HomeMy WebLinkAbout1984-5382 - re-roof CITY O� OA���N�� PERMIT Nn � 5382 I
Building Permit - ,_ c� �
DATE ISSUED �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.0. B OX 66, C R YSTA L BAY, M N 55323 473-7357 • /'�
ZONING DISTRICT SITE ADDRESS �� C��� �.J� �
LEGAL DESCRIPTION: PROP. ID. � ��� .� � �
LOT BLOCK SUBDIVISION
FIRE ZONE
WN me) (Address) (Phone)
VAR. DATE
ARCHITE /ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WI DEPTH BU DER ( irm) (Address) /W � Phone)
�, ��oS�S`�1'
PR PO E SETBACKS
FR NT R.SIDE TYPE OF WORK New Addition Remodel Renovate
R R L.SID
CONST. TYPE BLDG.SIZE EST.CONST. VALUATION
L K E LA S �
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A RESIDENTIA STORfES B 1 2 3 PERMIT FEES
BLDG. PERMIT � �
NEW EXISTING DWELL. BDRMS/FLR
AGENCY-APPROV. DATE UNITS STATE FEE �• �
CITY GAR.STALLS SEPTIC PLAN REVIEW
ATT. APP. DATE
COUNTY �ET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT OCC.
SAC CHARGE
� C LASS.
STORIES COUNCIL /�/ . �
APP. DATE TOTAL DU v��/
REMARKS: � �Q_ � �
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INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT
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 ACKNOW�EDGEMENT 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- WATER SIGNED FURTHER AGREESTO DO ALL WORKS IN STRICT COM-
JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
GRADING&FILLING
INSPECTION HOURS 473-7357 OF MINNE�OTA BUILDING CODE REQUIREMENTS.
CALL 8- 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State � �
Signature ° Dat �7
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COPY: WHITE—FILE GREEN—FINANCE
CANARY—INSPECTOR GOLD—RECEIPT �/'���lY-o ���
PINK—ASSESSOR Approv f Or o
D�" �S TIME
CITY OF ORONO CALLED-IN � j ---JC��
INSPECTION NOTICE SCHEDULED � r �
PERMIT NO. MP�ETE� �1_u �'Y ___�'4'
ADDRESS �7 C /��C�iC-�,��Z�
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
� FRAMING ❑ MECHANICAL ❑ EXCAVJGRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSING
W ,�FINAL O SEWER HOOKUP ❑ COMPLAINT
� ❑ PR ESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� � DEMOL. ❑ SEPTIC MAINT. O SEPTIC FINAL
Q ❑ FIRE PREV. ❑ WELL TEST PUMP FIR LACE/WOOD BURNER
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W ❑ WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
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O ❑ CORRECT WORK& PROCEED
V ❑CORRECT WORK. CALL FOR REINSPECTION BEFORE COVEFiING
❑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 site
I nspector 473'7357
White Copy/Inspector"s File Gold Copy/Site Notice