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‘1 <br />ClTYofOROXO <br />Building Permit <br />I, <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY. MN 55323 473*7357 <br />PERMIT NO. 5675 ‘ <br />DATE ISSUED 7 - ^ ~ <br />ZONING DISTRICT <br />FIRE 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 />SITE address: <br />Q ^ <br />PROPERTY IDENTIFICATION NO (PIDl <br />LOT BLOCK---------------SUBDIVISION.i. <br />OWNER (Name) <br />i Sac, <br />(Address)(Phonel <br />^73 <br />ARCHITECT/ENGINEER - Must Certify Multi-Family. Commercial & Industrial Construction Plans <br />(Firm) (Address) (Phone) <br />BUILDER <br />/ <br />(Firm)(Address)(Phone) <br />r\Ci <br />TYPE OFVrORK <br />L.AVCC <br />New Addition Remodel Renovate <br />CONST. TYPE BUILDING SIZE <br />L. W.Ht. <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL. <br />UNITS <br />STORIES B 1 2 3 <br />GAR STALLS <br />ATT. <br />DET. <br />NUMBER OF BEDROOMS <br />SEPTIC <br />APP DATE <br />PROPOSED USE <br />COUNCIL <br />APP DATE <br />Estimated Construction Valuation <br />PERMIT FEES <br />BLDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />0 - <br />S'o <br />TOTAL DUE SLo.s <br />Ii <br />INSPECTION REOUIRED <br />□ ............FOOTING before pour <br />□ ............FRAMING rough in <br />□ ............INSULATION <br />Q............WALLBOARD belore taping <br />□ ............FINAL belore occupancy <br />□ .............SITE INSPECTION <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BE SUB <br />JECT TO PENALTY. <br />INSPECTIONS MUST BE CALLED-IN <br />24 HOURS IN ADVANCE. <br />WORK REOUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />MECHANICAL ........ <br />WELL........................ <br />SEPTIC....................... <br />SEWER....................... <br />WATER <br />GRADING ^ FILLING <br />FIRE .......... <br />□□□□□□□□ <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 WORK IN STRICT COM­ <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS <br />COPY white-file <br />CANARY-INSPECTOR <br />PINK-ASSESSOR <br />atooklyn Prif. • Co Inc 16121 561-4470 <br />GREEN FINANCE <br />GOLD-RECEIPT <br />y* i <br />AADrovecl <br />y <br />.C'lv of Oiono <br />■