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CITY of ORO NO PERMIT N? - 4421 <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED o!'24 ���, <br />EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS / g/S Pr <br />LAP_ I C 71 LEGAL DESCRIPTION: PROP. ID. L?1 1I— A3 2Z 003S <br />LOT ____' RLnCK Sl1RnIVISICIN #A&DLc. 4w-rF iutls7- <br />LRENE <br />ATE <br />DEPTH <br />PROPOSED SETBACKS <br />F NT R.SIDE" <br />REAR CSID5 <br />LAKE WETLANDS <br />%CCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CI <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS <br />OWNER <br />(Name) <br />(Address) o{ j54q) �izj <br />5 <br />I w <br />ZN c.. M N <br />ARCHITECT/ENGINEER <br />- Must <br />Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />KQ <br />47 <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(Firm) <br />(Address) (Phone) <br />LIEU <br />rN� <br />TYPE OF WORK <br />Addition Remodel Renovate <br />CONST. TYPE <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />�•� <br />L. L4 8 <br />W. -4 f Ht. <br />S+/S 0 . D.t� <br />REFENTIAL <br />STORIES B <br />1 2 3 <br />PERMIT FEES <br />-3 <br />BDRMS/FLR <br />BLDG. PERMIT ao <br />DWELL. <br />UNITS <br />STATE FEE <br />PLAN RVIEW J to <br />GAR. STALLS <br />SEPTIC <br />ATT. <br />APP DATE <br />•X VNfT <br />DET. <br />aC <br />DOCK <br />4" <br />PARK FEE <br />NON-RESID. <br />PROPOSED USE <br />,,�� <br />SAC CHARGE '4 Its," <br />occ. <br />C LASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />d� <br />TOTAL DUE �� a <br />INSPECTION REQUIRED <br />.1111, FOOTING before pour <br />FRAMING rough -in <br />INSULATION <br />WALLBOARD Before Taping <br />F INA L 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 />7MBING <br />HANICAL <br />WELL <br />S PTIC <br />SEWER <br />,011111ATER <br />GRADING & FILLING _ _-_ <br />ECTRICAL from State <br />COPY: WHITE -FILE GREEN --FINANCE <br />CANARYINSPECTORGOLD-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 ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />Signature Date-�� <br />Approv City of Orono <br />