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C ITY of ORONO _ _ _ _ <br /> Building Permit PERMIT NO. 6000 � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT ` �� C� <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) � � <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE O ER (Na e) (Address) (Phone) <br /> ' lr, ' �' �U� Y/� r�S�� <br /> VAR. DATE ARCHI ECT/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 /> WIDTH DEPTH ����"��� <br /> TYPE OF WORK New Addition Remodel Renovate <br /> PROPOSED SETBACKS: �/ <br /> FRONT R. SIDE �� � ���� LS�E�G�I �����' <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REAR L. SIDE <br /> L. W. Ht. � �Ir�� <br /> LAKE WETLANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION --� <br /> ACCESS DWELL. STORIES g � 2 3 BLDG. PERMIT ��• � �` <br /> UNITS STATE FEE ` ' �� <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC SAC CHARGE <br /> APP. DATE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTALDUE R <br /> REMARKS: O • �C� <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FOOTING before pour <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 /> FINAL before occupancy WELL............................... ❑ <br /> . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> . . . . . <br /> WORK BEYOND OR WITHOUT A RE- .... SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> SEWER................. <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> OF MINNESOTA BUILDING CODE REQUIRE ENTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ � �� <br /> Signature Date � <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved ity of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 <br />