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CITY o ORO NOPERMIT N:' _ 4940 <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUEDEXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7 57 <br />ZONING DISTRICT SITE ADDRESS 1 <br />LEGAL DESCRIPTION: PROP. ID. /I % ` 2-3 q.2. 0/108 <br />LOT 1 RI nrw CI IunrviCinni LI r ,, D :-G <br />FIRE ZONE <br />VAR.DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT, R.SI <br />REAR L.SIDE� <br />LAKE WETLANDS <br />ACCESS <br />EXISTING <br />AGENCY APPR E <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS <br />VVNER <br />(Name) <br />(Address) (Phone)'6'53 <br />! .N <br />_LA rse- <br />Oo vjcot_5CZ4 A <br />Trq <br />ARCHITECT/ENGINEER - Must Certify Multi -Family, Commerci Industrial Con truction Plans <br />E9T.N0. <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(Firm) <br />(Address) (Phone) <br />MC_ Mu <br />I' T, Cr)'.,CXf <br />,t, /^tee 50 <br />TYPE OF WORK �Jgw) Addition Remodel Renovate <br />CONST. TYPE <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />3C <br />!I, <br />309, 000, <br />ENTIA <br />sroRlEs B <br />PERMIT FEES <br />_3 <br />BDRMS/FLR � <br />'"piµ <br />BLDG. PERMIT <br />O <br />L. <br />( <br />STATE FEE <br />PLAN REVIEW <br />o O <br />STALLS <br />SEPTIC p2 <br />APP. DATE " 3 D _i <br />[NON <br />PENALTY <br />��%� <br />DOCK ry <br />PARK FEESACCHARGE. <br />ESID. <br />PROPOSED USE <br />Y-_ <br />COUNCIL <br />APP. DATE <br />TOTAL DUE p? 6)/9, <br />INSPECTION REQUIRED <br />FOOTING before pour <br />FRAMING r,)ugh-in <br />INSULATION <br />WALLBOARD Nefore Tapinq <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 B - 12 A.M. INSP. i - 4 P.M. <br />CALL 1 - 4 P.M. INSP. NEXT DAY <br />WORK RECIUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />"_ <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 MINNESOTA BUILDING CODE REQUIREMENTS, <br />COPY: WHITE -FILE GREEN --FINANCE <br />CANARY -INSPECTOR GOLD -RECEIPT <br />PINK -ASSESSOR <br />Signature <br />Approved <br />ty of Orono <br />