HomeMy WebLinkAbout1984-5457 - demo house CITYof OIZONO PERMIT Nn � 545"71
Building Permit -
DATE ISSUED �0'�' ` � �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY j��� � ' r � EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 T �����
ZONING DISTRICT SITE ADDRESS ���I
LEGAL DESCRIPTION: PROP. ID. .�- 1 — /� � 7� �3 23 Gd�y/
LOT BLOCK SUBDIVISION
FIRE ZONE
WNER (Name) (Address) (Phone)
VAR. DATE �✓f t ���� ,iZ 7/C� E " _ L1� � I' .��
ARCHITECT/ENGINEER — Must Certity Multi-Family, Commercial & Industrial Construction Plans
COND. USE DATE ERT.NO.
(Firm) (Address) (Phone)
LOT AREA
WIDTH DEPTH BUILDER (Firm) (Address) (Phone)
PROPOSED SETBACKS
FRONT R.SIDE TYPE OF WORK New Addition Remodel Renovate
REAR LSIDE ��(N�O �IO�;S�
CONST. TYPE BLDG. SIZE EST. CONST. VALUATION
LAKE WETLANDS
L. W. Ht.
ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT EE
BLDG. PERMITn
NEW EXISTING DWELL. BDRMS/FLR \I .
AGENCY-APPROV. DATE UNITS STATE E ��
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CITY GAR.STALLS SEPTIC
ATT. APP. DATE PLA REV
COUNTY �ET. PENA TY
DOCK
STATE
NON-RESID. PROPOSED USE �EE
PR. EASEMENT oCc.
ARGE
C LASS.
STOR�ES COUNCIL
APP. DATE TOTAL DUE
REMARKS: �� Qw�" .� ��� � '� � �
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- WATER SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM-
JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE
GRADING& FILLING
INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS.
CALL8 - 12 A.M. INSP. 1 -4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State �
Signature���-�i"�x— � _ Date v� �
COPY: WHITE—FILE GREEN—FINANCE
CANARY—INSPECTOR GOI.D—RECEIPT
PINK—ASSESSOR Approved City of Orono
DATE TIME
CITY OF ORONO cA��Eo-iN
INSPECTION NOTICE SCHEDULED
PERMIT NO. P�ETE� -/�•—J-/ �`�� �'�/�%
'�.C.s� L-AJ��Z.—
ADDRESS �1 � � ���-T�'T-
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI SITE INSPECTION
❑ FRAMING ❑ MECHANICAL EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSING
W C FINAL ❑ SEWER HOOKUP" ❑ COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. O SEPTIC FINAL
Q ❑ FIRE PREV. � WELL TEST PUMP � FIREPLACE/WOOD BURNER
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W ❑ WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
O
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
Inspector ��`� � " L�����-�— 473'7357
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White Copy/Inspector's File Gold Copy/Site Notice