HomeMy WebLinkAbout1988-001472 - new well PERMIT
CITY OF ORONO PERMIT TYPE: '- ,
FW��.�_' WATERI
1335 Brown Rd.South•P.O.BOX 66 Permit Number: {131 '
Crystal Bay, Minnesota 55323 Date Issued: 11 X23
(612)473-7357
SITE ADDRESS:
4798 NORTH SHORE DR
P . I .N. 07-117-23-:322-0013
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DESCRIPTION:
_ewer & Water Permit Type WELL
=ewer & Water Werk Type AES10E E I
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REMARKS:
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STAFF MUST =-1K SITE OF NEW WELL. CONTRACTOR MIST SUBMITTED A COPY OF STATE
WELL RECORD .
FEE SUMMARY:
Base Fee $30.00Surcharge L•11 7 Lit L'!!L'1 Til
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Total Fee - __ $30.50
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4972:3340 0W 'TS CLINT
7 a z HWY 12 E 47`8 NORTH SHORE DR
DELANO MN 552-:228 CRYSTAL BAY MN 55364
'2') '-472-:-:340
THCUNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS' II
L•
SPECIFIED'ORDINANCES
AND AGREES. TO 0+3 ALL WORK IN STRICT' COMPLIANCE W_I TH ALL CITY OF
ORON0 ORD I NANC:ES AND STATE -C'+F MINNESOTA BUILDING COM, REQV I REMENTS
PPLICANT/PERMITEE SIGNATURE ISSU BY:SIGNATURE
INSPECTION RECORD
CITY OF ORONO PERMIT TYPE: SEWER WATER
1335 Brown Rd.South•P.O.BOX 66 Permit Number: 001 47'
Crystal Bay, Minnesota 55323 Date Issued:
(612)473-7357
SITE ADDRESS: APPLICANT:
4798 NORTH SHORE OR DR I LLCO
C 6 12? 972—'-11".-,.A()
PERMIT SUBTYPE: TYPE OF WORK:
WELL RESIDENCE
INSPECTION TYPE DATE INSPTR. INSPECTIONDATE INSPTR
"OUCH—I N -INAL
REMARKS: STAFF MUS*T iX.'. SITE OF NEW WELL. CONTRACTOR MUST S=,UEV I TTED A COPY i�F STATE
WELL RECORD.
ALL 'NSPECTIQN= MUST .BE CALLED 24 HOURS IN ADVANC , 'THI S CARO UST.': 3E -POSTED-'°7,
INA FISP I CHOWS PLACE ON THE PREMISES ON WHICH THE- WORK. I" TG' " .BE� NE.
/ DATE TIME
ORONO CALLED IN
_CTION NOTICE �� SCHEDULED W—'2-3 —
MIT NO. Q COMPLETED I I -�3 Z
.DDRESS
OWNER CONTR
TELEPHONE NO. 7Q— 3yV
❑ FOOTING ❑ PLUMBING RI O SITE INSPECTION
O FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
❑ INSULATION ❑ MECHANICAL ❑ LAKESHOREIWETLANDS
❑ WALL BD. O WATER HOOKUP ❑ LICENSING
LIJ O FINAL O METER SET/TURN ON ❑ COMPLAINT
LLQCo ❑ PROGRESS O SEWER HOOKUP ❑ FOLLOW-UP
O DEMOL O SEPTIC INSTALL. O SEPTIC FINAL
Q ❑ FIRE PREV. O SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
Z ❑ WELL TEST PUMP ❑
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W WORK SATISFACTORY:PROCEED ❑ PHOTO TAKE
Q O CORRECT WORK&PROCEED
V ❑ CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
O CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RET N.
O STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspecto -7357
White/lnspe is File Canary/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICEHEDULED
PERMIT NO. MPLETED / lLf
ADDRESS 117 /y0 �i—c
� O/C
OWNER ONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
❑ WALL BD. ❑ WATER HOOKUP ❑ LICENSING
❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
Q ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOW-UP
y ❑ DEMOL ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. 0_,VPTIC MAINT. ❑ FIREPLACEIWOOD BURNER
Z ELL TEST PUMP ❑
i COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
❑ CORRECT WORK 8 PROCEED
❑ CORRECT WORK CACI FOR REINSPECTION BEFORE COVERING
:1CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Z7
Inspector PA473-7357
White/Inspector's File Canary/Site Notice