HomeMy WebLinkAbout1986 - 6148 - deck CITY of ORONO _ _
Building Permit ci-q‘,
PERMIT NO. 6148
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED q E
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT 2LiLS 1 oefi ,
SITE ADDRESS ,21,j
PROPERTY IDENTIFICATION NO.(PID) 3-) t`a—a Y"/- X05
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER _ (Name) (Address) (Phone)
1 fin &e.1Oa4e,, c /5O k)0 ace h auJei r
VAR. DATE111 ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans
4k (Firm) (Address) (Phone)
COND. USE DATE
LOT AREA AiBUILDER (Firm) (Address) (Phone)
WIDTH DEPTH ��-- 4.41-7
TYPE OF WORK New Additi) Remodel Renovate
PROPOS I SETBAC
FRONT R.S .E ,aye-k
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REAR L. • DE ,�
L. W. Ht. �6 /1,f
LAKE WETk - DS —
OCCUPANCY PERMIT FEES
CLASSIFICATION o 0- .\j�
ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT X�
UNITS C * 4•7)--e)
STATE FEE
ry E STING GAR. STALLS NUMBER OF BEDROOMS
AGEN \ ROV. DATE ATT. PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
OUN PROPOSED USE SEWER UNIT
ST E PARK FEE
PENALTY
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
TOTAL DUE 2 (- _,
REMARKS: \--5''' ,."
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-
0, WALLBOARD before taping FINAL before occupancy WELL ElANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE
❑ 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 ❑ PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
JECT TO PENALTY. OF MINNESOTA B. LDING C REQUIREMENTS.
GRADING&FILLING ❑
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE El l
Signature A.L----- L ' Dateil--/--F6
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT \ 1 _ l
PINK-ASSESSOR Approyed�'^ (6City of Orono
Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 ���
i
DATE TIME
CITY OF ORONO CALLED IN _..
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED((
ADDRESS 2y (� Oocg u-2111
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING 0 PLUMBING RI 0 SITE INSPECTION
❑ FRAMING 0 PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
0 INSULATION ❑ MECHANICAL 0 LAKESHORE/WETLANDS
❑ WALL BD. ❑ WATER HOOKUP ❑ LICENSING
LI- 0 FINAL 0 METER SET/TURN ON 0 COMPLAINT
0 PROGRESS ❑ SEWER HOOKUP 0 FOLLOW-UP
Q
ck ❑ DEMOL. 0 SEPTIC INSTALL. 0 SEPTIC FINAL
0 FIRE PREY. ❑ SEPTIC MAINT. 0 FIREPLACE/WOOD BURNER
❑ WELL TEST PUMP 0
COMME TS:
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WORK Pacc_.e:e0Cs
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W ❑ WORK SATISFACTORY:PROCEED 0 PHOTO TAKEN
0 0 CORRECT WORK&PROCEED
V ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
0 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/Contr. on site
Inspector_cc. aVA,Cs.,0^. 473-7357
White Copy/Inspector's File Gold Copy/Site Notice