HomeMy WebLinkAbout1986-6149 - re-roof CITY of ORO1TO _ _
Buildin Permit PERMIT NO. 6149
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AND APPUCATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ' �
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT '� "')/� �/� � �
SITE ADDRESS Z�' f
PROPERTY IDENTIFICATION NO.(PID) c D—�,���' � -�/ � �'� �
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE O NER ` �{Name) � (Address) (Phone)
y/��` ✓ ��" F� �
VAR. DATE CHITECT/ENGINEER - Must Certify Multi-Family,Commercial& Industrial Construction Plans
�� (Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
��''t„�
WIDTH DEPTH
TYPE OF WORK New Addition Remodel Renovat�.
PROPOSED SETBACKS: � l � ` - �
FRONT R. SIDE Q ' t i
CONST.TYPE BUILDING SIZE Estimated Co uction Valuat n
REAR L. SIDE
.�i � �'��_
L. W. H t. I
LAKE WETLANDS
OCCUPANCY PERMIT FEES
CLASSIFICATION ! �) �i
BLDG. PERMIT ' �`Y' "� �
ACCESS DWELL. STORIES B 1 2 3
NEW EXISTING UNITS STATE FEE ,� / -�
GAR.STALLS NUMBER OF BEDROOMS
AGENCY-APPROV. DATE ATT. PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUNTY PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
" f- ,( ��o �- , TOTAL DUE � � � .�. ��
REMARKS: ��' � /� � r ��� �� '� r..��_
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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 ORONO ORDINANCES AND STATE
JECT TO PENALTY. WATER.............. ❑
OF MINNESOTA BUILDING CODE REQUIREMENTS.
GRADING&FILLING ............... ❑ ,
INSPECTIONS MUST BE CALLED-IN �
24 HOURS IN ADVANCE. FIRE................................. ❑ � p �
Signature b^�-'�l— Date
COPY:WHITE-FILE GREEN-FINANCE ,�-i
CANARY-INSPECTOR GOLD-RECEIPT
PWK-ASSESSOR Approved =�ity of Orono
Biooklyn Prtg.&Adv.Co.Inc. (612)561-0470 �