HomeMy WebLinkAbout1985-5837 - re-roof CITY of ORONO
Building Permit PERMIT NO. 5g3 1 �
AND APPLICATION FOR CERTiFICATE OF OCCUPANCY DATE ISSUED t�' � r U�
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT
SITE ADDRESS
PROPERTY IDENTIFICATION NO.(PID) — � ' L
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (N�me) (Address) (Phone)
� ' �
VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH TH ` � `
TYPE OF WORK New Addition Remo el Renovate
PROPOSED SE S: ���
FRONT R SID
CONST.TYPE BUILDING SIZE E�ated Construction Valuation
REAR L. DE
IAKE WETLANDS L. W. Ht. / �O1,1
OCCUPANCY PERMIT FEES
CLASSIFICATION !� �C�
ACCES DWELL. STORIES g � 2 3 BLDG. PERMIT V �
UNITS s �
NE T G STATE FEE
AGENC R . ATE GAR.STALLS NUMBER OF BEDROOMS
ATT. PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUNTY PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY ��� �O
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
TOTAL DUE c�j4
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-
. FtNAL before occupancy
WELL............................ ❑
. ... .
. ... . . 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............................ . ❑
GRADING&FILLING ............... ❑
OF MINNESOTA BUILDING CODE REQUIREMENTS.
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE................................. ❑ �, � ,,r�
Signature CR Date�/—��
COPY:WHITE-FILE GREEN-FINANCE _
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved City of Orono
Brooklyn Prtg.&Adv.Co.Inc. (612)567�470