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(:ITS' of ORt)\'( ) <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS J S <br />_ l LEGAL DESCRIPTION: PROP. ID. <br />71 LOT BLOCK <br />FIRE ZONE <br />VAR. DATE <br />CON! USE DATE <br />LOT .. A <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONrl R.SIDE <br />O 35 <br />REAR L.SIDE <br />30 f <br />LAKE WETLANDS <br />ACCESS <br />EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />LA <br />COUN Y <br />STATE <br />PR. EASEMENT <br />PERMIT N.�� _ 48931 <br />DATE ISSUED I' _R _9 2 <br />EXPIRES <br />-- 117 - 7-3 `j '- <br />SUBDIVISION <br />WNER <br />(Name) <br />re). (Phone) (Pho <br />�lddM <br />c Dc <br />gone) <br />z <br />c <br />=x o r <br />ARCHITECT/ENGINEER <br />— Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />E R T. N 0. <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(Firm) <br />(Address) (Phone) <br />JAB SPaw�, <br />TYPE OF WORK Gam• <br />Addition Remodel Renovate <br />CO\NST' TYPE <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />�✓ <br />L. 7-S W. <br />3Ht <br />J, 000, <br />RESIDENTIAL <br />STORIES B 1 <br />2 ., <br />PERMIT FEES <br />Q" <br />BDRMS,FLR <br />BLDG. PERMIT 0"3 <br />STATE FEE <br />PLAN REVIEW 6 �� <br />- <br />_ <br />DWELL. <br />UNITS <br />GAR STALLS <br />00 y <br />SEPTIC <br />APP DATE <br />DET. <br />PENALTY <br />DOCK <br />od <br />PARK FEE ' <br />NON RESID. <br />PROPOSED USE <br />SAC CHARGE / <br />OCC. <br />C LASS. <br />STORIES <br />COUNCIL <br />OU <br />APP. DATE <br />TOTAL DUE <br />REMARKS: �jL� �LLNSf�r <br />Wlv�S c La htu4E_ _ e- <br />ReWtR= 0 t�x <br />-t C_hA2c�F W/ iS'D e rw. <br />INSPECTION REQUIRED <br />FOOTING before pour <br />FRAMING rough in <br />INSULATION <br />WALLBOARD Before Taping <br />FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BE SUB- <br />JECT TO PENALTY. <br />INSPECTION HOURS 473-7357 <br />CALL 8 - 12 A.M. INSP. 1 4 P.M. <br />CALL 1 4 P.M. INSP. NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING _ <br />MECHANICAL <br />WELL <br />SEPTIC —._-- ---- - <br />SEWER -------- - --- - <br />WATER <br />GRADING & FILLING <br />ELECTRICAL from State <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED, 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 />CURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />P :VITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF ;ESOTA BUILDING CODE REQUIREMENTS. <br />COPY: WHITE -FILE GREEN -FINANCE <br />CANARYINSPECTORGOLD-RECEIPT <br />PINK ASSESSOR <br />Signatu <br />Approved <br />Datel/ - / Z -eL <br />ty of Orono <br />