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CITY of ORONO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />W.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT <br />FtaE DEPARTMENT <br />POST OFFICE <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 />PRIVATE EASEMENT <br />REMARKS: _ <br />t <br />PERMIT NO. 6195 r <br />DATE ISSUED JC 17 <br />SITE ADDRESS 'SC_rD if ! !r, i I ojd/if% ":�. <br />PROPERTY IDENTIFICATION NO (PID) (- 7 + ! -7 " ;�-=' .. GC,L- <br />LOT BLOCK SUBDIVISION <br />OWNER (t(Name) (Address) (Phone) <br />iVAETTA. MN2Lc;�+� -S.4%_C 47 1 <br />ARCIHITECT/ENGINEER - Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />(Firm) (Address) (Phone) <br />BUILDER (Firm) (Address) <br />(Phone) <br />)(A, <br />`r !. <br />TYPE OF WORK New l Addition Remodel Renovate <br />C�T. T PE BUILDING SIZE <br />L. W Ht <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL. STORIES B T <br />UNITS <br />GAR STALLS NUMBER OF BEDROOMS <br />ATT. <br />DET. SEPTIC <br />APP. DATE <br />PROPOSED USE <br />ICOUNCIL <br />APP. DATE <br />%�j�(t'_ C\L. <br />INSPECTION REQUIRED <br />WORK REOUIRIN <br />SEPARATE PERMITS <br />FOOTING before pour <br />❑ ...... FRAMING rough--n <br />PLUMBING <br />L) ...... INSULATION <br />MECHANICAL <br />❑ ...... WALLBOARD before taping <br />El ......FINAL before occupancy <br />WELL <br />❑ ...... SITE INSPECTION <br />SEPTIC <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER <br />OUIRED INSPECTION WILL BE SUB- <br />WATER <br />JECT TO PENALTY <br />GRADING d FILLING <br />INSPECTIONS MUST BE CALLFFr IN <br />24 HOURS IN ADVANCE <br />FIRE <br />COPY WHITE -FILE GREEN FINANCE <br />CANARY -INSPECTOR GOLD <br />RECEIPT <br />PINK -ASSESSOR <br />rod.Iv" r.Ira. 6 Ado co Inc 4121 twr 4410 <br />- <br />Egerated Construction Valuation <br />PERMIT FEES <br />]C O C. <br />BLDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />TOTAL DUE <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL itAPROVEME.NTS SPFCIFIED AND DFCI.ARES <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 WORK IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING QQD REQUIREMENTS <br />G� r " � /- 1 Inei <br />Sup,aur�e <br />-- -- fI <br />Appr. veQ / r` 2 <br />Date <br />_/ 6 <br />�I / <br />C,IY of OronG <br />