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CITY of ORONO <br /> Building Permit PERM�T No. � 5ss� � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED /��// � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) — <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE D E <br /> LOT ARE BUILDER (Firm) (Address) (Phone) <br /> WIDTH DEPTH �' '�� ���� <br /> Y E OF W K ew Addition Remodel � Reno�ate <br /> PROP SED SETBACKS: ' �Q /� <br /> � <br /> FRON R.SIDE 0 -�' �C11 <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REA . <br /> L. W. Ht. <br /> LAKE TLANDS <br /> OCCUPANCY PERMITFEES <br /> CLASSIFICATION ���0 7� <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT L� <br /> UNITS STATE FEE S�/ <br /> NEW . EXISTING GAR.STALLS NUMBER OF BEDROOMS ' <br /> AGENCY-APPROV. DATE q�J. PLAN REVIEW <br /> CITY DET. SEPTIC SAC CHARGE <br /> APP. DATE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> ` TOTAL DUE� �� <br /> REMARKS: — "- ' <br /> ' � �. <br /> �s.7�LC�/1 • <br /> INSPECTION REQUIRED woRK REQu�R�►vG ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ .... . . FOOTING before pour <br /> ❑ . . . . .. FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . ... INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . . ... .WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> FINAL before occupancy WELL............................... ❑ <br /> �.. . . . .SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK �N STRICT COM- <br /> SEWER.............................. <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> WATER.............................. <br /> JECT TO PENALTY. OF MINNESOTA BUILDING CODE REQUI EMENTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ / <br /> Signa re Date� ( <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approve ity of Orono <br /> Brooklyn Prt9.&Adv.Co.Inc. (612)581�4470 . <br />