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CITY of tRl[)*O <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT <br />R -IB <br />FIRE DEPARTMENT <br />Long Lake <br />POST OFFICE <br />Long Lake <br />VAR. DATE <br />C ND. USE DATE <br />LOT AREA <br />2+Acres <br />WIDTH 365 DEPTH <br />965' <br />PROPOSED SETBACKS: <br />FRONT300 A' SIDE <br />62' <br />REAR L. SIDE <br />5001+ 1001+ <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY•APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS: <br />PERMIT NO. 63771 <br />DATE ISSUED 5122197 <br />SITE ADDRESS 2240 FOX STreet <br />PROPERTY IDENTIFICATION NO (PID 3— 17-23 32 0009 <br />LOT 4 BLOCK 1 SUBDIVISION a ey $ an <br />OWNER (Name) (Address) 829-7280 (Phone) <br />James R. Johnson, 8327 W Bush Lk Rd, Bloomington <br />ARCHITECT/ENGINEER - Must Certify Multi -Family. Commercial & Industrial Construction Plans <br />(Firm) (Address) (Phone) <br />Work 931-4026 <br />BUILDER (Firm) (Address) Whonel <br />Owner <br />TYPE OF WORK New <br />Addition <br />Remodel <br />Renovate <br />New -Residence <br />CONST. TYPE <br />BUILDING SIZE <br />Estimated Construction Valuation <br />64'x40'*,2 <br />Storiept <br />$175,000 <br />L <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />BLDG. PERMIT <br />DWELL. <br />1 <br />STORIES B <br />t X* 3 <br />UNITS <br />STATE FEE <br />_87.50__ <br />403.33 <br />GAR. STAILS <br />NUMBER OF BEDROOMS <br />ATT. <br />PLAN REVIEW <br />DET. <br />SAC CHARGE <br />NA _ <br />SEPTIC <br />APP. DATE <br />SEWER UNIT <br />_ _ <br />PROPOSED USE <br />PARK FEE <br />Pd.wisubld. <br />PENALTY <br />COUNCIL <br />APP DATE <br />OTHER <br />_ <br />John Gerhardson must approve new curb cut I TOTAL DUE 181 3 3 <br />SEPARATE FIREPLACE PERMIT REQUIRED. <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />® ...... FOOTING before pour <br />...... FRAMING rough•in <br />PLUMBING <br />...... INSULATION <br />MECHANICAL. <br />WALLBOARD before taping <br />WELL <br />.... FINAL before occupancy <br />SITE INSPECTION <br />SEPTIC <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER <br />QUIRED INSPECTION WILL BE SUB- <br />JECT TO PENALTY. <br />WATER <br />GRADING A FILLING <br />INSPECTIONS MUST BE CALLED -IN <br />24 HOURS IN ADVANCE <br />FIRE <br />COPY WHITE FILE GREEN FINANCE <br />CANARYINSPECTOR GGLD RECEIPT <br />PINK -ASSESSOR <br />Fa•►rvn M•.•" Co Inc I{t 2154144r0 <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEOEBY 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 WORK IN STRICT COM <br />PIJANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MI NF SOTA HUIL DING CODE REQUIREMENTS <br />OS�gndtur _ die <br />n- <br />Ai)I) evl <br />