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CITY of ORONO _ _ _►y <br /> Building Permit PERMIT NO. 5957 , <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 __ -- J <br /> ZONING DISTRICT i //__ <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) 1 <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE O ER 9:�rne'f_ <br /> (Address) (Phone) <br /> 5173 --70a6_-;, <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) (,Ph o n e) <br /> WIDTH DEPTH <br /> o" G) . /S <br /> TYPE OF WOR New Addition va <br /> Renote <br /> fo <br /> PROPOSED SETBA � <br /> FRONT R.SID <br /> REAR <br /> CONST.TYPE BUILDING SIZE E imated Construction Valuation <br /> I <br /> L. <br /> LAKE TLANDS W Ht. /6- <1� <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION ���• <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT <br /> UNITS STATE FEE <br /> N EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGE PROV. DATE ATT. PLAN REVIEW <br /> CIT 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 /> REMARKS: TOTAL DUE <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> ❑ ..` FOOTING before pour raj/" THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> R�. . . .. FRAMING rough-in PLUMBING ......................... LJ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> . INSULATION MECHANICAL....................... UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WALLBOARD before taping WELL............................... ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <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 /> GRADING&FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ ` Zq <br /> Signature Date <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved Q�' �' City of Orono <br /> 6rooklyn Mg.&Adv.Co.Inc. (612)561-4470 lori <br />