HomeMy WebLinkAbout1985-5420 - reroof '1TY of ORONO t PERMIT ND _ 5420 I
luilding Permit
DATE ISSUED _
,ND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES —
'.0. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS
LEGAL DESCRIPTION: PROP. ID. '�J ?F,
LOT BLOCK SUBDIVISION
FIRE ZONE I 1
(Name) (Address) (Phone)
VAR. DATE
ARC ECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH BU DER ( 'r ) (Address) (Phone)
9 -
PRC SE SETBACKS
FR N SIDE TYPE OF WORK New Addition Remodel Renovate
REA R IDE 9A-:�4�
CONST.TYPE BLDG.SIZE EST.C9NST. VALUATION
LAK WETLAN xy(y�//
i
LV-1 . W. Ht. --�.
AC S RESIDENTIALSTORIES B 1 2 3 RMIT FEES
BLDG. PERMIT �
N W E I ING DWELL. BDRMS/FLR
AGE CY-A R V. DATE UNITS STATE FEE
CITY GAR.STALLS SEPTIC
ATT. APP. DATE PLAN REVIEW
COUNTY DET. PENALTY
DOCK
STATE NON-RESID, PROPOSED USE PARK FEE
PR. EASEMENT OCC. SAC CHARGE
C LASS.
STORIES COUNCIL ? 3 V
APP. DATE TOTAL DUE
REMARKS:
FNON REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
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-
SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
ND OR WITHOUT A RE- SEWER
SPECTION WILL BE SUB- SIGNED FURTHER AGREESTO DO ALL WORKS IN STRICT COM-
WATER
NALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
GRADING&FILLING
N HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS.
2 A.M. INSP. 1 -4 P.M.
4 P.M. INSP. NEXT DAY ELECTRICAL from State
Signature Date
COPY: WHITE—FILE GREEN—FINANCE �—
CANARY—INSPECTOR GOLD—RECEIPT
PINK—ASSESSOR Approve City of Orono
CITY OF ORONO CALLED-IN TIME
INSPECTION NOTICE SCHEDULED %/ /'li<-�-4'�/
PERMIT NO. COMPLETED S LO-5&1 -79,
ADDRESS Jzxkaw
OWNER Q CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
❑ INSULATION ❑ WATER HOOKUP ❑ LAK ESHORE/WETLANDS
❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSING
tyj ❑ FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
O ❑ FIRE PREV. ❑ WELL TEST PUMP LACE/WOOD BURNER
Z
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O ORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
O 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. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contrite
Inspector s 473-7357
White Copy/Inspector's File Gold Copy/Site Notice