HomeMy WebLinkAbout1986-6097 - re-roof CITY of ORONO _
Building Permit PERMIT NO. 609� �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED � '
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS � J�7/ � L.��TrIC ����'
PROPERTY IDENTIFICATION NO.(PID) �7" /I 7'c'�3'��� ' dI �i
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name) (Address) (Phone)
� � � � _, e,� .�/ � � ,�
VAR. DATE ARCHITECT/ENGINEER- Must Certify Mu i-Family, Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
; � �'t'•� • c,� n cl
WIDTH '\ �E H I I��Q-� X' �� ��I DC> I , U s �
TYPE OF WORK New Addition Rem del enova
PROPOSED TBAC S: � —
FRONT R. DE ' � ,
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REAR L. SI E
� L. W. Ht. � ���/ . �t/
LAKE � ETLANDS
OCCUPANCY PERMIT FEES
CLASSI FICATION
DWELL. BLDG. PERMIT �� ' �G�
AC ESS STORIES B 1 2 3 , ��
U N ITS
STATE FEE
NE EXISTING GAR. STALLS NUMBER OF BEDROOMS
AGENCY- ROV. 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 _
TOTALDUE
REMARKS: � �
��Y
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 INFORMAT�ON. 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.............................. ❑
GRADING&FILLING ............... ❑
OF MINNESOTA BUILDING CODE REQUIREMENTS.
INSPECTIONS MUST BE CALLED-IN ,
24 HOURS IN ADVANCE. FIRE................................. ❑ � ��
Signature -Date
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT ���Y�WG'L�'Yu V�
PINK-ASSESSOR Approved� City of Orono
Brooklyn Prtg.&Adv.Co.Inc. (612)561-0470