HomeMy WebLinkAbout1983-5025 - reroof (�ITYof nIZO�O PERMIT xn 5025 �
Building Permit DATE ISSUED �- z� -��
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSI-AL BAY, MN 55323 473-7357
ZONING DISTRICT SITEADDRESS I1o25 �1�o�r � �e�v�'� 1�C�
LEGAL DESCRIPTION: PROP. ID. I 1 — I�1 ` 2-3 1� �bb��
LOT BLOCK SUBDIVISION
FIRE ZONE
WNER (Name) (Address) (Phone)
VAR. DATE `� ��jr�
ARCHITECT/ENGINEER — Must ertify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH BUILDER (Firm) (Address) (Phone)
PROPOSEDSETBACKS
�L C ���-3- y��
FRONT R.SIDE TYPE OF WORK New Addition Remodel enov
REAR L.SIDE t\'� �CC�
CONST. TYPE BLDG. SIZE EST. CONST. VALUATION
LAKE WETLANDS
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L. W. Ht. � (J(,/� �
ACCESS RESIDENTIA STORIES e i z a PERMIT FEES
BLDG. PERMIT �(� �O
NEW EXISTING DWELL. BDRMS/FLR
AGENCY-APPROV. DATE UNITS STATE FEE ,S�
CITY GAR.STALLS SEPTIC PLAN REVIEW
ATT. APP. DATE
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT oCC.
SAC CHARGE
C LASS.
STORIES COUNCIL ��
APP. DATE TOTAL DUE �3,
REMARKS: '��d,(Z Cy� �K� STIw Cy �p�� �� � ,Q�,�!/
INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
FOOTING before pour SEPARATE PERMITS
THE UNDERSIGNED HEREBV REQUESTS PERMISSION TO MAKE
FRAMING rough-in
INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
WALLBOARD Before Tapmg MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
F 1 NA L before occupancy -""—
SEPTIC
MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREESTO D ALL WORKS IN STRICT COM-
JECT TO PENALTY. WATER
GRADING& FILLING PLIAN WITH ALL CITY O O N ORDINANCES AND STATE
INSPECTION HOURS 473-7357 OF INNE T BUI DI G OD RE UIREMENTS.
CALL 8 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State
Signatur � Date
COPY: WHITE—FILE GREEN—FINANCE
CANARY—INSPECTOR GOLD—RECEIPT /
PINK—ASSESSOR Approved L� City of Orono
DATE TIME
CITY OF ORONO CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT N0. COMPLETED —,�i -.�� -,' ` -��� �
ADDRESS I��75 � �G G�n.�;; �c,vv"r lec.�
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. p METER SET/TU'RN ON ❑ LICENSING
W J�'-FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
� ❑ PROGRESS � SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
Q 0 FIRE PREV. ❑ WELL TEST PUMP �
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pW ❑ WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
❑ CORRECT WORK&PROCEED
V ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION W�THIN HOURS. INSPECTOR WILL RETURN.
❑STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
,�
Inspector � ` 413-7357
White Copy/Inspector's File Gold Copy/Site Notice �