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( 'Al l Y of ORONO PERMIT N? 4390 <br />Building Permit <br />DATE ISSUED �� � M - 'v <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS (A,• FFRN_QAC.'�E_ <br />L2 _ / LEGAL DESCRIPTION: PROP. ID. <br />FIRE ZONE LOT BLOCK _.— SUBDIVISION <br />VAR.DATE <br />-Z7-7'T <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT IFj,S 2 E <br />REAR L.SIDE <br />_ 45- <br />LAKE WETLANDS <br />75 6 <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS: <br />(Name) <br />(Address) (Phone) <br />0— <br />Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />rARCHITEdT/ENGINEiF_h <br />Firm) <br />(Address) <br />(Phone) <br />(Firm) <br />(Address) <br />(Phone) <br />Sa57 <br />9Zoajz <br />SN <br />LRK <br />Addition Remodel Renovate <br />CONST. TYPE <br />BLDG. SIZE <br />EST, CONST. VALUATION <br />L. jW W. <br />S b Ht. <br />' 771600 <br />RESIDENTIAL <br />STORIES B 10 <br />3 <br />PERMIT FEES <br />BDRMS/FLR Z <br />1 <br />BLDG. PERMIT <br />DWELL <br />UNITS <br />STATE FEE <br />OD <br />(�AN REViEW l <br />GAR STALLS <br />SEPTIC <br />ATT. <br />APP DATE <br />DET. <br />PENALTY <br />DOCK <br />- <br />PARK FEE • �� <br />NON RESID <br />PHOPOSED USE <br />SAC CHARGE �a <br />OCC. <br />CLASS. <br />COUNCIL <br />STORIES <br />TOTAL DUE <br />APP. DATE <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 />INSPECTION HOURS 473-7357 <br />CALL - 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 />MECHANICAL <br />WELL <br />SEPTIC <br />SEWER <br />WATER <br />GRADING & FILLING - <br />ELECTRICAL from State <br />COPY: WHITE FILE GREEN -FINANCE <br />CANARYINSPECTORGOLD RECEIPT <br />PINK- ASSESSOR <br />ACKNOWLEDGE^SENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACI�EPT- <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 STATI <br />OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />Signature Date <br />C <br />ApprovedY of <br />