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CITYof ORONO PERMIT M _ 4906 <br />Building Permit <br />FATE ISSUE <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS I&S5 irnn aP_r-)ta ST <br />LEGAL DESCRIPTION: PROP. ID. <br />LOT Z BL-OCK I SUBDIVISION �A42ltl�gs WOerIS <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FST <br />R. /0EI <br />VtAcevet <br />g65 Ca Sr 1 -7 L92 <br />REAR <br />L.S_TEE <br />LAKE <br />WETLANDS <br />?9 <br />BUILDER <br />ACCESS <br />:i: D EXISTING <br />AGENCY-APPROV. DATE <br />CI Y <br />ow+ Lottp i a <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS: <br />WNER <br />(Name) <br />(Address) (Phone) <br />VtAcevet <br />g65 Ca Sr 1 -7 L92 <br />ARCHITECT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(Firm) <br />(Address) (Phone, <br />l�or Sva Aima N79 <br />�TjIN <br />SNC <br />30 <br />TYPE OF WORK New <br />Addition Remodel Renovate <br />QED}t <br />CONST. TYPE <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />SEE <br />l -c. 1 <br />W.. Ht. <br />L. <br />RESIDENTIALSTORIES <br />IZ <br />Q 2 3 <br />PERMIT FEES <br />3 <br />2 <br />6DRMS/FLR <br />1 <br />BLDG. PERMIT 69 Z <br />% <br />DWELL. <br />UNITS <br />STATE FEE <br />PLAN REVIEW I Q00 <br />GAR. STALLS <br />53 <br />SEPTIC <br />APP. DATE <br />T <br />DET. <br />avow uNiT 'A.2 <br />DOCK <br />S <br />PARK FEE 11J �11�p <br />NON-RESID. <br />IPROPOSED USE <br />SAC CHARGE _'00 <br />OCC <br />CLASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE 1(.07—. eo <br />�l <br />INSPECTION REQUIRED <br />FOOTING before pour <br />V 7 - FRAMING rough -in <br />'NSULATION <br />T WALLBOARD Before Taping <br />-- <br />F INAL before occupancy <br />WORK BEYOND OR WITHOUT A RE- <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 DAY <br />W09K REQUIRING <br />S ARATE PERMITS <br />UMBING <br />MECHANICAL <br />WELL –_ <br />SEPTIC <br />2ATSWERER -- -- <br />GR/(DING & FILLING <br />ELECTRICAL from Stare <br />COPY: WHITE- FILE GREEN -FINANCE <br />CANARYINSPECTORGOLD RECEIPT <br />PINK–ASSESSOR <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 INFORMATION, CONDITIONS AND REQUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />i <br />442ri- Date <br />' iCity of Orono <br />