HomeMy WebLinkAbout1986-6142 - roofing CITY of ORONO
Buildin Permit PERMIT NO. 614�r �
g � ��
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED /
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT /� � ��
SITE ADDRESS ��V �' �C�GLJ��
PROPERTY IDENTIFICATION NO.(PID) ��— ��'� �` ��— E�2`Y��
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Addr�ss (Phone)
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VAR. DATE ARCHITECT/ GINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH D 1 G' {'��)LC� � � .��5/� �-L��7 i�,?G%t[1/�
YPE F WORK New A ition Remodel enov
PROPOSED SE C S: �� �
FRO R. / Ch--,�
CONST.TYPE BUILDING SIZE stimated Construction Valuation
REAR
L. W. Ht. /
LAKE TLA S '
OCCUPANCY PERMIT FEES
- CLASSIFICATION � �
ACCE S DWELL. STORIES B 1 p 3 BLDG. PERMIT •..�
UNITS STATE FEE �v
NEW EXI TING GAR.STALLS NUMBER OF BEDROOMS
AGENCY-APP DATE ATT. PLAN REVIEW
CITY�"- DET. SEPTIC
�� APP. DATE SAC CHARGE
CO TY PROPOSED USE SEWER UNIT
ST PARK FEE
PENALTY
PRIVATE SEMENT COUNCIL
APP. DATE OTHER
� I ' _ TOTALDUE � �
REMARKS: � l`✓ l ,L,G. .� r �t' -�-�- •� (�
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INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ . . . . . . FOOTING before pour
❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES
❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
❑ . . . . . . WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE-
WELL............................... ❑
. . . . . .
FINAL before occupancy
❑ . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
SEWER..............................
QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF OR O ORDINANCES AND STATE
JECT TO PENALTY. WATER.............................. ❑
MIN SOTA BUILDIN E QUIREMENTS.
GRADING& FILLING ............... ❑
INSPECTIONS MUST BE CALLED-IN i �
24 HOURS IN ADVANCE. FIRE................................. ❑ , ,c,\, —�
Signa -'�' Date'�"�
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approve City of Orono
Brooklyn Prtg.&Adv.Co.Ina (612)561-0470
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ���"`� 7��� �`✓��
PERMIT NO. connP�ErE� yr��-_ �C� 5�
ADDRESS _ � �� � � � � (�--i a l� I�.��
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ PLUMBING FINAL 0 EXCAV./GRADING/FILLING
� � INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETIANDS
� O WALL BD. O WATER HOOKUP O IICENSING
k� ��FINAL O METER SET/TURN ON ❑ COMPLAINT
� O PROGRESS O SEWER HOOKUP ❑ FOLLOWUP
y ❑ DEMOL. ❑ SEPTIC INSTALL. O SEPTIC FINA�
Q ❑ FIRE PREV. u SEPTIC MAINT. O FIREPLACE/WOOD BURNER
� � WELL TEST PUMP O
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W �WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
�- O CORAECT WORK 8 PROCEED
C) ❑ CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WIIL RETURN.
❑ STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTlON REQUIRED.CALL TO ARRANGE ACCESS.
cali for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector �� / - 473'7351
White/Inspector's File Canary/Site Notice