HomeMy WebLinkAbout1985-5671 - re-roof CITY of ORONO
Building Permit PERMIT NO. 56 1 �. �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED � c� �" ��
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT -
SITE ADDRESS t-� F ' • �`'
PROPERTY IDENTIFICATION NO.(PID) '-� < <-�n�
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OW�I.E (Name) / (Address) (Phone)
� �� c 'l,�/�d � �� � �� ' ��
VAR. DATE ARCHITECT/EN R- Must Certify Multi-Family, Commercial& Industrial Construction Plans
r' ( i ) (Address) (Phone)
COND. US �A
L T A EA BUILDER (Firm) (Address) �,� � (Phone)
TH DEPTH "`'� ' � C'�� ��� �'c��1c�r - 3 �-Sa7
TYPE OF WORK New Addition Remodel enovate
P O SED SETBACKS:
F ONT R. SIDE
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
R AR L. SIDE � �
L. W. Ht. f�
LAKE WETLANDS
OCCUPANCY PERMIT FEES
CLASSI FICATION ✓),
ACCESS DWELL STORIES g � 2 3 BLDG. PERMIT � � l�_
UNITS STATE FEE / ' `J ��
NEW 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: C' �-7 J�- �
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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. CONOITIONS 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
WATER..............................
JECT TO PENALTY. OF MINNESOTA BUILDING CODE REQUIREMENTS.
GRADING&FILLING ............... ❑ -
INSPECTIONS MUST BE CALLED-IN %� �� ..,�
24 HOURS IN ADVANCE. FIRE................................. ❑ / , /, C,� ��� � � �}
Signature �-' -�- � Date � �
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT (`���
PINK-ASSESSOR Approved � � ".- City of Orono
Brooklyn Prtg.&Adv.Co.Inc (612)561-0470