HomeMy WebLinkAbout1984-5494 - reroof CITY of OIZ()N() PERMIT N� �� 5494 I
Building Permit ��,_ - S_�
DATE ISSUED �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIR
P.O. BOX 66, CRYSI-AL BAY, MN 55323 473-7357 � � �� /l`
ZONING DISTRICT SITE ADDRESS
LEGAL DESCRIPTION: PROP. ID. O� ` �� ���,�� �%��-C7
LOT BLOCK SUBDIVISION
FIRE ZONE
WN R (Na e) (Address) (Phone)
VAR. DATE �/� �
ARCHITECT/ENGINEER — Must Certify Multi-Family,Commercial & Industrial Construction Plans
COND. U TE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WI H D PTH ILDER (Firm) (Address �� �'r (Phone)
d�'-�o q�a06 S - p
PRO OSED SETBAC
FRO T R.SI TYPE OF W K New Addition Remodel Re ovate
RE R .S
CONST. TYPE BLDG.SIZ EST.GONST. VALUATION
L KE TLA .l�
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AC RESIDENTIA STORIES B 1 2 3 ERMIT FEES
NEW EXISTING BLDG. PERMIT �S- ��
DWELL. BDRMS/FLR 7�
AGENCY-APPROV. DATE UNITS STATE FEE � d v
CITY GAR.STALLS SEPTIC PLAN REVIEW
ATT. APP. DATE
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT aCc. SAC CHARGE
C LASS.
S�TORIES COUNCIL
APP. DATE TOTAL DUE �� . �
R E M A R K S: �! (JL� � (�(/ l��i'(, `�i/CG�C- �C�� Q�_ _
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INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGE!lIIENT
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-
1� FINALbeforeoccupancy
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 CODE REQUIREMENTS.
CALL 8 - 12 A.M. INSP. 1 -4 P.M. , �
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State �
Signature � ! Date
COPY: WHITE—FILE GREEN—FINANCE /^^
CANARY—INSPECTOR GOLD—RECEIPT �•'�
PINK—ASSESSOR Approved ity of Orono
CITY OF ORONO CALLED-IN rC ����+ '
INSPECTION NOTICE SCHEDULED /���
PERMIT NO. coMP�E E� _
ADDRESS � ����
OWNER CONTR. " Y�
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FI�LING
❑ NSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
��WALL BD. ❑ METER SET/TURN ON ❑ LICENSING
W FINAL ❑ SEWER HOOKUP p COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
O ❑ FIRE PREV. ❑ WELL TEST PUMP � FIREPLACE/WOOD BURNER
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QW �'WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
�❑�ORRECT WORK& PROCEED
V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑STOP ORDER POSTED.CALL INSPECTOR.
p INSPECTION REQUIRED. CALLTO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
I nspector �'�' - 47.;-7357
White Copy/Inspector's File Gold Copy/Site Notice