HomeMy WebLinkAbout1985-7962 - new general permit GENERAL PERMIT CITYPERMITNO. �962 '
CITY OF ORONO � _�� � �--
P.O.BOX 66 Date
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
Owner ��'"3'< < )l=�t"�-l.Z-��� Address S L/
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Contractor �.�/�'!-'1�,�, Address �� � :�
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City License No. � j� � State License No. C
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE: NEW ❑ �YDDITION ❑ REPAIR
Inside Plumbing (#fixtures_) Fee $ Water Well Fee $
Water Meter(Size_) Fee $ Mechanical Equipment Fee $�-,�c,�
Meter#
Remote# Moving /Lifting Buildings Fee $
Municipal Water Connection Fee $ _ Land Alteration (Excavation, Fee $
� Grading, Filling, etc.)
❑Copper
Muilicipal Sewer Connection Fee $
Fire Fee $
❑ PVC ❑Cast n Sprinkler System (Fire) Fee $
MWCC SAC Charge Fee $ Other: Fee $
On Site Septic System Fee $ After-the-fact Investigation Fee $
ACKNOWLEDGEMENT TOTAL
The undersigned hereby acknowledges receipt of this limited
permit, including acceptance of all special information, �
terms, conditions or requirements written above. The
undersigned understands and agrees under penalty of law State Surcharge: Fee $ ��
that this permit is strictly limited in scope to the work,
activity or improvement specified; that this perxnit does ��/ �/1
not grant any authority to do woxk or activities requiring Total Amount Paid to City Fee $ ���
sepazate permit approvals; and that this permit does not
�ant authority to violate any provision of any City
ordinance or State law,rule or regulation, All work shall be
done in strict complience with all City ordinances,building
codes and/or he�r� depaxtment regulations, �a �nau be This permit is not valid until the proper fee is paid and
subiect to inspection, approval or reiection bY the c�cY. it is approved by an authorized City Official.
Whenever so ordered, the undersigned a�ees to correct
any work found to be in violation of the conditions of
this permit.
Signa e of Applicant Signature of ity Official
� ' _.,�, - � � ;e..�
Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt
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�T LOSS CALCULATtONS DEPARTM�NT OF QUILDINGS CITY OFED�N PF1�'
cATNEkSTRI1S `� �•S•H•�•E- � TYPE OF CQNSTRUCIlON I INSULA710N
6uid•
Qov�t Deon R�f�ronc• Ou1.\V�1) Int.Well CellinQ Roof F�oor Kind _I Ceilinq + Weli
�—No ��Y•�—No i4 I �—� I� 1 —
H. I �:;;�' �� Room ' L•nath �: ` WId1}, ;' Hoiqht H, I Room i L�nqlh 1Mdth H�ig6f `
Wlt1GOWS •nd COORS—CP.,ICK/�6E tr.d AAEA WINDOWS end DOOFS—CRACKAGE •nd AREA �
Wldth H�;p�f Na o lln►�I 11. Aru \Yldlh N�pAI No.o( Un�el/t. Ar�•
Ho. cf p�n• ol p�n� II�Lt� �}c��ck I ��. #t. No. of p�n• of p�n• I�pM� I of creck �a. 1f.
t,��'f�� yy, .���y / . �. - � � 4 . ' , , .
�G
��,� • .
�S , . ..
Coef. Bfu. � Comf. $1u
WlndorA • -'g� .. . �-- _�— � - - ----
InGltr�4ioa � lnfilirotion Wl��o.�
Doen .)uon y�
bp. �'Va4 EYp. W�II
6wu Glau
Ftoi E7p. `JJ�U N�ci 6cP. �R�ell _.._... ^
Ir.l,3Mnl1 tnt. W�II
G,llinq cr Floor • � � � Cs�ilfnq or Floor �
Tofa1 Qtv. Total Btu.
Rey�irod tq. {t. E.D. R. or sq. lnc. W.A, l�adsr erm• Royuired sq. ft. E J. R, or sG. ins. W.A. Leeder eroe I �
F�, I /'`i'' ' Room I L.anQlh "` 1"Jidth Hcishl �� Fi. I _ Room I Lenyth Width NeighP
WINDOWS and dOORS—CR,4CXAGE an� A�EA WINDOWS end DOORS—CR.4CKA6E snd /,REA
�1'idth Fic�pht hlo.ol llnecl L Ar�• YJldth H�iphf I No.of Lin�el H. Ar�a
1.0. cf pan• o} p�no li i�t� of crtcic tq,ft. PJo. oi pan• c! pnne : IIqMs I oi crock � ta. f!.
.. ' , � _" . .. � _
a'f °" ' . �
"--, �--� � , !. j
i � � i li 1 i ! i
� Coof. Ctu. CoeF.( 8tu. __
�YI11dOY.F ���—_ W�nl{OYL
I:.P�Itraticn ��n ! I Infiltration Doo,a '_
�p. Well :'.r -' � � �
� fz . W�II
61.0 Gl,c� -�
ll.f Exp. Well t�te4 F�p. W.II
4n1•-rVmll '� r':-' '' ' Ent. Wo11 '
Cail�ng or Floor C:ei(inq er Floor `
Tottl Btv, 7otal Btu.
Qequir�d �q. it. ED.R. or �q. (n�. 1V.A, L�ed�r •re• I �nquirod �q. {!. E.D. R. or iq. inc. W.A. Lead�r er�e
F{, ( Room I Lanqfh �dth NoiaM ( FI. I Room I 1.�n91h Width He�gh1
WINfJOWS end DOOF.$—CR�CKAGE and AR� WINDOVVS and DOORS--CfUCK,IGE end AREA I
rWidth 1�1pn! � Ito.ei Llnsa�It. Ar�• \Y'Idih Naipht ' No.of Lin��l 1�. Are•
Ne. oi pan• 01 p�n• , 11 htt I c1 crack ta. ft. ` . • No. cf p�n• n1 pan• IipMi I of cr�ct � �q. 11.
Coef. 6fv. I Co�f. Blu. __
��Kindowy �� �Ylndo�� I
Inflin}ion (��on Infltteiion Do�n ��
6p. \Yall { F3p. 1V.II _
61�i� Gl.0
N.1 Fs . \V.A Fte1 6�.. W.II
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(nt.\ti'�II Int. 4Ve11
G�!{�S or Floor C«lll�q o� floor � �,
T�tal ftlu. Totii Dlu.
R�avir�d t .q 1f. E.D. R;or �c� Ini. \ti�.A. l eAdor crsa RPquir•d ��fL E.0. R. or ��ln�. 'N.A;I.R�d�r •r��
• D E �� TIME
CITY OF ORONO CALLED-IN —
INSPECTION NOTICE SCHEDULED /�– ^� � �J � �
PERMIT NO. COMPLETED �+' Y` ��Y���Ly���„
ADDRESS � , �
OWNER L CONTR. ��Jl{'ViGZ�F
TELEPHONE NO. �� �- l`��S
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING MECHANICAL /�� • ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION � WATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. p METER SET/TURN ON ❑ LICENSING
tL ❑ FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTAL�. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ WELL TEST PUMP ❑ FIREPLACE/WOOD BURNER
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W�ORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
O�❑CORRECT WORK&PROCEED
V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIREO. CALLTO ARRANGE CCESS.
call for the next inspection 24 h rs in dvance.
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r/Contr on � / ' ,� •' �
�nspector - 3-7357
W e Copy/Inspector's File Gold Copy/Site Notice