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CITY of ORt)ANO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY, MN 55323 473-7357 <br />F <br />G DI TRICT <br />ARTMEFICE <br />6 <br />VAR. D TE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />a <br />PROPOSED SETBACKS <br />FR / R. SIDS / <br />REAR L. SIDE <br />LAKE WETLANDS <br />ACCESS <br />0EXISTING <br />-APPROV.DATE <br />CI <br />COTJNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS <br />J <br />SITE ADDRESS /-IT// ✓ <br />PROPERTY IDENTIFICATION NO (PID) <br />LOT BLOCK <br />PERMIT NO. 5650 <br />DATE ISSUED 6 / <br />Ja-ti <br />>/ —// r <br />SUBDIVISIO <br />IN ) (A dress) [� (Phone) <br />ARCHITECT/ENGINEER - Musi Certify Multi -Family. Commercial & Industrial Construction Plans <br />(Firm) (Address) (Phone) <br />BUILDER (Firm) (Address) (Phones <br />TYPE OF WORK New Addition <br />Remodel <br />Renovate <br />CONST. TYPE <br />BUILDING SIZE <br />Estimated Construction Valuation <br />/ <br />3 <br />'ev <br />L. W. <br />H0ZOO <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />BLDG. PERMIT <br />��n J <br />s'CJ <br />DWELL. <br />STORIES 3 <br />O t 2 <br />UNITS <br />STATE FEE <br />REVIEW <br />—"� <br />�S <br />P�3Sr <br />STALLS <br />NUMBER OF BEDROOMS <br />q a <br />DET <br />PLAN <br />SEPTIC <br />SAC CHARGE <br />APP. DATE -�— <br />SEWER UNIT <br />PROPOSED USE <br />PARK FEE <br />_— <br />_ _ --o/ <br />�t C1Yv+ <br />,_ 0.2�s <br />'� <br />COtINCIL <br />APP DATE <br />OTHER <br />.__ _ <br />• Z <br />TOTAL DUE <br />�� <br />L- <br />A _ <br />WO:K REQUIRING <br />INSP CTION REQUIRED <br />SEFARATL PERMITS <br />FOOTING before pour <br />FRAMING rough -In <br />PLU,ABING <br />INSULATION <br />MEC 4ANICAL <br />WALLBOARD before taping <br />W E L <br />17� <br />FINAL before occupancy <br />❑ <br />❑ ...... SITE INSPECTION <br />SEPTIC.. <br />WORK BEYOND OR WITHOUT A RE- <br />SEW 41. _ <br />OUIRED INSPECTION WILL BE SUB- <br />WATT R. ...... .... <br />JECT TO PENALTY <br />GRAt ING 8 FILLING <br />INSPECTIONS MUST BE CALLED -IN <br />24 HOURS IN ADVANCE. <br />FIRE <br />ACKNOWLEDr-,EMENT <br />THE UNDERSIGNED HEREBY REQUESTS PE11MISS!0N TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED AND DECLARES <br />UNDER PENALTY OF IAW 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 OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA UILDING CODE REQUIREMENTS <br />Signature Date / <br />4�Oro.. <br />COPY WHITE -FILE GREEN-FINA 4CE <br />CANARY -INSPECTOR GOLD-RECEI J <br />PINK -ASSESSOR / L c —++pc <br />roii.1V"n,6.6,e. Cc IM I617I56144,0 l <br />