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CITY of OR()NO PERMIT N? 4064 <br />Building Permit DATE ISSUED. 7 <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS.�� /Ya >"►-K �+o��e_ <br />LEGAL DESCRIPTION: PROP. ID. <br />I nT RI nCK SUBDIVISION <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 />WNE <br />(Name). <br />(Address) (Phone) <br />>r <br />Q ►- /ri �- <br />75 - <br />ARCHITECT/ENGINEER — Must <br />Certify Multi -Family, Com ercial & Industrial Construction Plans <br />ERT.NO. <br />_ <br />(Firm) <br />_ <br />(Address) <br />(Phone) <br />Y Lk C_ <br />2!�r'U C_�iV <br />it <br />BUILDER <br />(Firm) <br />(Address) <br />(Phone) <br />TYPE OF WORK New <br />Addition Remodel ), I ",y enovate <br />CONST TYPE <br />BLDG. SIZE <br />/ <br />EST. CONST. VALUATION <br />W. <br />RESIDEN A L <br />STORIES B <br />1 3 <br />PERMIT FEES <br />BDRMS/FLR <br />BLDG. PERMIT U <br />DWELL <br />UNITS <br />STATE FEE . SO <br />PLAN REVIEW <br />GAR. STALLS <br />PTIC <br />ATT <br />A DAT <br />— <br />DET <br />PENALTY <br />DOC <br />PARK FEE <br />NON-RESID <br />uSE <br />/POS <br />SAC CHARGE <br />OCC <br />CLASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE <br />REMARKS: e h+o (! �io �ro�-In r ky <br />&7� e`yC ryy / )^�• V ti r�o I <br />INSPECTION REQUIRED <br />FOOTING before pour <br />FRAMING rough -in <br />INSULATION <br />WALLBOARD Before Taping <br />F INA L 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 ^EQUIRING <br />SEPAL .TE PERMITS <br />PLUMBING <br />MECHANICAL_ —_-__- <br />WELL <br />SEPTIC _ <br />SEWER <br />WATER _--- <br />GRADING & FILLING <br />ELECTRICAL 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 ACCEPT- <br />ANCE OF ALL INI-OHMATION, 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 MINIvESOTA BUILDING CODE REQUIREMENTS. <br />Signature r `� 6"f tK,t Date <br />COPY WHITE -FILE <br />CANARY --INSPECTOR <br />PINK —ASSESSOR <br />GREEN FINANCE <br />GOLD RECEIPT <br />Approved <br />City of Orono <br />