HomeMy WebLinkAbout1986-6213 - old address -1208 CITY of ORO�O
Building Permit PERMIT NO. 6213
AND APPL�CATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED /�j `�� '
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT � �y /�
SITE ADDRESS � � �--+� �`�' �n"`-�''
PROPERTY IDENTIFICATION NO.(PID) � '- �J � 7
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Address) (Phone)
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VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOTAREA BUILDER (Fi�) `���res� , (Phon`)
/�=� f-��r� /t� � s� /- ,� ��',
wiorH oEPTH ,�.1�S f/-l1/� �.��=�� i r1 -¢- f�✓1 � �i. � ��7
TYP OF WORK New Addition Remodel enovate
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PRO ED SETB . � , �
F N R S I D ��'t'L,�
CONS .TYPE BU , ING SIZE Esti ated Construction Valuation
RE R "i SID
LAK �ETLANDS �' W� Ht. '� ��Z:
OCCUPANCY PERMIT FEES
� CLASSIFICATION
ACC S DWELL. STORIES g � 2 3 BLDG. PERMIT �-�� • ���
UNITS , . ��
STATE FEE
NEW EXISTING GAR. STALLS NUMBER OF BEDROOMS
AGENCY-APPROV. DATE q� , 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
�❑ . FOOTING 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 ALL INFORMATION. CONDITIONS AND REQUIRE-
�. . . FINAL before occupancy
WELL............................... ❑
❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
WORK BEYOND OR WITHOUT A RE- SEWER.............................. � S�GNED 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. WATER.............................. ❑
GRADING 8 FILLING ............... ❑
OF MINNESOTA ILDING CODE REQUIREMENTS.
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE................................. ❑ g /G�/ �
Si nature �� Date
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT y �
PINK-ASSESSOR Approved �� f/ '�1� � � , i ono
Brooklyn Prtg.&Adv.Co.Ina (612)561-0470
� D�� � TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � ' � /��
PERMIT NO. ��� COMPLETED ���? '�' _� v�" �
ADDRESS
' � ��/1��
OWNER � CONTR. �CCd2 �/�-"
TELEPHONE NO. `�� —' 7 / ep�� .
rJ�TING ❑ PLUMBING RI ❑ SITE INSPECTION
RAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULAT�ON ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL BO. ❑ WATER HOOKUP ❑ LICENSING
k! ❑ FINAL ❑ METER SET/TURN ON ❑ COMPIAINT
� ❑ PROGRESS t7 SEWEFi HOOKUP ❑ FOLLOW-UP
y ❑ DEMOL. � SEPTIC INSTALL. O SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP ❑
Q COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
� ❑ CORRECT WORK 8 PROCEED
V ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR W�LL 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
I nspector �'�� 473-7357
White/Inspector's File Canary/Site Notice