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CITYof ORONO <br />Building Permit <br />^ . <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY, MN 323 473-7357 <br />SITE ADDRESS_ <br />i <br />i <br />i <br />ZONING DISTRICT <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />REAR L.SIDEy <br />30 <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY ■ <br />COUNTY <br />STATE <br />PR. EASEMENT <br />PERMIT N9 ” 4728 <br />DATE ISSUED <br />EXPIRES_____________________ <br />LEGAL DESCRIPTION: PROP. ID. . <br />LOT BLOCK .SUBDIVISION. <br />OV^ER (Ij^me) <br />HeO/7^ <br />VRCHITEOT/ENGINEER - Mu <br />(Address)(Phone) <br />ARCHITE <br />CERT.NO. <br />Must Certify Multi-Family, Commercial & Industrial Construction Plans <br />(Firm)(Address)(Phone) <br />BUILDER <br />OU/lCf^ <br />(Firm)(Address) (Phone) <br />TYPE OF WORK New^ <br />CONST. TYPE <br />/^ew Addition Remodel Renovate <br />WJ' <br />BLDG. SIZE <br />L.W.Ht. <br />RESIDENTIAL <br />DWELL. <br />UNITS <br />STORIES B 1 2 3 <br />BDRMS/FLR <br />GAR. STALLS <br />ATT. <br />DET. <br />SEPTIC <br />APP. DATE <br />NON-RESID. <br />OCC. <br />CLASS. <br />DOCK <br />PROPOSED USE <br />EST. CONST. VALUATION <br />/^>7. <br />PERMIT FEES <br />BLDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />PENALTY <br />PARK FEE <br />SAC CHARGE <br />/0.06 <br />STORIES COUNCIL <br />APP. DATE TOTAL DUE 4 /o.s'ic <br />REMARKS: <br />1 <br />INSPECTION REQUIRED <br />. FOOTING before pour <br />. FRAMING rough-in <br />. INSULATION <br />. WALLBOARD Before Taping <br />FINAL before occ 'pancy <br />WORK BEYOND OR WITHOUT A RE­ <br />QUIRED INSPECTION WILL Bl r"R. <br />JECT TO PENALTY. <br />INSPECTION HOURS 473-7357 <br />CALLS - 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 />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY RECUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT­ <br />ANCE OF ALL INFORMATICN, 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 <br />CANARY- INSPECTOR <br />PINK-ASSESSOR <br />Signature <br />GREEN-FINANCE <br />GOLD-RECEIPT <br />Approved. <br />of drono