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(.1TV 4 ORONO PERMIT N►► _ 4894 <br />Building Permit DATE ISSUED S --Cf 9' <br />ANDAPPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473.7357 / %� <br />SITE,ADDRESS � >r it �/ d p D <br />ZONING DISTRICT I - - I <br />LEGAL DESCRIPTION: PROP. ID. <br />LOT BLOCK ___/___-_--_.SUBDIVISION . <br />FIRE Z0� <br />WNER (Name) (Address) Wo <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT S 1 R.Y� / <br />REAR , L. IDE <br />300 • /6 <br />LAKE WETLANDS <br />ACCESS <br />EW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />REMARKS: <br />ARCHITECT/ENGINEER - Must Certify Multi -Family, Commercial & Industrial Construction Plus <br />:ERT.NCG. - -.. - ---- (Firm) ^ (Address) (Phone) <br />BUILDER (Firm) <br />TYPE OF WORK ( New <br />UNST TYPE <br />BLDG SIZE <br />L E' Iv <br />RESIDENTIAL <br />STORIES B I <br />DWELL <br />SDRMSrFLR <br />UNITS <br />STORIES <br />GAR STALLS <br />SEPTIC <br />ATT <br />APP DATE <br />DFi <br />WORK REQUIRING <br />DOCK <br />NON HESID <br />PROPOSED USE <br />OCC. <br />CLASS. <br />INSULATION <br />STORIES <br />COUNCIL <br />MECHANICAL <br />APP DATE <br />Addition <br />J _ • <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />FOOTING before P(,u <br />FRAMING rough in <br />INSULATION <br />PLUMBING <br />__. WALLBOARD Before Tap -q <br />MECHANICAL <br />--- <br />WELL - .. <br />F INA L before occupancy <br />---- <br />SEPTIC <br />WORK BEYOND OR WITHOUT A RF. <br />SEWER <br />QUIRED INSPECTION WILL 9F SUR <br />WATER <br />JECT TO PENALTY <br />GITnDING &FILLING _. <br />INSPECTION HOURS 473 73b7 <br />CALLS 12 A M INSP 14 P M <br />CALL I - 4 P.M. INSP NEXT DAY <br />ELECTRICAL from State <br />COPY WHITE FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD RECEIPT <br />PINK -ASSESSOR <br />(Address) (Phone) <br />r tit <br />Remodel Renovate <br />CONST VALUATION <br />151 000 ' u0 <br />PERMIT FEES <br />BLDG. PERMIT <br />STATE FEEZ <br />PLAN REVIEW <br />PENALTY <br />PARK FEE <br />SAC CHARGE <br />TOTAL DU /6 A6-, -06 <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 QUERE091REMENTS <br />S,gnatwh Date <br />Approved ff� GO'J <br />of Orono <br />