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(CITY of 0KO N0 PERMIT NV 50561 <br />Building Permit <br />DATE ISSUED "3 <br />ANG APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS y24' ' 5,F' RCS <br />C -1 JA LEGAL DESCRIPTION: PROP. ID.el (i j: - 23 12_ dOUZ- <br />LOT ________._ BLOCK __ SUBDIVISION <br />FIRE ZONE ---- - -- <br />VAR. DATE <br />COND. USE DATE <br />LO'" AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT r R.SI E <br />130 REAR L.SIDE <br />_ :S30 _ <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY — <br />COUNTY <br />STATE <br />PR. EASEMENT <br />RF\-1/%I;�,;; <br />WNER ("Jame) <br />(Address) (Phone) <br />Q A <br />I <br />ti <br />SIKI <br />RCHITECT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. —- <br />(Firm) <br />(Address) <br />(Phone) <br />Q % ► ki <br />SG LlL6,,•s, <br />�J <br />NG7a ej AhVr <br />UI LDER (Firm) <br />(Address) <br />(Phone) <br />Aq ev,N A N - <br />C <br />/- ,z E, 6 <br />TYPE OF WORK <1j * <br />Addition Remodel <br />Renovate <br />//►� / <br />CONST TYPE <br />BLDG SIZE <br />EST CONST. VALUATInN <br />/�✓�/ <br />L. 52 VT <br />2-7_ <br />H t, <br />HESIDENTIAL <br />STORIES BJ <br />2 3 <br />PERMIT FEES <br />BDRMS!FLR <br />�--Zecn�� <br />BLDG. PERMIT <br />DWE L. <br />! <br />_ <br />Vs•ot� <br />UNITS <br />STATE FEE <br />PLAN REVIEW <br />GAR. STALLS <br />aT 2 <br />SEPTIC <br />APP. DATE <br />2 <br />�� <br />DFT <br />PENALTY <br />---- - — <br />DOCK <br />PARK FEE So• Of <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE y2s ou <br />oCC.---- <br />CLASS. <br />OUNCIL <br />TAPP. <br />�� z��• GU <br />STORIES <br />OATF <br />TOTAL DUE <br />INSPECTION REQUIRED <br />Al I <br />tOT57ING hetwe pow <br />—__ FFAMING ror,yh in <br />INSULATION <br />WALLBOARD Before Tapm.i <br />F INA L before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED 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 />ZMBING —._ <br />MECHANICAL <br />W-LL— - - - <br />EPTIC <br />SEWER _� ---- — <br />WATER <br />GRADING & 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 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 STAT"E <br />OF MINNESOTA BUI I G ODF REQUI MENTS. <br />Signature Date tJ <br />Approved City of Orono <br />