HomeMy WebLinkAbout1987-6444 - foundation CITY of ORO�TO
Building Permit PERMIT NO. 644� �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED , .�� ����
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS <� I �^� 1 ! -�- l� ��' L�� --
PROPERTY IDENTIFICATION NO.(PID) l ' I� C � �I C� �
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name� (Address) (Phone)
J �l'`=' � �C� � � ���L �� � — �� �:�..)
VAR. DATE ARCHITECT/ENGINEER- Must Certify Mult-Family, Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND,USE DATE
T EA BUILDER (Firm) (Address) (Phone)
WIDT,H ' � E H
' TYPE OF WORK ew Addition Remodel Renovate
PRO OS BACKS: `--'/ �� � ---
FRO T R. SIDE ; li(/r7�C.K�'d � ��� �
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REAR L. SIDE
L. W. Ht. / /��:
LAKE WETLANDS ''�
OCCUPANCY PERMIT FEES
CLASSIFICATION �� �/� �
ACCESS DWELL. STORIES g 1 2 3 BLDG. PERMIT �--��-" � `-' �
UNITS STATE FEE � �
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
REMARKS: I �l�,� ���� ��C.� \�` � � I -, "��CJ(_,�� �.S TOTAL DUE '� �� �
, � � �� 1 4 �
' ` � �
3 C c_��.% , _ �_ c� r1..
INS ECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT
� SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
. . FOOTING before pour
�C� . . . . . . 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. TNE UNDER-
WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM-
SEWER..............................
QUIRED INSPECTION WILL BE SUB- P�IANCE wITH ALL CITY OF ORONO ORDINANCES AND STATE
JECT TO PENALTY. WATER............. ❑
OF MINNESOTA BUILDING CODE REQUIREMENTS.
INSPECTIONS MUST BE CALLED-IN GRADING 8 FILLING ............... ❑
' �'
24 HOURS IN ADVANCE. FIRE................................. ❑ /�' /�,� j G �
Signatur¢' �� t � Date�
COPY:WHITE-FILE GREEN-FINANCE �
CANARY-INSPECTOR GOLD-RECEIPT —y—�
PINK-ASSESSOR Approved �� �City�Orono
Brooklyn Prtg.&Adv.Co.Inc. (612)561-0470
DATE TIME
CITY OF ORONO CALLED IN v �t� -�`l
INSPECTION NOTICE SCHEDULED �' �" �� �� �d ��S^ .
PERMIT NO. COMPLETED �' �' �
ADDRESS �' �'��� C=F�'t�Z�L. �-�
OWNER rh,��-�«> �� �` CONTR.
TELEPHONE NO.
❑ FOOTING O PLUMBING RI ❑ SITE INSPECTION
� FRAMING O PLUMBING FINA� ❑ EXCAV./GRADING/FI�LING
� ❑ INSULATION ❑ MECHANICAL O LAKESHORE/WET�ANDS
� ❑ WALL BD. O WATER HOOKUP O LICENSING
� O FINAL O METER SET/TURN ON � COMPLAINT
Q ❑ PROGRESS O SEWER HOOKUP O FOLLOWUP
y ❑ DEMOL. ❑ SEPTIC INSTALL. O SEPTIC FINAL
Q ❑ FIRE PREV. O SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP ❑
Q COMMENTS:
2 /�
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Q �'WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
Q ❑ CORRECT WORK 8 PROCEEO
U O CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector �� f '�'W�'�— 473'1357
White/Inspector's File Canary/Site Notice