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CITY of ORONO ' <br /> Building Permit PERMIT NO. 646 1 � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED -� � 7 <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT �� ���"' '�,����-U �/� <br /> SITE ADDRESS Y <br /> PROPERTY IDENTIFICATION NO.(PID) C.% � JJ��_3 ��'-� �c�� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE O�ER (Name) ' (Address) (Phone) <br /> � �� . <br /> i '�' � ���� I�t� � � ' �� > -� <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family, Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> BUILDER (Firm) (Address)- h n � <br /> LOT AREA � �C�� / ��1�t ..�lV+.� /-�/�-''� . <br /> WIDTH DEPTH � I�14"'�`i- . �� / tC� �- f� , J�I I��A�1�,��� L'"�`?�.. ,XJ'-� � <br /> TYPE OF WORK New Addition , emodel Renovate <br /> PROPOSED SETBACKS: <br /> �" � <br /> FRONT R. SIDE � J C� ` i� �� �_� <br /> CONST.TYPE BUILDING SIZE Estimat Construction Valuation <br /> REA� � L. SIDE <br /> , F�, <br /> L. W. Ht. �� <br /> LA -LANDS <br /> �+ OCCUPANCY PERMIT FEES <br /> CLASSI FICATION - <br /> �_'� <br /> ACC S DWELL. STORIES B � 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 <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 /> TOTALDUE /� <br /> REMARKS: J • [ �� <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOW�EDGEMENT <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 beforetaping 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 /> OF MINNE T BUI I /CODE R Q EMENTS. <br /> GRADING 8 FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE........................._...... ❑ . _� � <br /> Signatur � � Date��� <br /> COPY:WHITE-FILE GREEN-FINANCE � <br /> CANARY-INSPECTOR GOLD-RECEIPT �[ <br /> PINK-ASSESSOR Approved � ��+% -� -G`"�� of Orono <br /> Brooklyn Prtg.&Adv.Co.Ina (612)561-0470 <br />