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CITY of ORO�O _ _- - - <br /> B,uilding Permit PERMIT NO. 5959 ' <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED � � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING D STRICT � ���� ����� �� <br /> �� l J� SITE ADDRESS <br /> � PROPERTY IDENTIFICATION NO.(PID) � — � 7 O <br /> FIRE DEPARTMENT <br /> �y�C��/��� LOT BLOCK SUBDIVISION <br /> / / L ��' <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> - � c��'S� � � a�e_ � -> .� <br /> VAR. DATE _ ARCHITECT/ENGINEER- Must Certify Muiti-Family, Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE � L�Gv �'' � <br /> T <br /> LOT A BUILDER (Firm) (Address) (Phone) <br /> ���� ` � <br /> WIDTH DEPTH <br /> Z) ► J� j TYPE OF WORK Ne - Addition Remodel Renovate <br /> PROPOSED SETBACKS: //���(��(�_, J� ���� � �� �� <br /> FRONT._ R. SIDE �� / /�_J i- t"�->�t <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REAR L. SIDE <br /> LAKE /� 'WETLANDS� �' ��/ � W� i/l � I Ht. ,�� ��� <br /> OCCUPANCY PERMIT FEES <br /> — — CLASSIFICATION 3g�� <br /> ACCESS C �2 �� ,.,/�, DWELL STORIES B 1 2 3 BLDG. PERMIT � <br /> J� f � �7 N ITS <br /> STATE FEE /'�� <br /> NEW ISTING ' GAR.STALLS NUMBER OF BEDROOMS �f <br /> AGENCY-APP E ATT. PLAN REVIEW ! / � _ <br /> CITY DET. J 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 /> REMARKS: , �l Qt���_ ��C'0��� TOTAL DUE �� _�`� <br /> Co�?5 s.�; -- � , " c�/' r r�,���.�-�. �� <br /> _ -�� �C2� � � • Q�--� a��t��'�r,/ S�c.i-�e�I <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPE TION 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 /> WELL............................... ❑ <br /> . . . . . . FINAL before occupancy <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <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 ORD�NANCES AND STATE <br /> JECT TO PENALTY. WATER......... ❑ <br /> GRADING 8 FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN , � <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ . � <br /> Signa `��� Date ��_ <br /> COPY:WHITE-FILE GREEN-FINANCE / <br /> CANARY-INSPECTOR GOLD-RECEIPT y//�,�J^ <br /> PINK-ASSESSOR Approved _�� "" City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc (612)561�470 �,�/1 <br /> r`'i�� <br />