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CITY of ORONO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357 <br />PERMIT NO. <br />DATE ISSUED <br />6375' <br />5/21/87 <br />ZONING DISTRICT <br />RR-IA <br />FIRE DEPARTMENT <br />Mapio Pla-in <br />POST OFFICE <br />Mar o Plain <br />VAR DATE <br />COND. USE DATE <br />LOT AREA <br />5+ <br />WIDTH <br />300* + <br />DEPTH <br />lOOO'-F <br />PROPOSED SETBACKS; <br />FRC^I^i R SIDE 5QI <br />REAR <br />1 nnn • <br />LSIDE <br />«;n • <br />LAKE WETLANDS <br />NA <br />ACCESS <br />NEW <br />Existing <br />EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />SITE AnnRFS.s 560 Deborah Drive <br />PROPERTY IDENTIFICATION NO (PIDl <br />LOT___2_________BLOCK 2 <br />31-118-23^ 23 0005 <br />SUBDIVISION.MaGulley Fami <br />OWNER (Name) (Address) <br />Arne & Virginia Hold, 1405 Budd Ave So <br />(Phone) <br />479-33301 <br />ARCHITECT/ENGINEER - Must Certify Multi-Family. Commercial & Industrial Construction Plans <br />(Firm) (Address) IPhone) <br />BUILDER <br />Owner <br />(Firm)(Address)(Phone) <br />TYPE OF WORK New Addition <br />New-Re sidence <br />Remodel Renovate <br />CONST. TYPE <br />Frame <br />BUILDING SIZE <br />L 94*6 w. 39*6 Ht25* <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL <br />UNITS X <br />GAR STALLS <br />ATT 3 <br />DET <br />STORIES B 1 2 3 <br />NUMBER OF BEDROOMS <br />SEPTIC <br />APP DATE <br />PROPOSED USE <br />COUNCIL <br />APP. DATE <br />REMARKS; _.Co ntact Jo hn Cerhardso n 47 3^7359-to appro v e- <br />Estimated Construction Valuation <br />$181,000 <br />PERMIT FEES <br />BLDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE NA <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />Pd w/Subd <br />TOTAL DUE J/3%0S^ <br />curb cut. <br />SEPARATE FIREPLACE PERMIT REQUIRED. <br />INSPECTION REQUIRED <br />XD...........FOOTING before pour <br />XD...........FRAMING rough in <br />Jp .............INSULATION <br />jP.............WALLBOARD before taping <br />............FINAL before occupancy <br />□.............SITE INSPECTION <br />WORK BEYOND OR WITHOUT A RE- <br />OUIRED INSPECTION WILL BE SUB­ <br />JECT TO PENALTY <br />INSPECTIONS MUST BE CALLED-IN <br />24 HOURS IN ADVANCE. <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING ....................£3 <br />MECHANICAL ..........................n <br />WELL............................................£] <br />SEPTIC.........................................n <br />SEWER........................................□ <br />WATER......................................□ <br />GRADING a FILLING................ □ <br />FIRE.............................................□ <br />COPY WHITE-FILE <br />CANARY INSPECTOR <br />PINK ASSESSOR <br />■raoM*n• A«> Co liw WIHMl-4«ro <br />GREEN finance <br />GOLD RECEIPT <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 WORK IN STRICT COM­ <br />PLIANCE with all city of ORONO ORDINANCES AND STATE <br />.DING CODE requirementsOF MINNESOTA BUh.DING CODE REOUIREM <br />J 7 ; <br />Approved ily of Oroor