HomeMy WebLinkAbout1985-5813 - building permit CITY of ORONO
Building Permit PERMIT NO. 5H1� �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �D� a -1S �
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) (Address) (Phone)
. /- �-y�
VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans
(Firm) (Address) (Phone)
COND. US DATE
LOT A EA BUILDER (Firm) (Address) s�
�oc��- �alo(P
WIDT DEPTH � ����
PE OF WORK New Addition model e vate
PRO E SETBAC
FRO R. ID `e �
CONST.TYPE BUILDING SIZE Estimated Construction Valuation
REA . I
L. W. Ht. ��� �!
LAKE TLANDS
OCCUPANCY PERMIT FEES
CLASSIFICATION �'/. ��
ACCES DWELL. STORIES B 1 2 3 BLDG. PERMIT a
UNITS /� S'�
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
TOTA L D U E Q�, ��
REMARKS: U
r
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 DECIARES
❑ ... . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
❑ . WALLBOARD before taping ANCE OF ALL 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.............................. ❑
GRADING&FILLING ............... ❑
OF MINNESOTA BUILDING CODE REQUIREMENTS.
INSPECTIONS MUST BE CAILED-IN
24 HOURS IN ADVANCE. FIRE................................. ❑ i
Signat e te
COPY:WHITE-FILE GREEN-FINANCE
CANARY-INSPECTOR GOLD-RECEIPT
PINK-ASSESSOR Approved C' of Orono
Brooklyn Prtg.&Adv.Co.Inc. (672)561-4470
DATE TIME
CITY OF ORONO CALLED IN ______ -___ ___
INSPECTION NOTICE scHE�u�E� ____. __ ___.Q _______.
PERMIT NO. COMPLETED _�V�Z'�'�L�_�"M� __
ADDRESS 3�b S /�V• 5• d
OWN ER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ P�UMBING FINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ WATER HOOKUP ❑ LICENSING
� ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP ❑ ______ __
- - -
� COMMENTS: ��P D�D� F�SI'���
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W � WORK SATISFACTORY:PROCEED 7 PHOTO TAKEN
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Q ❑ CORRECT WORK&PROCEED
U ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
�TOP ORDER POSTED.CAIL 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 Copy/Inspector's File Gold Copy/Site Notice