />BDRMS/FLR <br />BLDG. PERMIT .373 d° <br />STATE FEE u. � <br />PLAN REVIEW d� <br />DWELL. <br />UNITS <br />GAR. STALLS <br />SEPTIC <br />ATT. <br />APP. DATE-- <br />DET. <br />PENALTY <br />DOCK <br />l <br />PARK FEE `�/ <br />NUN-RESID <br />PROPOSED USE <br />-_-a <br />S.-IC CHARGE <br />OCC. <br />CLASS. <br />4 <br />STORIES <br />COUNCIL <br />—0c) <br />APP DATE <br />TOTAL DUE <br />INSPECTION REQUIRED <br />( FOOTING before pour <br />_jLFRAMING rough -in <br />_____INSULATION <br />KNALLBOARD Before Tapinq <br />FINALbefore occupancy <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED INSPECTION WILL BE SUB- <br />JECT TO PENALTY, <br />INSPECTION HOURS 473-7361 <br />CALL 8 - 12 A.M. INSP 1 - 4 P.M <br />CALL 1 4 P.M INSP. NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING __ ✓ .__ _ <br />MECHANICAL _✓//_____ <br />WELL <br />SE"XC <br />SEWER ----- <br />_ _ <br />WATER <br />GRADING & <br />FILLING <br />ELECTRICAL from State <br />COPY WHITE FILE GREEN FINANCE <br />CANARYINSPECTORGOLD RECEIPT <br />PINK ASSESSOR <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT. <br />ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE. <br />MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PL�WITTH L CITY OF ORONO ORDINANCES AND STATE <br />ILDING CODE REQUIREMENTS. <br />Date \y Z- I <br />Approved <br />City of Orono' <br />