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CITY of ORONO F <br />Building Permit PERMIT NO. 5629 <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED-S- <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473.7357 <br />ZONING DISTRICT <br />FIRE DEPARTMENT <br />POST OFFICE <br />VAR DATE <br />COND USE DATE <br />LOT AREA <br />WIDTH E H <br />PROPOSED AC S. <br />FRON SIDE <br />RE SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY•APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS <br />SITE ADDRESS 6t,/ 1J 441rl D <br />PROPERTY IDENTIFICATION NO (PIDI <br />LOT BLOCK SUBDIVISION <br />OWNER (Name)/+, I (Address) (Phone) <br />ARCHITECT/ENGINEER - Must rtlly Multi -Family. Commercial & Industrial Construction`151ans <br />(Firm) (Address) (Phone) <br />BUILDER (Firm) (Address) �,f% iPhonet <br />TYPE OF-WOFF - e'-_NewT Addition Remode Renovate <br />ICONST. TYPES BUILDING SIZE <br />L. W HI 16 <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL. STORIES B 1 2 3 <br />UNITS <br />GAR STALLS I NUMBER OF BEDROOMS <br />ATT <br />DET.'�� SEPTIC <br />APP DATE <br />PROPOSED USE <br />COUNCIL <br />APP DATE <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />...FOOTING before pour <br />�_�/ ' <br />LG .... FRAMING tough -in <br />PLUMBING <br />(� <br />Fz.... INSULATION <br />MECHANICAL <br />... WALLBOARD before taping <br />WELL <br />❑ <br />...... FINAL Delore occupancy <br />....... <br />CJ ...... SITE INSPECTION <br />SEPTIC <br />❑ <br />WORK BEYOND OR WITHOUT A RE. <br />SEWER <br />❑ <br />OUIRED INSPECTION WILL BE SUB <br />WATER <br />❑ <br />JECT TO PENALTY <br />GRADING 6 f ILL ING <br />❑ <br />NSPECTIONS MUST BE CALLED IN <br />24 HCrJRS IN ADVANCE <br />FIRE <br />❑ <br />Estimated Construction Valuation <br />PERMIT FEES <br />BLDG. PERMIT <br />!lL <br />STATE FEE <br />trU <br />PLAN REVIEW <br />9 <br />!!� <br />SAC CHARGE�� <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />L)I H E F: <br />------ — - -- <br />/ <br />IOTAI DUE / 1 <br />�S STD <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 00 ALL WORK IN STRICT COM <br />PLIANCE WITH ALL CIT\ OF ORONO ORDINANCES AND STATE <br />OF$OTA U!I DIfJG,+: C[)E RE UUIHE ME NTti le� <br />Signature Vci �L.,IL� r1% <br />COPY WMIC FILE GREEN FINANCt <br />CANARY-INSPEF;TON GOLD RECEIPT <br />PINK ASSE5S014ore 1•�'J '� Crh of Orono <br />L rao..., ny a w. G Lu Mrlr.:•. I (; ,C v" r �L.` W.Y_�/ <br />