HomeMy WebLinkAbout1984-5400 - reroof C I ;l j �l DA���1�I�� P E R M I T �� � 5 4 0 0 �
Building Permit -
DATE ISSUED $ vZY`�`�
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS /�,k� �.5��,�L✓o✓t�
LEGAL DESCRIPTION: PROP. ID. �7//7d> �/L`�L"�� y
LOT BLOCK SUBDIVISION
FIRE ZONE
WNER (Name) (Address) (Phone)
VAR. DATE " i � /f����: l� ���� S .�� u
ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans
COND. � DATE � ERT.NO.
(Firm) (Address) (Phone)
LOT A
WI \ ED'�H BUILDER (Firm) (Address) (Phone)
�c�N�i�'vG
PROPOS� TBACKS
FRON R.SIDE TYPE OF WORK New Addition Remodel �Renovate�
RE R LSIDE ��iv�r��f=
CONST. TYPE BLDG.SIZE EST.CONST. VALUATION
LAKE WETLANDS
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ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES
BLDG. PERMIT v��• U(��
NEW EXISTING DWELL. BDRMS/FLR
AGENCY-APPROV. DATE UNITS STATE FEE I - 6��
CITY GAR.STALLS SEPTIC
ATT. APP. DATE PLAN REVIEW
COUNTY �ET. PENALTY '�, C� G
DOCK
STATE NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT OCC.
SAC CHARGE
C LASS.
STORIES COUNCIL /''�
APP. DATE TOTAL DUE �-f� ���J
REMARKS: � H I NC��.�S �"UT f�-���}�� =YJ CN f' ���!-fc� �—.� 5 -�r��4/�� I
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INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGE!!/IENT
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 I N A 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 A�L WORKS IN STRICT COM-
WATER
JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STAT'
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 DAY ELECTRICAL from State ��
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Signature � Date ��
COPY: WHITE—FILE GREEN—FINANCE
CANARY—INSPECTOR GOLD—RECEIPT l� ( ,+,
PINK—ASSESSOR Approved _ � �� .�G'TmC� \��%� Cinr of Orom
' DATE TIME
CITY OF ORONO CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. connP�ETE� �s•���� i'4'►'1--
ADDRESS 1��� zj%'f/9D�i ,���c?1�
OWNER CONTR.
TELEPHONE NO.
O FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� � WALL BD. O METER SET/TURN ON ❑ LICENSING
l4 ❑ FINAL (7 SEWER HOOKUP ❑ COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
Q � FIRE PREV. ❑ WEL�TEST PUMP ❑ FIREPLACE/WOOD BURNER
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W ❑ WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
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Q ❑ CORRECT WORK&PROCEED
V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION WITHIN 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 s'te
Inspector � 473-7357
White Copy/Inspector's File Gold Copy/Site Notice