HomeMy WebLinkAbout1983-4997 - remodel CITY of OIZ()�() PERMIT 1�,1� � 4997 �
Building Permit DATE ISSUED s- �`-�'3
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS
LEGAL DESCRIPTION: PROP. ID. � ��T( � `— o� -- 'J c� — C�C� /,�
LOT BLOCK SUBDIVISION
FIRE ZONE
WNER (Name) (Address) (Phone)
VAR. DATE �r � / —
ARCHITECT/ENGINEER — Must Certity Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
�Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH BUILDER (Firm) (Address) (Phone)
PROPOSEDSETBACKS
FRONT R.SIDE TYPE OF WORK New Addition Remodel Renovate
REAR L.SIDE
CONST. TYPE BLDG. SIZE EST.CONST. VALUATION
LAKE WETLANDS
L. W. Ht. /� G C� ' �J�
ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES
BLDG. PERMIT
NEW EXISTING DWELL. BDRMS/FLR
AGENCY-APPROV. DATE UNITS STATE FEE , SO
CITY GAR.STALLS SEPTIC
ATT. APP. DATE PLAN REVIEW
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT oCC.
SAC CHARGE
C LASS.
STORIES COUNCIL
APP. DATE TOTAL DUE � �p
REMARKS:
INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT
FOOTINGbeforepour 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-
FINAL betore occupancy —
SEPTIC
MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY. PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
GRADING&FILLING
INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS.
CALL 8 - 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State
Signature Date
,OPY: WHITE—FILE GREEN—FINANCE
CANARY—INSPECTOR GOLD—RECEIPT
PINK—ASSESSOR Approved /��� City of Orono
DATE TIME
CITY OF ORONO CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED �� ��-�� L, �S
ADDRESS r�8 �� C"✓1;�co 1�� P�� -
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
O FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION p WATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ METER SET/TURN ON O LICENSING
W AFINAI O SEWER HOOKUP ❑ COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. p SEPTIC MAINT. ❑ SEPTIC FINAL
O � FIRE PREV. ❑ WELL TEST PUMP ❑
Q COMMENTS: �.�K� s7r�,,��
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OW ❑ WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
❑ CORRECT WORK&PROCEED
V p CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION 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/Contr. on site
I nspector� �`i iYv.c��� 473-7357
White Copy/Inspector's File Gold Copy/Site Notice