HomeMy WebLinkAbout1987-8879 - addition GENERAL PERMIT CtTY PERMIT No 88'�9
CITY OF ORONO
P.O. BOX 66 Date / ��—O �
CRYSTAL BAY, MINNFSOTA 55323
(612)473-7357
Owner �� � � � P�I Address �� � � �� ��
Contractor Address
City License No. City
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE: ❑ NEW � ADDITION ❑ REPAIR ❑ REMODEL
Inside Plumbing(#fixtures 3 ) Fee $ 3� '�� Water Well Fee $
Water Meter(Size ) Fee $ Mechanical Equipment Fee $
Meter# Fireplace/Wood Stove Fee $
Remote# Moving/Lifting Buildings Fee $
Municipal Water Connection Fee $ Land Alteration(Excavation,
❑ Copper ❑ Grading, Filling, etc.) Fee $
Design Review Fee $
Municipal Sewer Connection Fee $
Fire Fee $
❑ PVC ❑ Cast ❑
Sprinkler System (Fire) Fee $
MW CC SAC Charge Fee $
Other: Fee $
On Site Spetic System Fee $
After-the-fact Invesrigation Fee $
ACKNOW LEDGEMENT TOTAL
State Surcharge: Fee $ � ��
The undersigned hcreby acknowledges receipt of this Iimited permit, ���S�
including acceptance of all special information, terms, conditions or Total Amount Paid to City F80 $
requiremenLs wri[ten above. Th2 undersigned understands and agrees � l�,���
under penalty of lati[hat this permit is stricdy limited in scope to the work, ���
activity or improvement specified; that this permit dcxs no[grant any
authority to do work or activities requiring separate permit approvals:and
that this permitdoes not grantauthority to violate any provision of any City
ordinance or State law,ruie or regulation.All work shall be done in strict 'This permit is not valid until the proper fee is paid and it is approved
compliance with all Ciry ordinances, building codes and/or health
department regulations,and shall be subject[o inspection,approval or by an authorized City Offieial.
rejection by the City.Whenever so ordered.[he undersigned agrees to
cormct any work found to be in vialation of the conditions of this permit.
Signature of Ap licant
� �� Signature of�cial
Code: White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt
DATE TIME
CITY OF ORONO CALLED IN �� �2��� 4 J�
INSPECTION NOTICE SCHEDULED °�-� "�? Id=oo
PERMITNO. COMPLETED �2�3'�7 (�'��
ADDRESS Za6`1 Sl��t�J�oA
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ,�PLUMBING Fil ❑ SITE INSPECTION
❑ FRAMING ❑ PLUMBING FINA� ❑ EXCAV./GRAOING/FILLING
� � INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� O WALL BD. ❑ WATER HOOKUP ❑ LICENSING
W ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS O SEWER HOOKUP ❑ FOLLOWUP
� ❑ DEMOL. ❑ SEPTIC INSTAL�. ❑ SEPTIC FINA�
Q ❑ FIRE PREV. O SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� � WELL TEST PUMP ❑
Q COMMENTS:
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W � WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
p ❑ CORRECT WORK 8 PROCEED
U O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
� STOP ORDER POSTED.CALLINSPECTOR.
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
t nspector 473-7357
White/Inspector's Fiie Canary/Site Notice
C�
DATE TIME
+� y -��-�? g� 3��
CITY OF ORONI� � �i CALLED IN � ���g,3c
INSPECTION NOTICE SCHEDULED
PERMIT NO. -�2'"�� COMPLETED � �� '� ���
ADDRESS ���y s��'n`�yWo�G�
OWNER c'« C�SS CONTR. �u��-
TELEPHONE NO. 7� '
❑ FOOTING fl�PLUMBING RI ❑ SITE tNSPECTION
❑ FRAMING ��tUMBING FINA� ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION O MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ WATER HOOKUP ❑ LICENSING
l� O FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS C7 SEWER HOOKUP � FOLLOW-UP
y O DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINA�
Q O FIRE PREV. ❑ SEPTIC MAINT. ❑ FIFEPLACE/WOOD BURNER
� � WELL TEST PUMP ❑
Q COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
p CORRECT WORK 8 PqOCEED
^u CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
� STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on ite
I nspector 473-7357
White llnspector's File Canary/Site Notice