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CITY of ORO NO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPAN'C/Y,, <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357— <br />ZONING DISTRICT SITE ADDRESS <br />LEGAL DESCRIPTION: PROP. ID.. <br />LOT BLOCK <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE4/ <br />REAR L.SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS <br />PERMIT N? 4063 <br />DATE ISSUED — 7— <br />EXPI RES <br />SUBDIVISION <br />W <br />( e) <br />(Ad ssI (Phone) <br />lo(o SD f�� %7 -/ O <br />A HITE <br />/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />BUI LDE <br />(Firm) <br />(Address) (Phone) <br />TYPE OF WORK ew <br />Addition Remodel Renovate <br />CONST. TYPE <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />lvez �J <br />' <br />L. W..j1 ` <br />T Ht. CXJ <br />RESIDENTIAL <br />STORIES e <br />z 3 <br />PERMIT FEES <br />BDRMS/FLR <br />BLDG. PERMIT <br />/ <br />✓�� <br />DWELL. <br />UNITS <br />3 <br />STATE FEE 4.411, <br />PLAN REVIEW Ak �O <br />GAR. STALLS <br />ATT.,21/ <br />SEPTIC <br />APP. DATE <br />DET. <br />PENALTY <br />DOCK <br />PARK FEE <br />NON-RESID. <br />PROPOSED USE <br />SAC CHARGE '7 14 O-O <br />OCC. <br />CLASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE 97X, fTv <br />INSPECTI,4"EQUIRED <br />!/�^ <br />!/ TING before pour <br />F MING rough -in <br />LATION <br />SAL RD Before Taping <br />koo FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE- <br />OUIRED 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 <br />MECHANICAL " <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 MINNC<OTAIUILDING CODE RQpUIREMENTS. <br />COPY: WHITE -FILE GREEN -FINANCE <br />CANARY -INSPECTOR GOLD- R17CEIPT <br />PINK -ASSESSOR <br />Signature r Date <br />i ��.r �� <br />Appro ��^ f�;j.4_City of Orono <br />