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GlTYofORONO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY, MN 55323 473*7357 <br />PERMIT NO. 6304' <br />DATE ISSUED 3' <br />ZONING DISj^K <br />mOFFICE J <br />COND. USE DATE <br />WIDTH . DEPTH <br />PROPOSED SETBACI <br />FRONT R. SIDE <br />LAKE <br />OS' <br />WETLANDS <br />ACCESS <br />NEW ^STING <br />AC5NCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />cirATinM tan <Pin> ’ 7/9 g <br />SITE ADDRESS. <br />PROPERTY IDENTIFICATION NO. (PID) <br />LOT_____________BLOCK <br />^ ^ 000/ <br />SUBDIVISION. <br />ATOHITECT/ENGINiER - Must Certify Witl-Family. Commercial A Industrial Construction Plans <br />(Firmj^ (Address) (Phone) q <br />ILDER (^rm) (Address) ® (Phone)BUILDER <br />n <br />TYPE OF WORK ^New^ A^^n Remodel Renovate <br />CONST. TYPE <br />Dovd^ <br />BUILDING SIZE <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL <br />UNITS <br />GAR. STALLS <br />ATT. a <br />DET. <br />STORIES <br />NUMBER OF BEDROOMS 3 <br />SEPTIC <br />APP. DATE <br />PROPOSED USE <br />COUNCIL <br />APP. DATE <br />REMARKS:ftpprmtt M Okir ^onic£j-linn-t aP ^ <br />Estimated Construction Valuation <br />/ 9^^ OOP <br />PERMIT FEES <br />BLDa PERMIT <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />•kn.^o <br />¥P3. 33 <br />TOTAL DUE / /f / 33 <br />^i^.inpru'£j'-ty J J jp/1 n D'i <br />siai^\L <br />'dicju.j. <br />INSPECTION REQUIRED <br />0*..........FCX)TING before pour <br />0^.........FRAMING rough-in <br />0^..... INSULATION <br />Zyf.___WALLBOARD before leplng <br />0T^... FINAL before occupancy <br />BTT. .. . SITE INSPECTION <br />WORK BEYOND OR WITHOUT A RE­ <br />QUIRED INSPECTION WILL BE SUB­ <br />JECT TO PENALTY <br />INSPECTIONS MUST BE CALLED-IN <br />24 HOURS IN ADVANCE <br />WORK REO lTiRING <br />SEPARATE PERMITS <br />PLUMBING........................ <br />MECHANICAL .................... <br />WELL................................. <br />SEPTIC............................... <br />SEWER ........................... <br />WATER............................... <br />GRADING a FILLING.................. Q <br />FIRE Q.n^mh _______ flf <br />es <br />S’a <br />.0^□cr□ <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 WORK IN STRICT COM­ <br />PLIANCE WITH ALL CITY OP ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS <br />COPY: white-file <br />CANARY-INSPECTOR <br />PINK-ASSESSOR <br />a Atf». C« Inc WI7IMI44ra <br />GREEN-FINANCE <br />GOLD-RECEIPT <br />ginnatnf* — ------ <br />------- <br />Date yjo^in <br />_Citv ol Orono