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CITY of ORONO <br /> Building Permit PERM�T No. sos � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �� � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS I T�I �)���! /�lJ� ,!/�- <br /> PROPERTY IDENTIFICATION NO.(PID) I I '— �'�7 �'��� 7� �dCj R� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OW ER (N ) (Address) (Phone) <br /> �r — <br /> VAR. DATE ARCHITECT/ GINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) ���_ <br /> WIDTH DEPTH � C � �' �5�� 0� �l� V <br /> TYPE OF WORK New Addition Remodel enovate <br /> PROPOSED SETBACKS: � � y � <br /> FRONT R.SIDE �/ `� <br /> CONST.TYPE BUILDING SIZE stimated Construction Valuation <br /> REAR L. SIDE <br /> L. W. H t. � <br /> LAKE WETLANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION <br /> ACCESS DWELL. STORIES g � 2 3 BLDG. PERMIT O . � <br /> UNITS STATE FEE � S� <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE q�. PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> REMARKS: TOTAL DUE �'� �� <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> ❑ .. ... . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . ... . F AMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . .. . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> . . . <br /> . . ... . FINAL before occupancy <br /> WELL............................... <br /> ❑ . .... . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> GRADING&FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ <br /> Signatu Dat� � <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved ity of Orono <br /> Brooklyn Prtg.&Adv.Co.Ine. (612)561�470 . <br />