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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 �TRICT <br />9_ jib <br />FIRE DEPART E T <br />POST OFFICF� <br />[ r <br />VAR. DATE <br />COND. USE DATE__ <br />LOT AREA <br />WIDTH DEPTH <br />/ <br />7o <br />PR POSED SETBACKS: <br />FRON / R. SIDE <br />D_ , j, <br />R L. SIDE <br />' <br />3 r� <br />LAKF WETLANDS <br />ACCESS <br />NEW EXIS'1NQ__' <br />AGENCY-APP V. DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />PERMIT NO. 6210 <br />DATE ISSUED 6e,14U, 19 <br />SITE ADDRESS 7t . " L /I <br />PROPERTY IDENTIFICATION NO (PID) - -,;7 :3 3 �l�U <br />LOT BLOCK _UBDIOSION _ <br />F <br />NER(Name) 'ddressl IPhonel <br />HITECT/ENGINEER ust Certify Mul(, immercial & Industrial Construction Plans <br />(Firm) (A (Phone) <br />BUILDER (Firm) (Address) IPhonel <br />blij <br />TYPE OF WORK ew Addition Remodel Renovate <br />CONST. TYPE <br />BUILDING SIZE 7c 9�3 � <br />Estimated Construction Valuation <br />L ��r� 00 C/ <br />L. W. Ht <br />/ 7�' <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />A� Sv <br />DWELL. <br />BLDG. PERMIT / <br />STORIES B 1 2 3 <br />UNITS <br />STATE FEE <br />GAR. STALLS <br />NUMBER OF BEDROOMS <br />ATT. <br />PLAN REVIEW <br />DET. <br />SEPTIC <br />SAC CHARGE <br />APP. DATE <br />PROPOSED USE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />COUNCIL <br />APP DATE <br />OTHER <br />REMARKS: TOTAL DUE <br />INSPECTION REQJIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />.....FOOTING before pour <br />FRAMING rough -In <br />PLUMBING <br />❑ <br />...... INSULATION <br />MECHANICAL ... <br />❑ <br />❑ ..... WALLBOARD before taping <br />.. FINAL before occupancy <br />...... SITE INSPECTION <br />WELL <br />SEPTIC .. ............ <br />❑ <br />❑ <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER .......... ................. <br />❑ <br />OUIRED INSPECTION WILL BE SUB <br />JECT TO PENALTY <br />WATER"'..". . <br />GRADING & FILLING ............. <br />❑ <br />U <br />INSPECTIONS MUST BE CALLED -IN <br />24 HOURS IN ADVANCE <br />FIRE ...... <br />❑ <br />COPY WHITE FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD -RECEIPT <br />PINK ASSESSOR <br />MoWlvn Mt6.& AOv Co Inc 16121 U614470 <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />T4E REAL IMPROVEMENTS SPECIFIED AND DECLARES <br />In DER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />ANCE OF ALL INFORMATION CONDITIONS AND REQUIRE <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER- <br />'AGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF 1,1.NN ILDING CODE REQUIREMENTS <br />.__Date/O <br />Aonroved � City of Orono <br />