HomeMy WebLinkAbout1986-6090 - reroof CITY of ORONO _ _
Buildin Permit PERMIT NO. 6090 �
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AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ����
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITEADDRESS _ )y�� �)l ✓1� L�GZ� Q
PROPERTY IDENTIFICATION NO.(PID) �=�'�� 7�� � �.� ��C��
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) , (Address) (Phone)
�L"`-�,LC�X� � / 7 � — ��
VAR. DATE ARCHITECT/ENGINEER- Must Ce tify Multi-Family, Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. E
LOT AR BUILDER (Firm) (Address) (Phone)
WIDTH DEPTH J "� ��
TYPE OF WORK Addition Remodel R novate
PROP S TB
FRONT I r
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REAR L. E
L. W. Ht.
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LAKE ETLANDS
OCCUPANCY PERMIT FEES
CLASSIFICATION �� S�
ACCESS DWELL. STORIES g � 2 3 BLDG. PERMIT
UNITS �7
STATE FEE i / S�
NEW EXISTING GAR. STALLS NUMBER OF BEDROOMS
AGENCY-APPROV. DATE q� 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: /"t
WORK REQUIRING ACKNOWLEDGEMENT
INSPECTION REQUIRED SEPARATE PERMITS
❑ . . . . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ . . . . . . 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.............................. ❑
C�RADING&FILLING ............... ❑
OF MINNESOTA BUILDING CODE REQUIREMENTS.
INSPECTIONS MUST BE CALLED-IN
� .�L.�
24 HOURS IN ADVANCE. FIRE................................. ❑ _
Signature � L Date
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved - '��� City of Orono
B�ooklyn Prtg.&Adv.Co.Ina (612)567-0470 �
DATE TIME
CITY OF ORONO CALLED IN —
INSPECTION NOTICE SCHEDULED �' .
PERMIT NO. bU� coMP�ErEo ���"� �-=�'
ADDRESS ��I7C� 1���2GN `A+'vt=
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING O PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSU�ATION O MECHANICAL � LAKESHORE/WETLANDS
� ❑ WALL BD. O WATER HOOKUP ❑ LICENSING
W ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS t7 SEWER HOOKUP � FOLLOW-UP
� O DEMOL. ❑ SEPTIC INSTALL. � SEPTIC F�NA�
Q ❑ FIRE PREV. O SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� O WELL TEST PUMP ❑
i COMMENTS: 2�C�X�i=
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W WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
Q O CORRECT WORK 8 PROCEED
❑ CORRECT WORK CALL FOR RE�NSPECTION BEFORE COVERING
'� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED.CA�L INSPECTOR.
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector � 473'7357
White/Inspector's File Canary/Site Notice