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FCJITYof OR()NO PERMIT N? _. 4605 <br />Building Permit <br />DATE ISSUED 9'" ! ' 9'1 <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESSLa- <br />/�,�_�/1 LEGAL DESCRIPTION: PROP. ID. Q? lL7-o?'3 21 OL11.2— <br />LOT ____ _ _ BLOCK SUBDIVISION <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT t R.SIDE 44 <br />REAR t L.SIDE r <br />O <br />LAKE WETLANDS <br />ACCE <br />NEW EXISTING <br />NAGeNEY-APPROV. DATE <br />CITY ' <br />COUNTY <br />STATE <br />EASEMENT <br />REMARKS: <br />INSPECTION REQUIRED <br />OWNER,/ <br />(Name <br />(Addres) <br />(Phone) <br />o �sroc <br />ARCHITECT/ENGINEER <br />- Must Certify Multi -Fan ,Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />4 <br />(Address) <br />(Phone) <br />BUILDER <br />(Firm) <br />(Address) <br />(Phone) <br />TYPE OF WARK <br />New <br />Addition ffet4odel <br />Renovate <br />CONST. TYPE <br />BLDG. SIZE <br />EST. CONS . VALUATION <br />L. 70 W <br />H1. <br />RESIDENTIAL <br />STORIES B 1 <br />2 3 <br />PERMIt <br />FEES <br />BDHMS/FLR <br />BLDG. PERMIT <br />/�O <br />DWELL. <br />UNITS <br />STATE FEE <br />PLAN REVIEW <br />GAR. STALLS <br />SEPTIC <br />ATT. <br />APP. DATE <br />DET. <br />PENALTY <br />DOCK <br />PARK FEE <br />Ct,l <br />NON-RESIO. <br />PROPOSED USE <br />SAC CHARGE <br />OCC. <br />CLASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE <br />o FOOTING before pour <br />✓FRAMING rough -in <br />INSULATION <br />eWALLBOARD Before Taping <br />C FINALbefore occupancy <br />WORK BEYOND OR WITHOUT A RE- <br />QUIRED INSPECTION WILL BE SUB- <br />JECT TO PENALTY. <br />INSPECTION HOURS 473-7357 <br />CALL 8 - 12 A.M. INSP. 1 - 4 P.M. <br />CALL 1 - 4 P.M. INSP. NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING v <br />ME'JHANICAL <br />WELL <br />SEPTIC ✓ <br />SEWER <br />WATER <br />GRADING & FILLING _.. <br />ELECTRICAL from State <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 WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOT I <br />NG CODE REQUIREMENTS. <br />1�e, <br />Signature Date <br />COPY: WHITE -FILE GREEN -FINANCE <br />CANARY -INSPECTOR GOLD -RECEIPT <br />l PINK -ASSESSOR <br />Approved - V ( I T_City of Orono <br />