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CITY of ORONO _ _ : <br /> Building Permit PERMIT NO. 5913 � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED � M�, '��b <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT ^�1 �^ l,�. <br /> SITE ADDRESS �[ -i r11 1 �AP��A I�J' � � <br /> PROPERTY IDENTIFICATION NO.�PID) �O `" I I 7— Z� " / � — ��� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name� (Address) (Phone) <br /> w.d� ,� �/7/-���fY <br /> VAR. DATE ARCHITECT/ENGINEER - Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> � 1 <br /> WIDTH DEPTH `n • ,eE — S ��h�` <br /> TYPE OF WORK New Addition Remodel Renovate <br /> PROPOSED SETBACKS: � �� <br /> FRONT R. SIDE ('i Y�C 1 AL <br /> CONST. TYPE BUILDING SIZE Estimated Const tion Valuation <br /> REAR L. SIDE <br /> L. W. Ht. ��� <br /> LAKE WETLANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION .� �`)� <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT � �� _ <br /> UNITS STATE FEE � �� <br /> NEW EXISTING GAR. STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE q� PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER _ <br /> TOTAL DUE -�� <br /> REMARKS: _���. <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> ❑ . . . . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> . . . . . <br /> � WELL............................... <br /> . . . : : FINAL before occupancy <br /> . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- � PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. � <br /> _, <br /> OF MINNESOTA BUILDING CO E REQ EMENTS. <br /> GRADING&FILLING ............... ❑ �p � /� . <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ ; <br /> Signature �'t Date <br /> COPY: WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approv�d � � y of Orono <br /> Brooklyn Png.&Adv.Co.Inc. 1612)561�470 <br />