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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 DISTRICT SITE ADDRESS _ ,�%, o <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.SIDE <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 />INSPECTION REQUIRED <br />PERMIT N? 3889 <br />DATE ISSUED <br />EXPIRES _ <br />SURr)IVIginN <br />WN <br />(Name) <br />(Address) �(Pho etc// <br />4:G1� ✓ 7'!0' �$ <br />ARCHIT <br />/E INFER — <br />Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />( irm) <br />(Address) (Phone) <br />BUILD R <br />Zteewl <br />(Fi <br />) C (Address) (Phone) <br />TYPE OF ORK <br />Addition Remodel Renovate <br />CONST. TYPE <br />BLDG. SIZE <br />EST. CONST. VALUATIOV <br />L. <br />W. H t. <br />RESIDENTIAL <br />STORIES B <br />1 20 33 <br />PERMIT FEES <br />BDRMS/FLR <br />BLDG. PERMIT <br />DWELL. <br />UNITS <br />STATE FEE �/ <br />GA T A L L S <br />SEPTIC <br />APP. DATE <br />PLAN REVIEW <br />DET. <br />PENALTY <br />DOCK <br />PARK FEE !t% <br />NON-RESID. <br />PROPOSED USE <br />SAC CHARGE <br />OCC. <br />CLASS, <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE 1Qf7, &0 <br />FOOTING before pour <br />FRAMING rough -in <br />INSULATION <br />WALLBOARD Before Taping <br />F INA L before 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 B - 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 />COPY: WHITE —FILE GREEN —FINANCE <br />CANARY --INSPECTOR GOLD --RECEIPT <br />PINK. —ASSESSOR <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 />9 <br />OF MINNESOTA BUILDING CODE REQUIR ENTS <br />Z ^ <br />Signature <br />Approved ' (�" City of Orono <br />