HomeMy WebLinkAbout1986-6103 - siding, storm windows/doors, etc. CIT�'of ORONO
Bu�lding Permit PERM��c��. s�o3 �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE�ED �� ��1
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT � �� -�
SITE ADDRESS
PROPERTY IDENTIFICATION NO.(PID) � " — � � -� �
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (A dress) (Phone)
✓-`_�'� C '� �
VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family, ommercial Industrial Construction Plans
(Firm) (Address) (Phone)
COND. U E TE
LOT AR BUILDER (Firm) (Address) (Phone)
WIDT DEPTH �' � ��� � �� �L'I
� TYPE OF WORK New Addition model R
C�—t c �� .� .C�i,
PRO E S C � � '
FRO T E . c�/ / � �
,
CONST.TYPE BUILDING SI Estimated Construction Valuation
RE L. SIDE
L. W. Ht.
D � �, C>
LAKE WETLANDS
OCCUPANCY PERMIT FEES
CLASSIFICATION T
ACCESS DWELL. BLDG. PERMIT �/ � �"s
STORIES B 1 2 3 � ` ,� _._
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
TOTAL DUE �� . �
REMARKS:
WORK REQUIRING ACKNOWLEDGEMENT
INSPECTION REQUIRED SEPARATE PERMITS
❑ . . . . . . FOOT�NG 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 A�L 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..............................
OF MIN ESOTA BUILDING CODE REQUIREMENTS.
GRADING&FILLING ............... ❑ � .
INSPECTIONS MUST BE CALLED-IN
, �
; .
24 HOURS IN AOVANCE. FIRE................................. ❑ • �j � � �i t
Signature �'�����" Date ' S ~ �
COPY:WHITE-FILE GREEN-FINANCE
CANARY-WSPECTOR GOLD-RECEIPT �_^. //�/� � '7`/�`
PINK-ASSESSOR Approved "�- l $ity of Orono
Brooklyn Prtg.&Ativ.Co.Inc. (612)561�470
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED .
PERMIT NO..��10 � COMPLETED ��'J'� � �v' �-`S
ADDRESS �5 �1 L �.��'Si7qL �Lr�CC= ._
OWNER CONTF�: � -
TELEPHONE NO.
O FOOTING ❑ PLUMBING RI .�SITE INSPECTION
❑ FRAMING O PLUMBINu FINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION O MECHANICAL ❑ LAKESHORE/WETLANDS
� O WALL BD. O WATER HOOKUP ❑ LICENSING
lL! �'�F�INAL O METER SET/TURN ON ❑ COMPLAINT
� O PROGRESS O SEWER HOOKUP ❑ FOLLOWUP
� ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC F�NA�
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
Z ❑ WELL TEST PUMP ❑
? COMMENTS:
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QW O WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
O CORRECT WORK&PROCEED
V ❑ CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
'-J CORRECT UNSAFE CONDITION W�THIN HOURS.INSPECTOR WILL RETURN.
�STOP ORDER POSTED.CAIL INSPECTOR.
u INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
� �
I nspector � 473-7357
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White/Inspector's File Canary/Site Notice