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ryof ORONO PERMIT N.) _ 52231 <br />uilding Permit <br />DATE ISSUED <br />rD APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />EXPIRES <br />), BOX 66, CRYSTAL BAY, MN 55323 473-7 57 <br />ZONING DISTRICT SITE ADDRESS ` 0�5_ _M _reezt,. LE <br />LEGAL DESCRIPTION: PROP. ID. C 7 It 17 C-C/O <br />LOT RI nCK <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT A2EA <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 />SIIRr)ivicinKj <br />OWNER <br />(Name) <br />(Address) (Phone) <br />W -4_— <br />ARCHITECT/ENGINEER <br />- Must <br />Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />----------^ -- - <br />(Firm) <br />- - -- <br />(Address) ( Phone I <br />BUILDER <br />(Firm) <br />(Addre6yov AL-Atu"A Crr,(Phone) IT94/ <br />jr f <br />S �! Eb <br />!71 <br />TYPE OF WORKNew <br />Addition Remodel Renovate <br />_Dejuur) <br />fe A4"' <br />CONST TYPE <br />BLDG. SIZE <br />EST CONST VALUATION <br />L <br />lV fit <br />/ t-7eel 00 <br />fif'SIDENTIAL <br />STOHIES Ii <br />1 2 3 <br />PERMIT FEES oc� <br />_ <br />BLDG. PERMIT d*5� <br />DYJELL <br />BDRMS)FLR <br />UNITS <br />SEPTIC <br />APP DATE <br />STATE FEE <br />PLAN REVIEW <br />(,AH. STALLS <br />All <br />f)Er <br />PENALTY <br />DOCK <br />— — <br />PARK FEE - <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE <br />OCC <br />CLASS <br />STORIES <br />COUNCIL <br />nPP 0A. E <br />TOTAL DUE <br />REMARKS: CYl45"T_I l' 6_ l LL--. F�ffi Ac nio L�----- <br />- SE.w--- - - C CFI - <br />114SPECTION REQUIRED <br />------ FOOTING before pour <br />FRAMING rougn-m <br />_ INSULATION <br />WALLBOARD Before Tapmq <br />.. _FINAL before occupancy <br />")RK BEYOND OR WITHOUT A RE <br />IRED INSPECTION WILL BE SUB- <br />T TO PENALTY <br />WECTION HOURS 473 7357 <br />.L8 12AM INSP I 4PM <br />L I 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 />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 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 MINNESO BUILDING CODE REQUIREMENTS <br />Signature 44W--t;ftd4A9dAte 6-r_If <br />VHITE FILE <br />ANARY INSPECTOR <br />NK ASSESSOR <br />GREEN FINANCE <br />GOLD RECEIPT <br />Approved c / 'L'= / X_ ` Crty of Orono I <br />