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CITE' of OROAM <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICTP <br />fR ' 6 <br />FIRE DEPARTMENT <br />c-r <br />POST OFFICE <br />R. DATE <br />es. A, -7 <br />COND. USE DATE <br />LOT AREA <br />I(o. <br />WIDTH DEPTH <br />0 70 <br />PROPOSED SETBACKS <br />FRQY ;, r R. SIDE 0.71 <br />RE�� 0 IL SIDE <br />LAKE YrETr7MS <br />loor <br />ACCESS <br />NEW <br />AGENCY•AP DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS <br />PERMIT NO. 5748 <br />DATE ISSUED CIJ S` <br />SITE ADDRESS 50 C14 (-`- e - /7OCW <br />PROPERTY IDENTIFICATION NO IPIDI �L - ii ".� Ch T' _ <br />LOT BLOCK SUBDIVISION <br />OWNER (Name) (Address) (Phone) <br />► OM <br />ARCHITECT/ENGINEER - Must <br />(Firm) <br />n Gay ► M-f'L"_ 61 3 <br />y Multi -Family. Commercial & Industrial Construction Plans <br />(Address) [Phone) <br />BUILDER (Firm) <br />(Addressl <br />(phone) <br />TYPE OF WORK e_!!) <br />Addition <br />Remodel <br />R �novate <br />SUD s V. <br />sic -'Lie <br />Cai <br />CONST. W <br />Lnr poPE <br />BUILDING SIZE <br />Estimated Construction Valuation <br />I_ c I <br />L. <br />W LIU <br />Ht <br />L/ y <br />o0o ov <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />BLDG. PERMIT <br />DWELL. <br />STORIES B <br />t 2 <br />3 <br />UNITS <br />STATE FEE <br />y� _ <br />GAR. STALLS <br />NUMBER OF BEDROOMS <br />ATT. <br />PLAN REVIEW <br />DET <br />SEPTIC <br />APP GATE <br />SAC CHARGE <br />SEWER UNIT <br />PROPOSED USE <br />� <br />Q CA, jr <br />PARK FEE <br />PENALTY <br />CGUNCIL <br />APP DATE <br />OTHER <br />TOTAL DUE <br />-- <br />INSPECTION REQUIRED <br />WORK REQUIRING, <br />SEPARATE PERMITS <br />FOOTING before pour <br />.... FRAMING rough In <br />PLUMBING <br />..... INSULATION <br />MECHANICAL <br />. WALL HOARD before taping <br />.... FINAL before occupancy <br />WELL <br />...... SITE INSPECTION <br />SEPTIC <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER <br />QUIRED INSPECTION WILL BE SUB- <br />JECT TO PENAL TY <br />WATER <br />INSPECTIONS MUST BE CALLED -IN <br />GRADING & FILLING <br />24 HOURS IN ADVANCE <br />FIRE <br />COPY WHITE FILE GREF N FINANCE <br />CANARY INSPECTUt+ c301 D RE(AIPt <br />PINK -ASSESSOR <br />Mawh.n Hq &" Cs 1- 1*1216614410 <br />ACKNOWLEDGEMENT <br />IHE UNDERSIGNED HEREBY REUUESTS 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 REOUIRE- <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 MINN71._- <br />U9-�- <br />ILDING CODE REOUIREMENTS <br />❑ Slynature � '�' Dale <br />Approved _ �� •7 % Clly of Orono <br />