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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 DI TRICT <br />FIRE OEPARTMEN T <br />POST OFFICE �r <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA Z <br />WIDTH DEPTH.700 02Y <br />PROPOSED SETBACKS: <br />FRONY,R. SIDE <br />REAR L SIDE V T <br />LARE WETLANDS <br />ACCESS <br />C"d oes'od <br />EXISTING <br />A Y-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS: <br />SITE ADDRESS d4A4D (Z V/ f A L <br />PROPERTY I ENTIFICATION NO. (PID) 03 � <br />LOT BLOCK SU <br />OWNER (Name) <br />PERMIT NO. <br />DATE ISSUED <br />ARCHITECT/ENGINEER - Must Certify Multi-Fabily. Commercial a <br />(Firm) (Address) <br />5905, <br />3-/3—r7 <br />d < •r ^e— (Pnone) <br />x c'' 4*✓ -17J-/-/ <br />]ustriel Construction Plans <br />(Phone) <br />BUILDER (Firm) <br />(Address) <br />(Phone) <br />TYPE OF WORK ew Addition <br />Remodel <br />Renovate <br />CONST. TYPE <br />BUILDING SIZE <br />Estimated Construction Valuation <br />L. W. <br />Ht <br />�5 <br />9 low — <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />BLDG. PERMIT <br />DWELL <br />STORIES B 1 3 <br />UNITS <br />STATE FEE <br />GAR. STALLS <br />NUMBER OF BEDROOMS <br />ATT. <br />PLAN REVIEW <br />7 ow <br />DET. <br />SAC CHARGE <br />SEPTIC <br />APP. DATE <br />SEWER UNIT <br />PROPOSED USE <br />PARK FEE <br />PENALTY <br />UNCIL <br />FAPP.DATE <br />OTHER <br />TOTAL DUE <br />/ 3 /0, 00 <br />INFECTION REQUIRED WORK REQUIRING <br />SEPARATE PERMITS <br />..... FOOTING before pour <br />FRAMING rough -in PLUMBING <br />If7f ..... INSULATION MECHANICAL <br />.... WALLBOARD before lapmg rl <br />..... FINAL before occupancy WELL LUUYLLJ!! <br />..... SITE INSPECTION SEPTIC ......... <br />WORK BEYOND OR WITHOUT A RE- SEWER .................... ❑ <br />OUIRED INSPECTION WILL BE SUB- WATER_ ............................ ❑ <br />JECT TO PENALTY. <br />GRADING • FILLING ............. . ❑ <br />INSPECTIONS MUST BE CALLED -IN <br />24 HOURS IN ADVANCE FIRE .............................. ❑ <br />COPY WHITE -FILE GREEN -FINANCE <br />CANARY INSPECTOR GOLD -RECEIPT <br />PINK -ASSESSOR <br />rarr�►ry & Adv Cc 1n 46121 561 Mto <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REOUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED AND DECLARES i <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 OF ORONO ORDINANCES AND STATE I <br />OF MINNESOTA BUILDING CODE REOUIREMENTS <br />S,pnatur@ Date '3 <br />17 <br />Approved ^ City of Orono <br />