HomeMy WebLinkAbout1987-6455 - re-roof CITY of ORONO _ _
Buildin Perinl� PERMIT NO. 645�J �
g - 9 -�''7
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY �ATE ISSUE� _
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT /,
SITE ADDRESS K-
PROPERTY IDENTIFICATION NO.(PID)
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWN (Name) (Address) (Phone
�7/- 9 s��
VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE D E
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH DE H
TYPE OF WORK New Addition Remodel Renovate
PROPOSED S B � � U��
FRONT R. IDE
CONST.TYPE BUIIDING SIZE E�i�}nated Construct�n Valuation
REAR l. DE 7y
L. W. H t. �'i .� I� �
LAK ETLANDS
OCCUPANCY PERMIT FEES
CLASSIFICATION , ��
ACCESS DWELL. STORIES g � 2 3 BLDG. PERMIT � S�v
UNITS STATE FEE � _
N W EXISTING GAR.STALLS NUMBER OF BEDROOMS
AGE Y-AP ROV. DATE ATT. PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUN PROPOSED USE SEWER UNIT
ATE PARK FEE
PENALTY
PRI E EASEMENT COUNCIL
APP. DATE OTHER
TOTALDUE
REMARKS: ��
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INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO
❑ . . ... . FOOTING before pour
❑ . . .... FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLA
❑ . . .... INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACC
❑ . . . . . .WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQU
FINAL before occupancy WELL............................. ❑
�.. . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UND
WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT C
SEWER..............................
GlUIRED INSPECTION WILL BE SUB- P�IANCE wITH ALL CITY OF ORONO ORDINANCES AND ST
WATER.......................
JECTTO PENALTY. �"""'
OF MINNESOTA BUILDING CODE REQUIREMENTS.
GRADING&FILLING ............... ❑
INSPECTIONS MUST BE CALLED-IN '
24 HOURS IN ADVANCE. FIRE................................. ❑ •
Signature Date
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT �
PINK-ASSESSOR Approve City of Orory
BrooklVn Prtg.&Adv.Co.Ina (612)561-4470 {
DATE TIME
CITY OF ORONO CALIED IN
INSPECTION NOTICE SCHEDULED .
PERMIT NO. COMPLETED �� �=5?�
ADDRESS ��y�� S�f�JIJyC�CX.1�
OWNER CONTR.
TELEPHONE NO.
O FOOTING O PIUMBING RI O SITE INSPECTION
O FRAMING O PLUMBING FINAL ❑ EXCAVJGRAOING/FILLINt3
� O INSULATION O MECHANICAL ❑ LAKESHORE/WETLANDS
❑ WALL BO. O WATER HOOKUP O LICENSING
� d FINAL O METER SET/TURN ON O COMPLAINT
Q ❑ PROGRESS O SEWER HOOKUP O FOLLOWkJP
y O DEMOL ❑ SEPTIC INSTALL O SEPTIC FINAL
Q O FIRE PREV. O SEPTIC MAINT. O FIREPLACE/WO00 BUFiNER
Z O WELL TEST PUMP ❑
= COMMENTS.
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p ❑ CORRECT WORK 3 PROCEED
Cl O.CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
rJ CORRECT UNSAFE CONDITION WITHIN HOURS.tNSPECTOR WILL RETURN.
�-STOP ORDER POSTED.CALI INSPECTOR.
O INSPECTtON REQUIRED.CAIL TO ARRANGE ACCESS.
call for the next inspection 24 houn in advance.
Owner/Contr. n site
inspector 47�'�'
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White/inspectw'�File Gnary/Site Notice _� -`
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