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CITYofOROXO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357 <br />PERMIT NO. 6439' <br />DATE ISSUED, <br />ZONING^STRICT <br />FIRE DEPARTMENT <br />POST OFFICE <br />VAR DATE <br />COND USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />7FRONT R ^»IDE^ <br />REAR L SIDE <br />?0 4 pr)' -i- <br />LAKE , WETLANDS <br />/SO <br />ACCESS <br />NEW EXISTING <br />AGENCY APPROV DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />SITE ADDRESS. <br />PROPERTY IDENTIFICATION NO iPiDl Z-?- Ill t ^ ^ H}, OOS^ Q <br />LOT______________BLOCK__________________SUBDIVISION__________________________________ <br />OWNER (Name) (Address) (Ptione) <br />"TTiy Cic^so/J HB'S'l - <br />ARCHITECT/ENGINEER - Must Certify Multi-Family Commercial & Industrial Construction Ptans <br />(Firm) (Address) (Phone) <br />---- --------- LpO-lOZX <br />BUILDER (Firm)(Adoress)(Phone) <br />TYPE OF WORK (New j Addition Remodel <br />,OLfrf(t)irsp^ <br />Renovate <br />CONST TYPE BUILDING SIZE <br />t ^ j f 1 <br />L .5^ W / Ht ^ <br />Estimated Construction Valuation <br />(DCCUPANCY PERMIT FEES _ <br />CLASSIFICATION <br />DWELL STORIES B 1 2 3 <br />BLDG. PERMIT . <br />UNITS .RTATP PPP <br />GAR STALLS NUMBER OF BEDROOMS <br />ATT PLAN REVIEW <br />OET SEPTIC <br />APP DATE SAC CHARGE _ <br />PROPOSED USE <br />COUNCIL <br />APP DATE <br />REMARKS />e <br />L r»r APPt- / IaK'i^ <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />TOTAL DUE # ’2^e> <br />INSPECTION REOUIRED <br />□ .....................FCX)TINO before oour <br />□ .....................FRAMING rough in <br />□ .....................INSULATION <br />□ .....................WALL BOARD before taping <br />VT.............final before occupar^*^ <br />^.............SITE INSPECTION <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED INSPECTION WILL BE SUB <br />JECT ;0 penalty <br />INSPECTIONS MUST BE CALLED IN <br />?4 HOURS IN advance <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING .............. <br />MECHANICAL.............. <br />WELL ................ <br />SEPTIC ........................ <br />SEWER ..................... <br />WATER ................ <br />GRADING A FILLING <br />FIRE <br />□□□□□□□□ <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE real improvements SPECIHED AND DECLARES <br />UNDER penalty Of LAW ACKNOWLEDGEMENT AND ACCEPT <br />ANCE Of ALL INFORMATION CONDITIONS AND REQUIRE­ <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER­ <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM­ <br />PLIANCE WITH All city of ORONO ORDINANCES AND STATE <br />OF MINNESOTA amLDiNG CODE REOUlRFMtNTS <br />SHinatuff*. <br />COPY WMITI MLL <br />canary inspector <br />PfN»c ASSESSOR <br />GRLLN I iNANCt <br />GOlDRfCLiPT <br />Approwet) <br />iOTA BifuDiNG CODE REOUlRrMtNTS <br />«Cilv of Orono