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CITY of OROXO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 ^ <br />ZOn Tn Td ISTRICT I SITE ADDRESS 0^.5“^^ <br />L(L-\C <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE / <br />AO <br />REAR LSIDE <br />30 <br />LAKE WETLANDS <br />ACCESS <br />^EXISTIN <br />AG E NCY-APFRW tOTC tE <br />CITY J <br />——^ <br />COUNTY <br />STATE <br />PR. EASEMENT <br />PERMIT N9 _ 46501 <br />DATE ISSUFD <br />EXPIRES___________________ <br />'P^- flrl ______________ <br />LEGAL DESCRIPTION: PROP. ID.. <br />LOT ’7-___________BLOCK i .SUBDIVISION TfltPA St-fe LAAjfienf^i^ <br />i>ir% jAi,kmt ^ rlO-C L/Aviid /nqhrg^__________________L <br />(Phone) ^ <br />ARCHITECT/ENGINEER - Must Certify Multi-Family, Commercial & Industrial Construction Plans <br />:ert.no. <br />(Firm)(Address)(Phone) <br />BUILDER (Firm)(Address) <br />UJoOiJJllck <br />TYPE OF WORK <br />tA <br /><Sieyt^ <br />(Phone) <br />it <br />Renovate <br />0\J^Xh <br />CONSrj>f^ <br />RESIDENTIAL^ENI <br />DWELL <br />UNITS <br />GAR STALLS <br />ATT. <br />DET. <br />NON RESID <br />OCC. <br />CLASS. <br />STORIES <br />BLDG. SIZE <br />L J?7-w.Z-4 <br />STORIES B <br />BDRMS/FLR ^ <br />SEPTIC <br />APP. DATE <br />DOCK <br />PROPOSED USE <br />COUNCIL <br />APP DATE <br />REMARKS: <br />EST. CONST. VALUATION <br />PERMIT FEES ^ <br />BLDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />P6NALTV- <br />PARK FEE <br />SAC CHARGE <br />!0 7. <br />O O <br />Pd <br />TOTAL DUE .CJ o <br />INSPECTION REQUIRED <br />FOOTING before pour <br />FRAMING rough-in <br />INSULATION <br />WALLBOARD Before Taping <br />FINAL belofe occupancy <br />WORK BEYOND OR WITHOUT A HE <br />QUIRED INSPECTION WILL BE SUB <br />JECT TO PENALTY <br />INSPECTION HOURS 473 7357 <br />CALL 8 12 A M INSP 1 4 P.M <br />CALL 1 4 P M INSP NEXT DA r <br />COPY WHITE FILE GREEN <br />CANARY INSPECTOR GOLD <br />PINK ASSESSOR <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />MECHANICAL <br />WELL ______ <br />SEPTIC _____ <br />SEWER <br />WATER <br />c/ <br />GRADING & FILLING <br />LECTRICAL from Slate <br />FINANCE <br />HECEIPr <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT­ <br />ANCE OF ALL INFCRM.iVTION. CONDITIONS AND REQUIRE­ <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER <br />SIGNEU further AGREES TO DO ALL WORKS IN STF.ICT COM­ <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MlN‘ tSOTA BUILDING CODE REQUIREMENTS <br />... D*» , <br />Approved /■ y C«rv of OfOfK>