Laserfiche WebLink
CITY of OIZONO � - -_ - <br /> PERMIT N� ` 5Og2 � <br /> Building Permit � z <br /> DATE ISSUED � ��� � ) <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRE <br /> P.O. BOX 66, CRYSI-AL BAY, MN 55323 473-7357 � . , �_/ <br /> ZONING DISTRICT SITE ADDRESS � 1/?r7 � C�! �it <br /> � LEGAL DESCRIPTION: PROP. ID. �j� �'"/� � " � � � ��_�; �(: �� <br /> �" —r �� LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> W R (Name1� (Address) (Phone) <br /> VAR. DATE 1 '� �- / �G� �, Q -�I � L _ `��,/ <br /> ARCHITECT/ENGINEER — st Certify ulti-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH B LDER (Firm) (Address) (Phone) <br /> , , - `��_ � � :S�'"7 ) � --:3��� <br /> PROPOSED SETBACKS <br /> FRONT_� R.SIDE TYPE OF WORK New� Addition Remodel Renovate <br /> REAR L.SIDE �,� (�� <br /> ' ' � CONST. TYPE BLDG.SIZE EST.CONST. VALUATION <br /> LAKE WETLANDS —� <br /> L. W. Ht � ��� <br /> C''�,=— <br /> ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES <br /> BLDG. PERMIT , ` (''1 <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE urviTs STATE FEE �• �/ � <br /> CITY GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY �ET. PENALTY <br /> OOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT OCC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DU _�- � , �K � <br /> , / �' - / � / <br /> REMAR KS: <br /> �'e .. �__ � <br /> , , , <br /> � �,-,.% ��C.' r � � iT <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> __�_FOOTING before pour SEPARATE PERMITS <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> FRAMING rough-in <br /> INSULATION PLUMBING _ THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br /> WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> F I NA L before occupancy - <br /> SEPTIC - MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> WORK BEYOND OR WITHOUT A RE- SEWER <br /> QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> INSPECTION HOURS 473-7357 GRADING& FILLING <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State <br /> //� 1�1 / <br /> Signature v�� � � �.�.f Date 7 `� �� <br /> COPY: WHITE—FILE GREEN—FINANCE . <br /> CANARY—INSPECTOR GOLD—RECEIPT <br /> PINK—ASSESSOR Approved =� —'�J �—City of Orono <br />