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CITVo ORONO PERMIT N;) _ 54411 <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED __9 - 1 -ZL'-fEXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESSFoRes't ARfhs l_AAlr _ <br />tp,_ LEGAL DESCRIPTION. PFICP.ID. 07• 117 a3 14- gxd—" <br />LOT 3 BLOCK 0. St1RnI VISInN F6Cj_rt7 AiZnL c <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />1 AC t <br />WIDTH DEPTH <br />'t <br />PROPOSED SETBACKS <br />FRONT R.SID <br />REAR L.SIDE <br />r <br />LAKE WETLANDS <br />r <br />US <br />ACCESS <br />NEW XISiI1�G ~I <br />AGENCY - <br />CITY <br />kkm <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS: <br />WNER <br />(Names <br />(Address) <br />(Phone) <br />7376 t4 <br />0 C P <br />X 12c H <br />ARCHITECT/ENGINEER <br />Must Certify Multi <br />-Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) <br />(Phone) <br />o <br />cy 7_7tgosl <br />BUILDER <br />(Firm) <br />(Address) <br />(Phone) <br />J <br />TYPE OF WORK ' 75 Addition Remodel <br />Renovate <br />CONST TYPE <br />BLDG SIZE <br />EST ST VALUATION <br />-9: <br />L 7' vV 3 <br />a <br />5.000 <br />RESIDENTIAL <br />STOH1ES If 1 C2 <br />PERMIT FEES <br />PC-_ <br />BDRMS'FLR I S'7 <br />FLooIle <br />BLDG. PERMIT <br />4/-70 SD <br />DWEL!- <br />UNITS ( <br />pE' <br />STATE FEE <br />Si. <br />c, R STALLS <br />SEPTIC <br />jA <br />APP DATE A1 / <br />PLAN REVIEW <br />u Cj <br />PENALTY <br />DUCK <br />PARK FEE <br />NON RESID <br />PROPOSED USE <br />�Z G E <br />aieZ <br />OCC. <br />CLASS. <br />SA <br />ev2s. OGx <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DUE <br />"V- () <br />INSPECTION REQUIRED <br />-�_ FOOTING before pow <br />FRAMING rough m <br />INSULATION <br />WALLBOARD Before Tapmq <br />FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BE SUB <br />JECT TO PENALTY to <br />INSPECTION HOURS 413-1357 <br />CALL 8 12 A M. INSP 1 4 P.M <br />CALL 1 4 P.M. INSP NEXT DAY <br />COPY WHITE FILE <br />CANARY INSPECTOR <br />PINK ASSESSOR <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />MECHANICAL <br />WE-L __ <br />X <br />SEPTIC <br />SEWER _ <br />A <br />WATER <br />GRADING & <br />FILLING <br />ELECTRICAL from State <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br />UNUER 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 O ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDIN CODE R UIREMENTS. <br />9na/ ture Date <br />GREEN FINANCE <br />GOLD RECEIPT <br />Approved <br />"0 ' i City of Orono I <br />