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CITY of ORONO <br /> Building Permit PERMIT NO. 5895 ' <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED /--,3j-y4 <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS Ll799 Np Sh0►-e �►- <br /> 'L PROPERTY IDENTIFICATION NO.(PID) 02--//7" -13" 00 3 <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> FS A , �t/• a o-3�s <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> PT Z f}� _rD. (L ji PL ES <br /> WIDTH r DEPTH / <br /> TYPE OF WORK Lew: Addition Remodel Renovate <br /> PROPOSED SETBACKS: / <br /> FRONT / R.SIDE <br /> REAR L. SIDE <br /> CONST.TYPE BUILDING SIZE E�timated Construction Valuation <br /> � i <br /> LAKE WETLANDS L. W Ht. S $3 0490 • 00 <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION 9 <br /> ACCESS ro4k,4W DWELL. STORIES B 1 2 3 BLDG. PERMIT � X�• Da <br /> ✓ <br /> *1 P1 UNITS STATE FEE 7 �O <br /> NEW EXISTING a PET.' <br /> STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE/' I, 3 PLAN REVIEW �� D O <br /> CITY SEPTIC SAC CHARGE i O Z) <br /> APP. DATE _ <br /> COUNTY PROPOSED USE SEWER UNIT �.�J. 00 <br /> STATE PARK FEE 00 <br /> PRIVATE EASEMENT COUNCIL PENALTY <br /> I— �:] APP. DATE OTHER <br /> REMARKS: TOTAL DUE e�O <br /> l _I �J <br /> INSPECTION REQUIRED <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS <br /> . ... FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> . .... FRAMING rough-in PLUMBING ......................... . THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> . . ... INSULATION MECHANICAL....................... lA UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> . . . .. before tapingWELL................................ ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> . .. .. FINAL before occupancy <br /> ❑ . . . . .. SITE INSPECTION SEPTIC.............................. MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. ❑ SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- WATER.............................. ❑ PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. GRADING&FILLING ............... OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ , /� ////� <br /> Signature J /lY [ Q� ��, Date <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approvedli�ECity of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 <br />