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IF - <br />CITY of ORONO PERMIT NO; _ 51751 <br />Building Permit <br />DATE ISSUED <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473.73 7 <br />ZONING DISTRICT SITE ADDRESS WQ Fvzes-r 1�►-,Ic� +yA/N 4 <br />Lit l p LEGAL DESCRIPTION: PROP. ID. <br />[� LOT '16 BLOCK SUBDIVISION v;u4xV/e1- 6r*ftD4!rIS <br />FIRE ZONE <br />VAR. DATE <br />COND, USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FR NT I R.SIDE <br />REAR L.SIDE/A / <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY•APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />WNER (Name) <br />(Address) (Phone) <br />)-"v <br />OLD o <br />v 0,1 <br />6Ie <br />- 3 0 <br />ARCHITECT/ENGINEER <br />- Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />—� <br />(Firm) (Address) <br />(Phone) <br />BUILDER <br />(F rrm) <br />(Address) (Phone) <br />o <br />f '_wN 1 N <br />TYPE OF WORK New Addition <br />Remodel Renovate <br />G A,2k&-,!F_ <br />CONST TYPE. <br />BLDG SIZE <br />EST CONST VALUATION <br />w k" <br />2- 2 W 2Z <br />Hr <br />yB0O <br />F <br />L <br />>' <br />14F1,IDEN71A1 <br />STOMES 4 1 <br />3 <br />PERMIT FEES <br />Sp <br />BLDG. PERMIT ozn <br />DWELL <br />BORMS'FLR <br />UNITS <br />STATE FEE <br />PLAN REVIEW <br />GAR STALLS <br />SEPTIC <br />ATT <br />APP DATE— <br />DEi .Z <br />PENALTY <br />DOCK <br />PARK FEE <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE <br />OCC <br />CLASS <br />TOTAL DUE J <br />IrV <br />STORIES <br />COUNCIL <br />APP DATE <br />_REMARKS SL49mkT CeElf(e-3 OF Vg::us's DeTIGN _7D L(TY - <br />INSPECTION REQUIRED <br />'"FOOTING before pour <br />_�RAMING rough rn <br />__ -INSULATION <br />---WALLBOARD Before Taping <br />_.VtINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED 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 6 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 REOUIRE- <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 MINNESOT LDING CODE RE REMENTS <br />�� L � <br />Signature _ Date _. f1 <br />Approve(��,,� try of Orono <br />0 <br />