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CITY of ORONO <br /> Building Permit PERMIT NO. 6243 , <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED /�-�'R Zz <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT 3�0 /v <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) .2-1 '�� 3 / E � / <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Nam (Address) (Phone) <br /> VAR. DATE ARCH ITECT/ENGfN EER- Must Certify Multi Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT A /n �^((FirQirm)) (Address) (Phone) <br /> zz <br /> ER <br /> WIDT DEPTH -p-. ab't'U-►`j _Q h-4-t- <br /> TYPE OF W RK New Ad (tion Remodel enovat <br /> PRO SED SETBACKS: ,Q f� <br /> FRONT R.SIDin <br /> E / <br /> CONST.TYPEJ BUILDING SIZE <br /> REAR E i d Construction Valuation <br /> L. <br /> L. W. Ht. <br /> LAKEU WETLANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION zf� <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT <br /> UNITS STATE FEE r <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> REMARKS: TOTAL DUE �3 a <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....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WALLBOARD before taping WELL........................ ❑ ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> NAL 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 PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> GRADING&FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ <br /> Signature Date��1p <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR ApprovedAC�2�7j­jcity of Orono <br /> Brooklyn Mg.&Adv.Co.Inc. (612)561-4470 <br />