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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 y <br />LEGAL DESCRIPTION: PROP. ID., <br />LOT BLOCK <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />REAR 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 />PERMIT 3950 <br />DATE ISSUED _Z�6 /7Z <br />EXPIRES <br />SUBDIVISION <br />E <br />(Name) <br />(Address) (Phone) <br />/ 7 <br />S-ems' <br />CHITECT/E <br />INEE — Mus Certify Multi -Family, Commercial & I dustrial onstruction Plan <br />ERT.NO. <br />irm) <br />(Address) <br />( hone) <br />BUI LEER <br />(Firm) <br />(Address) <br />(Phone) y7�-OIJ� <br />TYPE OF WORK New <br />Addition Remodel Renovate <br />CONST. TYPE <br />BLDG. SIZE <br />EST. CONST.VVALUATION <br />L. W. <br />Ht. <br />) <br />/' /0_ <br />RESIDE TIA <br />STORIES B 1 <br />2 3 <br />PERMIT FEES <br />BDRMS/FLR <br />BLDG. PERMIT <br />DWELL. <br />UNITS <br />STATE FEE S 0-0 <br />PLAN REVIEW r 0"19 <br />GAR STALLS <br />ATT.3 <br />SEPTIC <br />APP. DATE <br />DIET. <br />PENALTY <br />DOCK <br />PARK FEE <br />NON-RESID. <br />PROPOSED USE <br />SAC CHARG jK 0-0 <br />occ. <br />CLASS. <br />Q 3 M <br />STORIES <br />TAPP. <br />COUNCIL <br />DATE <br />TOTAL DUE <br />INSPECTIREQUIRED <br />OTING before pour <br />� AMING rough -in <br />�SULATION <br />�LLBOARD Before Taping <br />FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE- <br />QUIRED INSPECT!ON 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 />MECHANICAji� <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 />I <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 A CITY OF ORONO ORDINANCES A,vJ STATE <br />OF MINNESOT UILDING CO E REQUIREMENTS. <br />7 <br />Signatur > Dat� <br />Approv Q ~ City of Orono <br />