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C ITY of OKO�TO <br /> Building Permit PERMIT NO. 64�� � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED 6/19/87 <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT <br /> NC SITE ADDRESS 123 Chevy Chase Drive <br /> PROPERTY IDENTIFICATION NO.(P�D) 36-118-23 41 OOZ�J <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> Jane Blankenshi <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commerciai& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> 559-0242 <br /> DanBar Homes, 3130 Fernbrook Lane, Plymouth 55441 <br /> WIDTH DEPTH <br /> TYPE OF WORK New Addition Remodel Renovate <br /> PROPOSED SETBACKS: NeW Deck - attached <br /> FRONT R. SIDE <br /> CONST. TYPE BUILDiNG SIZE EstimatE+d Construction Valuation <br /> REA 58 � L. SIDE �8 , Redwood <br /> LAKE WETLANDS �' 1 W 16 Ht 8 OOO .00 <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION <br /> ACCESS DWELL. STORIES g 1 2 3 BLDG. PERMIT FiH . 5O <br /> UNITS 4 • 00 <br /> NEW EXISTING STATE FEE <br /> GAR. STALLS NUMBER OF BEDROOMS 44 . S3 <br /> AGENCY-APPROV. DATE ATT. 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 /> TOTALDUE $117,03 <br /> REMARKS: <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> � . . . . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . WALL60ARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> . . . . . <br /> WELL............................... <br /> � . . . . . . FINAL before occupancy <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 /> WATER.............................. <br /> JECT TO PENALTY. <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING 8 FILLING ............... ❑ � <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ <br /> Signatur DateJ��� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> 6 <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PI NK-ASSESSOR Approved City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 <br />