HomeMy WebLinkAbout1984-5336 - re-roof CITY of OIZ()�() PERMIT N� _ 5336 �
Building Permit ��`�;���,.� _�c�
DAT ISSU�D��
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES 4 �
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P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 � �� a//�
ZONING DISTRICT SITE ADDRESS
LEGAL DESCRIPTION: PROP. ID. " ll — ��'�
LOT BLOCK SUBDI VISfON
FIRE ZONE
R (Na e) (Address) (Phone)
VAR. DATE I� ' j/,� � �
ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT A R EA
WIDTH DEPTH BUI ER , (Fir ) (Address) (Phone)
/-� s � s` ._ 7��
PRO S D BACKS
FRO T R.SIDE TYPE OF WORK New Addition Remodel enovate
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REA L.SI �
CONST. TYPE BLDG. SIZE EST.CO VALUATION
L E L D ��
L. W. Ht. ��.----'�
A C SS RESIDENTIA STORIES B 1 2 3 PERIVIIT FEES /'�J�1
BLDG. PERMIT O ��Ll
NEW EXISTING DWELL BDRMS/FLR ��
AGENCY-APPROV. DATE uNITs STATE FEE
CITY GAR.STALLS SEPTIC PLAN REVIEW
ATT. APP. DATE
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT OCC. SAC CHARGE
C LASS.
STORIES COUNCIL
APP. DATE TOTAL DUE \ � ��)
REMARKS:
INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT
FOOTING before pour SEPARATE PERMITS
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
FRAMING rough-in
INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
F INA L before occupancy
SEPTIC
MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
GRADING& FILLING
INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS.
CALL 8 - 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAV ELECTRICAL from State .
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Signature (/�l.µ. e �
COPY: WHITE—FILE GREEN—FINANCE /�
CANARY--INSPECTOR GOLD—RECEIPT � I
PINK—ASSESSOR Approv of Or no
DATE TIME
CITY OF ORONO CALLED-IN
INSPECTION NOTICE SCHFDULED
PERMIT NO. COMPLETED �s� c`"� j� - +�•�rr�S
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f.�1��+ ��16 j ._
ADDR ESS ���" � 1 ``��.
OWNER CON
TELEPHONE NO. �
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION p WATER HOOKUP ❑ LAKESHOREIWETLANDS
❑ WALL BD. O METER SET/TURN ON ❑ LICENSING
W �'FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
� ❑ PROGRESS O SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ WELL TEST PUMP �
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W ❑ WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
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O ❑ CORRECT WORK& PROCEED
V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION�JITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALLTO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
�
I nspector i"t"� 473-7357
White Copy/Inspector's File Gold Copy/Site Notice