HomeMy WebLinkAbout1984-5294 - replace door �IT�' of OIZONO PERMIT N�) �� 5294 (
Building Permit �_�y _�
D�4TE ISSUED
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS `3yy3 C!�'-lS'T/�C_ �� �-,n•i'Z,
LEGAL DESCRIPTION: PROP. ID.
LOT BLOCK SUBDI VISION
FIRE ZONE
WNER (Name) (Address) (Phone►u7 j _
VAR. DATE �
. �'_ ,7� a� L 3 Gryz.;r�� �z . e� �
ARCHITECT/ENGINEER - Must Certify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH BUILDER (Firm) (Address) (Phone)
�� � ���C'�l.� A.a�a.!t� �'
PROPOSEDSETBACKS
FRONT R.SIDE TYPE OF WORK New Addition Remodel Renovate '�
REAR LSIDE �'�L�4�C-i_.� �'?Ol�
CONST. TYPE BLDG. SIZE EST. CONST. VALUATION
LAKE WETLANDS
�. W. Ht. � IN . �-t�
ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES
oti
BLDG. PERMIT "�
NEW EXISTING DWELL. BDRMS/FLR
AGENCY-APPROV. DATE uNirs STATE FEE ��
CITY GAR.STALLS SEPTIC
ATT. APP. DATE PLAN REVIEW
COUNTY �ET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT ocC. SAC CHARGE
C LASS.
STORIES COUNCIL s=j
APP. DATE TOTAL DUE �. �--
REMARKS:
INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGE!l11ENT
FOOTING before pour SEPARATE PERMITS
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
FRAMING rough-in
INSULATION PLUMBING _._ THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES
WALLBOARD Before Taping MECHANICAL _ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE-
FINAL before occupancy
SEPTIC
MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER—
WORK BEYOND OR WITHOUT A RE- SEWER
QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
GRADING& FILLING _
INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING DE REQUIREME S.
CALL 8 - 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State -
Signature te ,�''Zy�
COPY: WHITE—FILE GREEN—FINANCE
CANARY—INSPECTOR GOLD—RECEIPT /� �
PINK—ASSESSOR Approved �f'� r City of Orono
DATE TIME
CITY OF ORONO CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED �� a'��� �,� � 1 D
A D D R E SS ��I `�3 C� `1 ,5 T g�-- ��.�9�,�
�
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
�FRAMING ❑ MECHANICAL ❑ EXCAV./GRADINGlFILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSING
W �FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTALL. O FOLLOW-UP
� O DEMOL. ❑ SEPTIC MAINT. O SEPTIC FINAL
� ❑ FIRE PREV. ❑ WELL TEST PUMP �
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W �WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
O ❑ CORRECT WORK& PROCEED
V ❑CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
I nspector � 473-7357
White Copy/Inspector's File Gold Copy/Site Notice