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CITY of ORO NO <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 54 / I- a � <br />LEGAL DESCRIPTION: PROP. ID. <br />1` LOT - _T BLOCK <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDEe <br />REAR L.SIDE l <br />o 4- .S 9 <br />LAKE WETLANDS <br />ACCESS <br />NEW < (IST <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR,,EASEMENT <br />PERMIT N" _ 51381 <br />DATE ISSUED <br />EXPIRES <br />n <br />suRnIVISION /hl . .- J0 t__ .-- <br />W E <br />IN el <br />(Address) (Phone) <br />4 <br />ARCHITECT/ENGINEER <br />- ust Certify Multi <br />-Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) (Address) <br />(Phone) <br />BUILDER <br />(Firm) <br />(Address) (Phone) <br />TYPE OF WORK Ne) Addition <br />Remodel Renovate <br />41�- <br />CONST TYPE <br />BLDU SIZE <br />VALUATION <br />ESI�CONST <br />f16 ����0 • 00 <br />RESIDENTIALSTORIES <br />B 1 C1 <br />s <br />PERMIT FEES <br />BDRMSFLR <br />BLDG. PERMIT S <br />DWELL <br />UNnS <br />STATE FEE Q� <br />PLAN REVIEW <br />GAR sTA1,1s <br />SEPTIC <br />q l T •V/ <br />APP DATE <br />DIET <br />PENALTY <br />DOCK <br />PARK FEE <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE �X S. oe <br />OCC <br />CLASS <br />STORIES <br />COUNCIL <br />cru <br />APP DATE <br />TOTAL DU (� <br />REMARKS: V1611 ku,&-- ..� ��-CLc o�t�s�. DO <br />INSPECTION REQUIRED <br />FOOTING before pour <br />T <br />FRAMING rough in <br />_ INSULATION <br />./ <br />WALLBOARD Before Taping <br />— <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 AM. 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 />Y <br />SEWER _. <br />WATER <br />GRADING & FILLING _ <br />ELECTRICAL from State <br />COPY WHITE FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD RECEIPT <br />PINK ASSESSOR <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 />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH CITY OF ORONO ORDINANCES AN1) STATE <br />OF MINNES A UIILLDDING CODE RE UIREMENTS. <br />Signature / `^ -, Date <br />Approved(✓ City of Orono <br />