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CITE' of ORO NO <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 <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 />PERMIT N? 3951 <br />DATE ISSUED <br />EXPIRES <br />SLJPDIVISION <br />WN <br />(N�mel <br />(Address) / (� <br />D <br />s <br />�&/Industrial <br />ARCHITECT/ENGINEER <br />— Must Certify Multi -Family, Commercial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) <br />(Phone) <br />BUI ER <br />(Firm) <br />)(Address) <br />(Phone) <br />TYPE OF WORK New <br />Addition Remodel Renovate <br />CONST. TYPE <br />BLDG. SIZE <br />EST. CONSSTT. VALUAI ION <br />L. <br />Ht. <br />RESID NTIA <br />STORIES B <br />1 2 3 <br />PEftMIT FEES <br />BDRMS/FLR <br />BLDG. PERMIT <br />DWELL. <br />UNITS <br />STATE FEE S, <br />PLAN REVIEW <br />GAR. STALLS <br />ATT. <br />SEPTIC <br />APP.DATE <br />DET. <br />PENALTY <br />DOCK <br />PARK FEE A !2U.SpIalslos, <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE <br />OCC. <br />CLASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE <br />INSPECTION REQUIRED <br />FOOTING before pour <br />�R ULATIMING rough -in <br />/dSU LAT 10 N <br />WALLBOARD Before Taping <br />FINAL 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 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 61""'— <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 />OF MINNESOTA BUILDING CODE REQUIREMENTS <br />4 <br />Signature \ Date -� <br />Approved / City of Orono <br />