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CITY of ORONO <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 A - % < <br />L n _ / A LEGAL DESCRIPTION: PROP. ID.. <br />!� LOT RI nrK <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA n <br />CCXA— <br />WIDTH � DEPTH <br />PROPOSED SETBACKS <br />FRO T I R.SID ./ <br />REARS L.SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. E SEMENT <br />REMARKS <br />PERMIT N? 4470, <br />DATE ISSUED '7` I7-kl <br />EXPIRES <br />4ZI IRnlvlclnfu <br />OWNER <br />(Name) <br />Address) (Phone) <br />/ O / <br />y3 f�0 <br />ARCHITECT/ENGINEER <br />— Must Certify Multi -Family, <br />Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) <br />(Phone) <br />BUILDER <br />(Firm) <br />(Address) (Phone) <br />III/ . <br />14,4. qpoe.'0 <br />No s — 10 M40 <br />TYPE OF WORK eW <br />Addition <br />Remodel Renovate <br />/ An�st <br />4L-�- <br />— <br />CONST. PE <br />. <br />BLD SIZE <br />V <br />I <br />EST. CONST. VALUATION <br />IOo� <br />L. O W. <br />3'1 Ht. <br />�dU <br />RESIDENTIAL <br />STORIES B 1 <br />3 <br />PERMIT FEE <br />_ a <br />BDRMS/FLR <br />BLDG. PERMIT dQ <br />SI 00 <br />DWELL. <br />UNITS <br />STATE FEE <br />PLAN REVIEW S� <br />GAR. STALLS <br />SEPTIC <br />0TT. <br />APP. DATE <br />— /f� --dz/ <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 />DU// 11 <br />TOTAL p? , .7 <br />INSPECTION REQUIRED <br />FOOTING before pour <br />FRAMING rough -in <br />INSULATION <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 />INSPECTIONHOURS 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 if <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 />Signature 1L` �' Q Date 1=17'Yi <br />Approved 'fit 4 4-10ty of Orono <br />