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CITY of ORONO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357 <br />ZONING DISTRICT <br />FIRE DEPARTMENT <br />POST (.OFFICE <br />VAR. DATE <br />CONO USE DATE <br />LOT AREA <br />i <br />WIDTH DEPT <br />PROP tETBA <br />FPO R. SI <br />REAR L. I <br />i <br />LAKEj"IACT-LAND8 <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS <br />PERMIT NO. 64721 <br />DATE ISSUED <br />SITE ADDRESS e J, V <br />PROPERTY IDENTIFICATION NO (PIDI <br />INSPECTION REQUIRED <br />LOT BLOCK <br />SUBDIVISION <br />(Name) <br />IAddressl (Phone) <br />7ER <br />• .� -- <br />� r J <br />� � <br />fl 7 <br />ARCHITECT/ENGIN R Must Certify Multi -Family. Commercial & industrial Construction Plans <br />(Firm) <br />IAddressl IPhonel <br />BUILDER IFirml <br />IAddressla IPhon I <br />3 3 f1�4 (i I)JV4' �' S <br />1 <br />X....FINAL before occupancy <br />`` y <br />(-P,/- "66 <br />- �, 7 � / <br />i YPE OF WC03K New Addition <br />emodel Renovate <br />MEht = k! "RESENTED ON THIS DOCUMENT THE UNDER - <br />WORK BEYOND OR WITHOUT A RE- <br />CONST TYPEJ <br />BUILDING SIZ <br />QUIRED INSPECTION WILL BE SUB- <br />Estimate Construction Valuation <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />W <br />WATER <br />It 36z) <br />L <br />Ht <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />BLDG. PERMIT <br />DWLLL <br />STORIES B 1 2 <br />3 <br />UNITS <br />Signature Y Date <br />STATE FEE <br />GAR. STALLS <br />NUMBER OF BEDROOMS <br />ATT <br />PLAN REVIEW <br />D( T <br />SEPTIC <br />SAC CHARGE <br />APP DATE <br />SEWER UNIT <br />PROPOSED USE <br />PARK FEE <br />PENALTY <br />COUNCIL <br />APP DATE <br />OTHER <br />10TAL DUE <br />COPY WHITE -FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD-RECEIPTL <br />PINK ASSESSOR :.i ro r.e• t C' 1 Orono <br />broo`hn hq. / Ade Co Inc 412) 561 4410 <br />E � <br />ACKNOWLEDGEMENT <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />El <br />SEPARATE PERMITS <br />THE UNDERSIGNED HEREBY REUUESTS PERMISSION TO MAKE <br />......FOOTING before pour <br />❑ ...... FRAMING rough -in <br />PLUMBING ❑ <br />THE REAL IMPROVEMENTS SPECIFIED AND DECLARES <br />U ...... INSULATION <br />MECHANICAL ❑ <br />UNDEa :":NALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT <br />❑ ...... WALLBOARD before taping <br />WELL <br />ANCI Of •;,L INFORMATION. CONDITIONS AND REOUIRE- <br />X....FINAL before occupancy <br />❑ ...... SITE INSPECTION <br />SEPTIC <br />MEht = k! "RESENTED ON THIS DOCUMENT THE UNDER - <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER . . .. ❑ <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />QUIRED INSPECTION WILL BE SUB- <br />❑ <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />JECT TO PENALTY. <br />WATER <br />❑ <br />OF MINNESOTA BUI G CODE REQUIREMENTS <br />GRADING 8 FILLING <br />INSPECTIONS MUST BE CALLED -IN <br />24 HOURS IN ADVANCE <br />FIR`- ❑ <br />1 +� <br />Signature Y Date <br />COPY WHITE -FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD-RECEIPTL <br />PINK ASSESSOR :.i ro r.e• t C' 1 Orono <br />broo`hn hq. / Ade Co Inc 412) 561 4410 <br />E � <br />