HomeMy WebLinkAbout1985-5623 - fire damage repair CITYof OIZ()�() PERMIT Nn � 5623I
Building Permit �
DATE ISSUED � � `�
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES
P.O. B OX 66, C R YSl"A L BAY, M N 55323 473-7357 � �
ZONING DISTRICT SITE ADDRESS
LEGALDESCRIPTION: PROP. ID. �— l
LOT BLOCK SUBDIVISION
FIRE ZONE
WNER (Namel (Address) (Phone)
VAR. DATE �/L.
A HITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
�Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH BU LDER i�) � � � /„ ,� hon ►
'C6l�C —7 d��
PROPOSEDSE B�KS �
FRO T .SYDE TYPE OF W RK New Addition Remodel enova
ld
REA .SIDE � ��'Yj �
CONST. TYPE BLDG. SIZE EST. CONST. VALUATION
LAK W DS
L. W. Ht. ����C/�, ✓
C S RESIDENTIA STORIES B 1 2 3 P RMIT FEES
BLDG. PERMIT • �
NEW EXISTING DWELL. BDRMS/FLR
A EN -APPROV. DATE urvlTs STATE FEE • ���
C� GAR.STALLS SEPTIC PLAN REVIEW
ATT. APP. DATE
COUNTY oET. PENALTY
DOCK
STATE
NON-RESID. PROPOSED USE PARK FEE
PR. EASEMENT oCC.
SAC CHARGE
C LASS.
STORIES COUNCIL
APP. DATE TOTAL DUE ���, �p
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 Taping 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 ALL WORKS IN STRICT COM-
WATER
JECT TO PENALTY. PLIANCE WITH ALL CITY ONO ORDINANCES AND STATE
GRADING& FILLING
INSPECTION HOURS 473-7357 OF MINNESOTA B O E REQUIREMENTS.
CALL 8 - 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEX�- ELECTRICAL from State � (�`� �//
/ V `�
Signature Date �
COPY: WHITE—FILE GREEN—FINANCE
CANARY—INSPECTOR GOLD—RECEIPT �,S
PINK—ASSESSOR Approved � Cit f Orono
CITY OF ORONO �� CALLED-IN D-�_ ,?j�—�� TIME „
INSPECTION NOTICE � SCHEDULED ��� �
PERMIT NO. COMPLETED S—S-''"FS,s /o"'I�'e
ADDRESS .� � � �� L�
OWNER �OS�t CONTR. ��iL,G�S�
TELEPHONE NO 7�/�' 3 _��
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
� FRAMING p MECHANICAL ❑ EXCAV./GRADING/FILLING
INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSING
w ❑ FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
� � PROGRESS ❑ SEPTIC INSTAL�. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ WELL TEST PUMP ❑ FIREPLACE/WOOD BURNER
Z �
Q COMMENTS:
z
� ' ^'U t Ll� l`� C�,, 1�f°/��-�'G�� 'Z� Gv✓�(��'�i�i�3L�
Q
_ -�1-1��i�� �'�a4��T�'� �C-cjc� s4�ro G�r�./�4
� �_7_" �'�l�G �'-�e� �� ,�P/�• " iZ�✓�=5 dtir T7�
� r'!��(3 ��5"
�
w
a
j �.�'Z� f� �i�'C'P.-s,c�.t,G. �/�+;'D P�-' �
0
'' 6��or� � i �v
�
0
�
w
�
Q
�
z
w
�
w
�
j
d
W
�
W ❑ WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
O �CORRECT WORK& PROCEED
V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ 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
DATE TIME
CITY OF ORONO CALLED-IN
INSPECTION NOTIC��� SCHEDULED 6-6- 53S 9:c�o
PERMIT NO. COMPLETED �'� "�� � � �s
ADDRESS �7 ����� LA-/v�=
OWNER CONTR.
TELEPHONE NO. _
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� � WALL BD. ❑ METER SET/TU'RN ON ❑ LICENSING
W ❑ FINAL O SEWER HOOKUP ❑ COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ WELLTEST PUMP �
Z
Q COMMENTS:
�
� — {� �)i�,y�' � /E"`j,1�.r'�`
W
_
J 7
� �y� � �� ��� ��1Z'�-tl'�'=
0
�
�
W
�
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
J
d
W
�
W WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
O
❑ CORRECT WORK&PROCEED
V ❑CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
p CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. sit
Inspector � ��'-�-'`� - 413'735'
White Copy/Inspector's File Gold Copy/Site Notice �