HomeMy WebLinkAbout1984-5385 - reroof CITY of OR()N() PERMIT Nn 53851
Building Permit DATE ISSUED � -�� �'
�
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS
LEGAL DESCRIPTION: PROP. ID. r 7 � CTZ� Y
LOT BLOCK SUBDIVISION
FIRE ZONE
W E ( e) . (Address) (P n �
VAR. DATE L� � � ���/ r
ARCHIT CT/ENGINEER — Must ertify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AR
WIDTH DEPTH BUILDER (Firm) (Address) (Phone)
PR OSE S B CKS �
FR T DE TYPE OF WORK New Addition Remodel Renovate
RE R L.SIDE
CONST. TYPE BLDG.SIZE EST.CO ST. VALUATION
LA E L
� L. W. Ht. ����� „ ��
AC ES RESIDENTIA STORIES B 1 2 3 PERMIT FEES
BLDG. PERMIT �. �
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
FOOTINGbeforepour 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 NA L before occ upancy
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.
CALL8 - 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State �
Signa Date
COPY: WHITE—FILE GREEN—FINANCE ��5,
CANARY—INSPECTOR GOLD—RECEIPT
PINK—ASSESSOR Approve City o Orono