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CITY of ORO NO PERMIT N? 3673 <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED 7 �� ^ �� - 7 <br />EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS 3 597 cry,5 L L T�L <br />LEGAL DESCRIPTION: PROP. ID. <br />LOT BLOCK SUBDIVISION <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />REAR L.SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS <br />WNER <br />(Name) <br />(Address) (Phone) <br />TC(Av <br />c Ir tiSY E <br />IZ 5'A M42 1f %l g�f j- <br />ARCH ITECT/ENGINEER <br />— Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(Firm) <br />(Address) (Phone) <br />3A A C <br />TYPE OF WORK <br />N(�ew <br />Addition Remodel ovate <br />�i <br />I1o01�•'t <br />CONST. TYPE <br />BL.-G. SIZE <br />EST. ONST. VALUATION <br />L. W. <br />Ht. O`J <br />RESIDENTIAL <br />STORIES 8 1 <br />2 3 <br />PERMIT FEES <br />BDRMS/FLR <br />BLDG. PERMIT <br />S <br />DWELL. <br />UNITS <br />STATE FEE <br />GAR. STALLS <br />SEPTIC <br />ATT. <br />APP. DATE <br />PLAN REVIEW <br />DET. <br />PENALTY <br />DOCK <br />PARK FEE <br />NON-RESID. <br />PROPOSED USE <br />SAC CHARGE <br />OCC, <br />CLASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />r- <br />TOTAL DUE <br />INSPECTION REQUIRED <br />FOOTING before pour <br />FRAMING rough -in <br />INSULATION <br />WALLBOARD Before Taping <br />FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE- <br />QUIRED INSPECTICN 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 />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />MECHANICAL <br />WELL <br />SEPTIC <br />SEWER <br />WATER <br />GRADING & FILLING - <br />ELECTRICAL from State <br />COPY: WHITE -FILE GREEN --FINANCE <br />CANARY -INSPECTOR GOLD --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 />n <br />Signature _.-"1"r-'L C _.11� �G�L/SAS--� Date /- _ <br />Approved � City of Orono <br />