HomeMy WebLinkAbout1983-4995 (re-roof) LTY of OIiONO PERMIT'NO _.� 499� �
.�uilding Permit +
DATE ISSUED '��(''��
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
PZONI�G DIST ICT L BAY, M S5 E3A��RESS 3-7357 ��� � ����� ' _ e�'��;,/
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LEGAL DESCRIPTION: PROP. ID. �J" ��� �/ �0.�
LOT BLOCK SUBDIVISION
FIRE ZONE
WNER ( ame) (Address) (Phone)
VAR. DATE . � � ! V �"GlGL ,3 � a�
ARCHITECT/ENGINEER — Must Certify Multi-Family,Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH BUILDER (Firm) (Address) (Phone)
PROPOSED SETBACKS
FRONT R.SIDE TYPE OF WORK New Addition Remodel Renovate
REAR L.SIDE
CONST.TYPE BLDG. ZE EST.CONST.VALUATION
LAKE WETLANDS
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L. W. Ht.
ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES
A
BLDG. PERMIT �0��
NEW EXISTING DWELL. BDRMS/FLR g�
AGENCY-APPROV. DATE uNlrs STATE FEE �
CITY � GAR.STALLS SEPTIC
ATT. APP. DATE PLAN REVIEW
COUNTY �ET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT occ. SAC CHARGE
C LASS.
STORIES COUNCIL
APP. DATE TOTAL DUE O2O�
R EMAR KS:
INSPECTION 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-
FINAL before occupancy
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREESTO DO ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
GRADING&FILLING
IIVSPECTION HOURS 473-7357 OF MINNESOT ILDIIVG CODE REQUI ENTS,`
CALL 8-12 A.M. INSP. 1 -4 P.M. .
CALL 1 - 4 P.M. INSP.NEXT DAY ELECTRICAL from State
Signat e
COPY: WHITE—FIL•E GREEN—FINANCE
CANARY—INSPECTOR GOLD—RECEIPT
PINK—ASSESSOR Approved ity of Orono
DATE TIME
CITY OF ORONO CALLED-IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. . COMPLETED rr�� I ��
ADDRESS �'��� ��� ���¢ "
OWNER CONTR.
TELEPHONE NO. __ _
O FOOTING ❑ PLUMBING RI O SITE INSPECTION
O FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP p LAKESHORE/WETLANDS
❑ WALL BD. ❑ METER SET/TUiiN ON ❑ LICENSING
� � FINAL O SEWER HOOKUP ❑ COMPLAINT
O PROGRESS ❑ SEPTIC INSTALL. ,B--FOLLOW-UP
y ❑ DEMOL ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
� ❑ FIRE PREV. O WELL TEST PUMP �
= COMMENTS: 1P,
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OW ❑WORK SATISFACTORY:PROCEED ❑PHOTO TAKEN
❑CORRECT WORK&PROCEED
V p CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDIT�ON 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/Cont�n site
Inspector 473-7357
White Copy/Inspector's File Gold Copy/Site Notice �