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CITY of ORONO <br />Building Permit PERMIT NO. 58161 <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE !SSUED (6 <br />P.O. BOX 66, CRYSTAL RAY, MN !:5323 473-7357 <br />ZONING DISTRICT <br />tt�rallttitttlii�■1II�t� <br />FIRE OEPARTKIENT <br />POST OFFICE <br />VAR. DATE <br />COND. USE DA i E <br />LOT AREA <br />WIDTH DEPTH <br />PROrOSED SETBACKS' <br />FRONT R EIDE <br />REAR L SIDE. <br />LAKE WETLANDS <br />ESS <br />• N EXISTING <br />AGFNCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />SITE ADDRESS <br />PROPERTY IDENTIFICATION NO (PID) 4%_ " 117 25 P+ 00 SY <br />LOT BLOCK _ _ _ SUBDIVISION <br />r 70WNER (Name) (Address) (Phone) <br />ARCHITECT/ENGINEER - Must Certify Multi -Family. Conn*,--iat <br />(Firm) (Address) <br />steal Construction Plans <br />IPhord) <br />BUILDER (Firm) (t..:dress) (Phone) <br />-- Lona <br />TYPE OF WORK New AddKialn Remodel Renovate <br />� IobTIrnK Of: Za2D0 s <br />ICONST TYPE[ BUILDING SIZE IEstimated Construction Va uation <br />L. W <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL. <br />STORIES B I <br />UNITS <br />_ <br />GAR STALLS <br />NUMBER OF BEDROOMS <br />ATT <br />DET <br />SEPTIC <br />APP DATE <br />PROFOSE0 USE <br />COUNCIL <br />APP DATc <br />__U6", 0-1 <br />INSPECTION REOUIRED <br />WORK REOUIRING <br />SEPARATE PERMITS <br />❑ ...... FOOTINGbefore pour <br />❑ ... , .. FRAMING tough in <br />PLUMBING .. . <br />1 <br />Cl ......INSULATION <br />MECHANICAL. _. <br />❑ ..... WALLBOARD before taping <br />❑ .... FINAL before occuporCY <br />WELL . .. . <br />n ...... SITE INSPECTION <br />SEPTIC. .. . <br />WORK BFYOND OR WITHOUT A RE- <br />SEWER <br />` <br />OUIRED INSPECTION WILL BE SUB <br />WATER <br />JECT TO PENALTY <br />GRADING d FILLING <br />INSPECTIONS MUST BE CALLED IN <br />_ <br />24 HOURS IN ADVANCE <br />FIRE <br />COW WHITE FILE GRLLN r1NANGL <br />CAKARY-INSPECTOR G01 D <br />RECEIPT <br />W W /K-ASSESSOR <br />e.,.r.n" & .f C. 1- 411144144PC <br />HI <br />PERMIT FEES <br />�^ a o <br />BLDG. PERMIT —36. <br />2 3 <br />STATF FEE <br />PLAN REVIEW <br />SAG CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />TOTAL DUE �Jr� <br />ACKNOWLEDGEMENT <br />THE UNDFRSIGNED 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 WORK IN STRICT COM- <br />PLIANCE WITH ALI. CITY OF ORONO ORDINANCES AND STATE <br />❑ OF MINNESOTA BUILDING CODE REQUIREMENTS <br />❑ l r <br />S,gnatuFe <br />AOSAOved f6Lt '"Tity OI O, OfK., <br />