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i <br />CITY of ORONO PERMIT N? 4081 <br />Building Permit 9 7.7 <br />DATE ISSUED <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXP ES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS <br />LEGAL DESCRIPTION: PROP. ID. <br />LOT __'A RI nric CIIfinlvlclnru <br />FIRE ZONE <br />VAR.DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />REAP. 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 />WNE (Na el. �T�S <br />(A�iress) <br />(Phone) <br />•�!1!� <br />ARCH ITECT/ENGINEE — Must Certify Multi Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) (Address) <br />(Phone) <br />%`l 7Gts0 <br />B 44K F; <br />(Firm) (Address) <br />(Phone) <br />w <br />-e19/ <br />TYPE WORK ew A4dfFon <br />Remodel <br />Renovate <br />CONST. TYPEE <br />llewlo <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />, o" <br />L. �s W. q�s Ht. <br />/KG <br />�� <br />!/ �' <br />RESIDE;;IAL <br />STORIES B 1 2 3 <br />PERMIT FEES <br />/ <br />BDRMS/FLR <br />BLDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />is <br />DWELL. <br />UNITS I <br />GAR. STALLS <br />ATT.� <br />SEPTIC <br />APP DATE <br />DIET. <br />PENALTY <br />DOCK <br />PARK FEE <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE <br />QCC <br />C LASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE <br />INSPECT,pN REQUIRED <br />/ OTING before pour <br />-0RAMING rough -in <br />v.,M/� SULATION <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 <br />MECHANICAL <br />WELL <br />SEPTIC <br />SEWER _ <br />WATER _ <br />GRADING & FILLING <br />ECTRICAL 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 AC'.EPT- <br />ANCE OF LL INFORMATION, CONDITIONS AND REQUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT. THE JNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STR,CT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />I I c t <br />Signature I Date <br />COPY: WHITE —FILE <br />CANARY —INSPECTOR <br />PINK —ASSESSOR <br />GREEN —FINANCE <br />GOLD —RECEIPT <br />City of Orono <br />