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CITE' of ORONO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />P <br />N�{pl RICTEPP.AAR MENT <br />POST OFFI E <br />1,4 <br />L <br />VAR.DATE <br />COND. USE DATE <br />LOT AREA f <br />WIDTH DEPTH <br />PROPOSED SETBACKS: <br />FR T / R. SIDE � <br />RE 3 3-0-6� <br />L. SIDE / <br />LAKE WETLANDS <br />ACCESS <br />FCY-A�PPROV. <br />EXISTING GATE <br />CITY <br />COUNTY <br />STATE <br />PR VAT EASEMENT <br />REMARKS <br />PERMIT NO. 5653 <br />DATE ISSUED <br />SITE ADDRESS - 1 / /\� <br />PROPERTY IDENTIFICATION NO IPIDI <br />LOT BLOCK SUBDIVISION <br />OWNER INamel (Address), (Phone) <br />ARCHITECT/ENGINEER - Must Certify Multi -Family. Commc,clal 8 Industrial Construction Plans <br />IFilml <br />04, <br />(Address) <br />r <br />V <br />(Phone) <br />F�liS� C lam_ <br />Pll c- <br />c I /. <br />BUILDER <br />lFirml U <br />IAddressl <br />IPhonel <br />TYPE OF WiQRK <br />ew Addition <br />Remodel <br />Renovate <br />CONST. TYPE <br />BUII-DING SIZE <br />Estimated Construction Valuation <br />'l <br />Z <br />L. I "J S W. <br />y() <br />Ht; <br />_ <br />CZJ <br />/�Jf <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />BLDG. PERMIT <br />STATE FEE <br />I 5 <br />-_-F-� <br />'S <br />DWELL. / <br />UNITS <br />STORIES 2 G <br />GAR STALLS <br />NUMBEF OF, BEDROO S <br />i <br />!�� '1i�4 <br />PLAN REVIEW <br />f — c�c+ <br />�S <br />DIET <br />SEPTIC <br />APP. DATE <br />-SPROPOSED <br />� <br />SAC CHARGE <br />SEWER UNIT <br />USE <br />PARK FEE <br />1111 <br />PENALTY <br />COUNCIL <br />APP.DATE <br />OTHER <br />INS CTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />FOOTING before pour <br />.... FRAMING rough -in <br />PLUMBING <br />�L:J <br />... INSULATION <br />MECHANICAL <br />12 <br />WALLBOARD before taping <br />WELL <br />{{ r <br />LEI <br />FINAL before occupancy <br />❑ ...... SITE INSPECTION <br />SEPTIC <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER <br />❑ <br />QUIRED INSPECTION WILL BE SUB <br />WATER <br />❑ <br />JECTTO PENALTY <br />GRADING 8 FILLING <br />❑ <br />INSPECTIONS MUST BE CALLED -IN <br />24 HOURS IN ADVANCE <br />FIRE <br />❑ <br />COPY WHITE FILE <br />GREEN -FINANCE <br />CANARY -INSPECTOR <br />GOLD RECEIPT <br />PINKASSESSOR <br />oWn.�AWY.Co.I1715lI 70 <br />MWhqnt NM <br />r <br />� P - t_z <br />— <br />TOTAL DUE )1 ') n rl) <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED A"ID DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT <br />ANCE OF ALL INFOHMATICN CONDITIONS AND REOUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNE.SOTA BUII DING CODE RE IIREMENTS <br />S p,alwe! / z Dale <br />AOpmve . / I CtV of O no <br />