HomeMy WebLinkAbout1986-6229 - reroof CITY of ORONO �
BU1I�IIZg Perinl� PERMIT NO. s`Z2,� �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ��������
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT �5 �' �fJ
SITE ADDRESS /�--a
PROPERTY IDENT►FICATION NO.(PID) d' — c3 3 �� vU�S
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE O�NER� (Name) (Address) (Phone)
�� � P .� d � �
VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& In trial Construction Plans
(Firm) (Address) (Phone)
COND. USE DAT
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH PTH ��n �" �I S 1 � D C. � 3a�• o��/`�"/�
TYPE OF WORK New A ition Remodel Renovat
PR POSED S CKS:
FR T R. E '
CONST.TYPE BUILDING SIZE Esti ted Construction Valuation
REA SIDE
LA E ETLANDS �' W Ht. v ��v
OCCUPANCY PERMIT FEES
CLASSIFICATION +D. �U
ACCES DWELL. STORIES B 1 2 3 BLDG. PERMIT
UNITS �� (��
EXISTING STATE FEE
GAR.STALLS NUMBER OF BEDROOMS
AGE C PPROV. DATE qn, PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
OUN PROPOSED USE SEWER UNIT
S TE PARK FEE
PENALTY
PRIVAT EASEMENT COUNCIL
APP. DATE OTHER
�
TOTAL DUE �v
REMARKS:
- ���qa7
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-
FINAL before occupancy WELL.................... ❑
.... . .
......
..... . SITE INSPECTION SEPTIC........................ � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO 00 ALL WORK IN STRICT COM-
SEWER..............................
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................................. ❑ 9 �
Signature �/� �` Date
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved City of Orono
Brooklyn Prtg.&Ativ.Co.Inc. (612)5614470