HomeMy WebLinkAbout1985-5838 - re-roof CITY of ORONO
Building Permit PERM�T No. � 5g38 �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED I'-
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING D�STRICT s�
SITE ADDRESS V
PROPERTY IDENTIFICATION NO.(P1D) �t�—�I1 �" � c� I C�7'� I
FIRE DEPARTMENT LOT BLOCK � SUBDIVISION
POST OFFICE OWNER (Name) (Addr s) (Phone)
� �. ; � �
VAR. DATE ARCHITECT/ENGINEER- Must ertify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH D T ��v`� r�' � � `
TYPE OF WORK New Addition Remod I Renovate
PROPOSED SE C �
FRONT R.S E
CONST.TYPE BUILDING SIZE Es ' ated Construction Valuation
REAR I � � ��
L. W. H t.
LAKE TL NDS
OCCUPANCY PERMITFEES
CLASSI FICATION dO
ACCESS DWELL. STORIES B � 2 3 BLDG. PERMIT .
UNITS STATE FEE � � s
NE EXISTING GAR.STALLS NUMBER OF BEDROOMS
AGEN - P OV. DATE q�. PLAN REVIEW
CIT DET. SEPTIC
APP. DATE SAC CHARGE
COUN PROPOSED USE SEWER UNIT
STATE PARK FEE
�
PENALTY '
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER _
REMARKS: TOTAL DUE �� ��
INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ ..... . FOOTING before pour
❑ .... . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES
❑ .... . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
❑ WALLBOARD before taping qNCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
... . .
FINAL before occupancy
WELL.................... ❑
.... . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
SEWER............................. ,
QUIRED INSPECTION WIIL 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................................. ❑ �
Signature �__���� Date��
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved f Orono
Brooklyn Prtp.&Adv.Co.Inc. (612)661�470
DATE TIME
CITY OF ORONO CALLED IN , —
INSPECTION NOTICE SCHEDULED �� -� '�� —
PERMIT NO. cOMPLETED I' �" '�S�
ADDRESS S��I �vsSC:��
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI �SITE INSPECTION
❑ FRAMING � PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
j� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
h � WALL BD. ❑ WATER HOOKUP ❑ LICENSING
� ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
Q ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC INSTALL ❑ SEPTIC FINAL
Q 7 FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP ❑ -__ _
Q COMMENTS:
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�W ❑ WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
❑ CORRECT WORK&PROCEED
U ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVEFiING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
1$iSTOP ORDER POSTED.CALLINSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance._
Owner/Contr. on site
Inspector :J � 473-7357
White Copy/Inspector ile Gold Copy/Site Notice