HomeMy WebLinkAbout1985-5778 - re-roof CITY of ORO1TO
Buildin Permit PERMIT NO. Jr�rIB �
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AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED C�' Z-- �
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITEADDRESS � 1..�� C-� I���'1 C./ l�-�� �� �
PROPERTY IDENTIFICATION NO.(PID) ,�CC�� ��c� '"c�� �J � 7
FIRE DEPARTMENT LOT BLOCK SU6DIVISION
POST OFFICE OWNER �(Name) (Address) (Phone)
�' r -�. Y�r.. .�c�r�n�e � 7� - %��
VAR. DATE ARCHIT T/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE /
LOT AREA BUILDER (Firm) (Address) �� (Phone)
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WIDTH H ��C,�t�l.'�/1 ��;�U T'1✓�` �'��U ��, j �d'�'1 ���^, D!�� � �`/ �
TYPE OF WORK New Addition Remodel Renovate
PROPOSED S ` CKS: J�
FRONT R. IDE ✓! �r �''�k'
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REAR IDE �
LAKE � WETLANDS L. W. Ht. l � ��, �C)
� OCCUPANCY PERMIT FEES
^.� CLASSIFICATION � ��U Q
ACC SS, DWELL STORIES B 1 2 3 BLDG. PERMIT
UNITS STATE FEE ` :���
NE EXISTING 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
�{ TOTAL DUE `
REMARKS: � 1'� t�� � 1' �'G+ C�l.. --�-` � ✓ , ��
c-�I ���v..�pC� ,
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 DEC�ARES
❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOW�EDGEMENT 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- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
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................................. ❑ 9 L��� Q ,yJ �� ,{/� r ��S
, �j�,.
Si nature � �j Date V�
COPY:WHITE-FILE GREEN-FINANCE
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CANARY-INSPECTOR GOLD-RECEIPT � In �G C� �
PWK-ASSESSOR Approved �� � City of Orono
Brooklyn Prtg.&Adv.Co.Inc (612)567�470 �