HomeMy WebLinkAbout1986-5930 - re-roof CITY of ORONO
Buildin Permit PERMIT NO. Jr93O �
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AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED U �
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT /��� � �,J �'
SITE ADDRESS � �� �S� / N I G� �� •
PROPERTY IDENTIFICATION NO.(PID)
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Address) (Phone)
c r� (it�a-�. � �:�n� -D D'
VAR. DATE CHITECT/ENGINEER- Must Ce ify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH D TH ���`��
TYPE OF WORK New Addition Remodel Renovate
PROPOSED T CKS: U��
FRONT R. SI E �
CONST.TYPE BUILDING SIZE timated Construction Valuation
REAR L SIDE '�
L. W. H t. �
LAKE WETLANDS
(� OCCUPANCY PERMIT FEES
U CLASSIFICATION
AC ESS DWELL. STORIES B 1 2 3 BLDG. PERMIT � ' ��
UNITS � . �
STATE FEE
NE EXISTING GAR. STALLS NUMBER OF BEDROOMS
AGENC -APPROV. DATE q� PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUNTY PROPOSED USE SEWER UNIT
STATE PARK FEE
PE N A LTY
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
REMARKS: �(,_/� C _� �-. � � TOTAL DUE �� C�
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�l r� s 1 e a r�G`�S _ ct rr'a/ �',��
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 MECHANICA�....................... ❑ 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- 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. �^/ATER.............................. ❑
OF MIN SOTA UILDING CODE REQUIREMENTS.
GRADING&FILLING ...............
INSPECTIONS MUST BE CALLED-IN ` -
24 HOURS IN ADVANCE. FIRE................................. ❑ `',I�,,ry
Signature Date ���
;OPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approve � �1� of Orono
�klyn Prtg.&Adv.Co.Ina (672)567-4470 I�� /