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('ITV of ORO NO <br />PERMIT 50301 <br />Building Permit - , � <br />DATE ISSUED /s <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 00, CRYSTAL BAY, MN 55323 473-7357 n f <br />ZONING DISTRICT SITE ADDRESS is Key �L1iCE KC1 <br />LEGAL DESCRIPTION: PROP, ID. <br />LOT S Ri nrK �— ct rnnrvrcrnrr �, wi. sr _ tr <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />o � 37 <br />REAR L.SIDE <br />1% rz b 12 <br />LAKE WETLANDS <br />ACCESS <br />EXISTING <br />AGENCY•APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT — <br />1 LAILC <br />INNER (Name) <br />(Address) (Phone) <br />ARCH ITECT!ENGINEER — Must Certify <br />Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />BUILDER (Firm) <br />(Phone) <br />(Address] �-ADA`E <br />I $Oe� H�� � <br />T <br />O <br />TYPE OF WORK Addition <br />Remodel Renovate <br />/ 5 c1 fa"r_ c� _ <br />CONST TYPE <br />BLDG SIZE <br />EST CONSST.T.. VALUATION <br />L W <br />Ht. <br />PERMIT FEES <br />o �, <br />HESIDENTIAL <br />STORIES B 1 a J <br />BLDG. PERMIT <br />OWE LL <br />BDRMS FLR <br />J <br />UNITS <br />STATE FEE <br />PLAN REVIEW 2 �-� <br />v <br />STALLS <br />Ai <br />Alfl" <br />SEPTIC <br />APP DATE <br />DET <br />PENALTY <br />DOCK <br />PARK FEE <br />NON RESID <br />PROPOSED uSE <br />SAC CHARGE <br />OCC <br />CLASS <br />STORIES <br />COUNCIL <br />APP DATE <br />TOTAL DUE I1 % 7, <br />np <br />REMARKS: S H tvbws. rCha�.`GPO tC <br />T1, c I fj y 6 tv —tit w <br />-7:i- - �M— <br />CTION REQUIRED <br />�_/ _ FOOTING before pour <br />_____ FRAMING roughen <br />INSULATION <br />WALLBOARD Before Tapmq <br />_ FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BE SUB- <br />JECT TO PENALTY <br />INS?ECTION 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 />PI�IMBING <br />�CHANICAL <br />L <br />EPTIC <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 MINNESOTA BUILDING CODE FjEpUIREMENTS <br />COPY WHITE FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD RECEIPT <br />PINK ASSESSOR <br />Signature _ Date <br />Approved �� City of Orono <br />