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HomeMy WebLinkAbout1985 - 5635 - reroof CITY of ORONO Building Permit PERMIT NO. 635 AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED `3-- `-' P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 641/(4_12 ZONING DISTRICT _34 q Ai-re_oe SITE ADDRESS PROPERTY IDENTIFICATION NO.(PID) ds—// 2 "-.,,?3 0-0J-S--- FIRE DEPARTMENT LOT BLOCK SUBDIVISION POST OFFICE O R (Name) (Address) (Phoe VAR. DATE &-/ )A- d/id,e.��� y� . � nC � ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans (Firm) (Address) (Phone) C ND. USE A` L AREA B DER / (Firm) (Address) (Phone) W T DEPTH 0 ! � k TY E O WORK Ne Addition C Remodel Renovate PR POSED SETBACKS: FRONT R. SIDE CONST.TYPE BUILDIN SIZE Estimated Construction Valuation R R L. SID , CTO —070 L . W. Ht. lz L K W NDS OCCUPANCY PERMIT FEES J CLASSIFICATION a) ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT UNITS STATE FEES N. EXISTING GAR. STALLS NUMBER OF BEDROOMS AGENC -APPROV. DATE ATTPLAN REVIEW CITY DET. SEPTIC APP. DATE SAC CHARGE COUNTY PROPOSED USE SEWER UNIT STATE PARK FEE PENALTY PRIVATE EASEMENT COUNCIL ,� APP. DATE OTHER h REMARKS: F L-lJ S _ ' - 4,I'\- 3 .--L-fo TOTAL DUE /4;ec7 _S-- Sip • WORK REQUIRING ACKNOWLEDGEMENT INSPECTION REQUIRED SEPARATE PERMITS 0 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- O WALLBOARD before taping ❑ FINAL before occupancy WELL ❑ ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- D SITE INSPECTION SEPTIC ❑ MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- WORK BEYOND OR WITHOUT A RESEWER ❑ SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- -QUIRED INSPECTION WILL BE SUB- WATER ElPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE JECT TO PENALTY. OF MINNESOTA BUILDING CODE REQUIREMENTS. GRADING&FILLING E INSPECTIONS MUST BE CALLED-IN �. 24 HOURS IN ADVANCE. FIRE ❑ /—� Signature C' 1 . Date COPY:WHITE-FILE GREEN-FINANCE FAIW/ -11-7R-- CANARY-INSPECTOR — - CANARY-INSPECTOR GOLD-RECEIPT `/L��� PINK-ASSESSOR Approve.�� . �� .�. I. 414ity orono Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470