HomeMy WebLinkAbout1983-5137 - reroof lJ���' �� O� `�1��� PE RMIT _N� � 513'7
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Building Permit � -�, )
DATE ISSUED Q '� � J
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 , , �
ZONING DIST SITE ADDRESS C�.!''� .
LEGAL DESCRIPTION: PROP. ID. I "� , � �a. � �
LOT BLOCK SUBDIVISION
FIRE ZONE
WNER., (Namel / (Address) ���1/�i1(�Q,� �Phone)
Gn� � � �. �
VAR. DATE j �
ARCHITE /ENGINEER — Must Certify Multi- amily, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WIDT � DEPTH BUILDER (Firm) (Address) �'���� (Phone)
7 �
PRO 0 E SETBACKS �
FRO T R.SIDE TYPE OF WORK New Addition Remodel enovat
REAR
CONST. TYPE BLDG. SIZE EST. CONST. VALUATION
LA ET NDS r,��
L. W. Ht. `��
AC SS RESIDENTIA STORIES B 1 2 3 PERMIT FEES
BLDG. PERMIT _
NEW EXISTING DWELL. BDRMS/FLR
AGENCY-APPROV. DATE UNITS 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
APP. DATE TOTAL DUE � ��
REMARKS:
INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT
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 Tapin9 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
INSPECTION HOURS 473-7357 GRADING& FILLING _
CALL 8- 12 A.M. INSP. 1 -4 P.M.
OF MINN I DI G CODE REQUI EMENTS.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State �
Signatur Date
COPY: WHITE—FILE GREEN—FINANCE /
CANARY—INSPECTOR GOLD—RECEIPT l�`
PINK—ASSESSOR Approve City of Orono