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HomeMy WebLinkAbout1987-9068 (Sewer Connection) GENERAL PERMIT ��P�� N� s o s s CITY OF ORONO P.O.BOX 66 �� 6/19/8? CRYSTAL BAY,MINNESOTA 55323 (612)473-7357 Owner pouqlas Demaliqnon Addres.s 1380 Arbor Street Contractor Sullivans ��� Hwv 101 City License No. City Wayzata, MN 55391 REMARKS AND SPECIAL CONDITIONS SAC pad 6/19/87 — Permit #9067 PERMIT TYPE AND FEE: � NEW ❑ ADDITION ❑ REPAIR ❑ REMODEL Inside Plumbing(#fixtures ) Fee $ Water Well Fee $ Water Meter(Size ) Fee $ Mechanical Equipment Fee $ Meter# Fireplace/Wood Stove Fee $ Remote# Moving/Lifting Bw7dings Fee $ Municipal Water Connection Fee $ Land Alteration(Excavation, ❑ Copper ❑ Grading,Fi7ling,etc.) Fee $ Design Review Fee $ Municipal Sewer Connection Fee $ 3(�.-0 0 Fire Fee $ � PVC ❑ Cast ❑ Sprinkler System(Fire) Fee $ MWCC SAC Charge Fee $ Other. Fee $ On Site Spetic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL State Surcharge: , Fee $ .5 0 The undersigned hereby acknowledges r�eipt of this limited permit, 3 0. rJ 0 including accephance of all special information, terms, conditions or Total Amount Paid to City FP.e $ requirements written above. The undersigned understands and agrees under penalty of law[hat this permit is strictly limited in scope to the work, activity or improvement specified;ttiat this permit dces not grant any authority todo work oractivities requiring sepatate permitapprovals;and that this pertnitdces notgrantauthority to violate anyprovision of any City ordinance or State law,rule or regulation.All work shall be done in strict '�permit is not valid unt�the proper fee is paid and it is approved compliance with all City ordi�nces, bmlding codes and/or health b an authorized Ci �1C1�. department regulations,and shall be subject to inspection,approval or y ty rejection by the City.Whenever so ordered,the undersigned agrees to ' correct any work found to be in violation of the condibo�s of this permit Si ture of Applicant „ � �� Signature City Official �� . , Code: White—Fi'le Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt CIT1 OF ORONO a , � �" • • ' ' BliILDI'.�G F�RiIT AFPLICATION � RUII.DING PEkMIY APPLICATION REOUIREt•�F:NTS RequiremEnts to be handed in with Euilding Permit Application: Construction Plana should include: 1) Building Permii Application - to be filled out 6 signed a) Firat floor plan —3} iq�chanfeai—pernrtt Applicati-om 6 C�lcv}atfart fiited oot �} Footfrcg�fovndatian-gYa� - 3) Energy Calculations - filled out c) Elevations (of all s4des) 4) Furnish Septic Report 6 Design d) Wall sections 6 crosa sections S) Furnish a Cer[ificate of Survey e) Details - stairs and any special connections 6) Furnish .1 Beta of Construction Plana: a) 1 set for City to keep on file b) 1 set for builder to use on s3te THE ABOVE INFORMATION MUST BE SIJBMITTED BEFORE PIAN REVIEW IS DONE Work beyond or without a reqvired inspection will be subject to a penalty CITY USE O�LY SITE ADDRESS ! ��`O� �r-�� ,�"� BUI�]1� I PE T NOT�ATE � LEGA�DESCRIPTION PROP.ID LOT BLOCK SUBDIVISION ZONING DISTRICT WNER � (Name) (Address) (Phone) FIRE IONE D� � f �'!'� � �� 'tr�✓ � • r��F'-" ARCHI ECT/ENGINEER—Must Certify Multi-Family,Commercial & Industrial Construction Plans VAR.DATE �'� -����Z ERT.NO. COND.USE OATE (F��) (Address) (Phone) LOT AREA �S��� 1 WIDTH DE➢TH BUI LDER (Firm) �Address) (Phone) PROPOSEDSETBACK3 � FRONT RS�DE^� REAIi ISIDE TYPE OF WORK New Addition Remodel Renovate LAKE WETLANDS t � ACCESS D� � � New EXISTING CONST.TYPE BLDG.SIZE EST.CO ST.VALUATION AGENCY•APPAOV.DATE � ��O�o o� q TY � �j1 !'`>�Y►Q L• 3D w. lJ Ht. � COUNTY RESIDENTIA STORIES 8 1 2 3 �:���t ����� � STATE =PR.EASEA7ENT DWELL. BDRMS/FLR C UNITS ��i�-�l� �l L �1�rca �a GAR.STALLS SEPTIC PERMI7 FE �� A� APP.DATE ���i '� '�C�°`�� ��i�'� BLDG.PERMIT a STATE FEE �j,'� DET. �� ����D , DOCK VLANREVIEW '-�� PENALTY NON-AESID. PAOPOSED USE vARK FEE OCC. SAC CNA HGE C LASS. � / STOHIES COUNCIL TOTa�DUE �J�o� APP.DATE �P 1.�. 2 � f . I� IB v �O INSPECTION REOUIRED WORK REUUIRING �e underai ned hereb makes a lication for a buildin soorinca�a.row SEPARATE PERMITS 8 Y PP $ fNAMINGraq�.� pesmit for the work described� agreea to do all vork in atrict INSULATION O��s�Na accordance with the ordinances of the City of Orono and rulings w���eowpoeaa.r.�w MECNANICAI of the State Building Code Division. and decleree that all FINALW�onoayrrcY WELL facts and representations atated herein are true and sorrect. SE YT IC MIOqK lf�ONO OR W17/10UT A RE� 6EWEN � OUINED INSPECTION M11L1 BE BUB� wA►EN JER TO►ENALTI/, 1NSrECT10N NOURS 1)i7757 GRADIN6�FILUN6 � �� � � - :q1 �lL/•I�AY.INSP���vx Dete Signatuce �- l 1� �►M IMS/NEl[T OAY ELECfRIG1L han bou CITY OF O�ON �A�E TIME CALLED-IN INSPECTIO�V N TICE SCHEDULED � � /—f��.' �- PERMIT NO. COMPLETED �Ti � I '� � ADDRESS � OWIVER CONTR. �--- T�tf PaiONE_ O. ❑ FOOTING — � P�U�� O SITE INSPECTION ❑ FRAMING p MECHANICAL - fl-€�6qV./_G__RADING/FILU� � ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE1WETtAN{�S � ❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSI�IG 17 FINAL ❑ SEWER HOOKUP ❑ COMPLAINT � ❑ PROGRESS p SEPTIC INSTALL. ❑ FOLLOW-UP y O DEMOL. p SEPTIC MAINT. ❑ SEPTIC FINAL � Q ❑ FIRE PREV. ❑ WELL TEST PUMP � Z � COMMENTS: � � Q _ �X�S'�tu-'� J � � 5 � � � � � E 1� �'`7 �. --- �.. — .._ � O �� W Q � �- � � �1 z W • c4 W �[ .�--.� j '�-- — d W � OW ❑ WORK SATISFACTORY: PROCEED V�❑ ORRECT WORK&PROCEED �PHOTO TAKEN ORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN. ❑STOP ORDER POSTED.CALL INSPECTOR. ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. call for the next inspection 24 rs ' advance. I nspector 473-7357 Whi Copy/Inspector's File Gold Copy/Site Notice DATE TIME CITY UF ORONO CALLED-IN INSP'ECTIO'N NOTICE SCHEDULED — — � �". �' ___ PERMIT NO. COMPLETED I e ��W ADDRESS - OW N E R —- - ----CON� TELEPHONE NO. '�---- ❑ FOOTIIVG ❑ PLUMBING RI ❑ SITE INSPECTION �RAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING � ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS � ❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSIIVG � L7 FINAL � SEWER HOOKUP ❑ COMPLAINT ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP y ❑ DEMOL. O SEPTIC MAINT. ❑ SEPTIC FIIVAL Q ❑ FIRE PREV. ❑ WELLTEST PUMP � Z Q COMMENTS: � • � W �— z z �� �. 0 � � a � � � 0 � � �� ° l�Rk� � Q � i � � z W � W � J d W � W O WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN O O CORRECT WORK&PROCEED V p CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING p CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN. ❑STOP ORDER POSTED.CALL INSPECTOR. ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Con "- � �nsp�to - � _y � - � - . � ,� " = 473-7357 White Copy/Inspector's File Gold Copy/Site Notice DATE TIME CITY-�F ORONO CALLED-IN p' INSPECTION NOTICE SCHEDULEoO �� __tz�� PERMIT NO. COMPLETED �� �` Z �d3� ---AQQRE�S----- � C�L /.��Y � co�'" � OWNER TELEPHONE NO. -- ❑ FOOTING p PLUMBING RI ❑ SITE INSPECTION O�f RAMING ❑ MECFiANICAL p EXCAV.lGRADING/FILLING � yINSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS � /C] M1ALL BD. ❑ METER SET/TURN ON ❑ LICENSING � L] FINAL ❑ SEWER HOOKUP ❑ COMPLAINT ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP y ❑ DEMOL. ' p SEPTIC MAINT. ❑ SEPTIC FINAL 0 p FIRE PREV. ❑ WELLTEST PUMP ❑ Z Q COMMENTS: J �� � � � W - _ . '' ��O tl � 2��.2 �S7'�� a z 0 � � a � ����� � 0 a � 0 � W � Q � Z W �c W � j d W � QW O WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN ❑ CORRECT WORK&PROCEED V ❑CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING �p CfdRRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN. /�TOPORDER POSTED.CALL INSPECTOR. «p INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. on site Ins ector '.;-7357 White Copy/lnspector's Fiie Gold Copy/Site Notice � DATE TIME C1TX OF ORONO CALLED-IN !� INSPECTION N fiCE ----____��HEou�Eu PERMIT IVO. COMPIETED �� � i��--—�� ADDRESS ` D OWNER CONTR. - TELEPHONE NO. ❑ FOOTING ❑ PLUMBING RI p SITE INSPECTION O FRAMING MECHANICAL ❑ EXCAV./GRADING/FILLING � ❑ INSULATION WATER HOOKUP ❑ LAKESHORE/WETLANDS � ❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSING � CI FINAL ❑ SEWER HOOKUP ❑ COMPLAINT ❑ PROGRESS ❑ SEPTIC INSTALL. � FOLLOW-UP � ❑ DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL Q O FIRE PREV. ❑ WELLTEST PUMP ❑ Z Q COMMENTS: ��� � J _ `ZC_ T�t� .������ ,�-�rdr�.¢y J Z c� �d 0�+� CG� O � � a o > w.�'i'4.� �'i"1�i � � � r� �e 2�cD� r� �rv�f'7' f��`T o �� Q � vw�,tvr-t�i�l �� n 5��� ���e���� z ��� �� P' � � � . �r��- v� E2 �P� � - - W � � d W � W ❑WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN p�RRECT WORK&PROCEED V ORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING ❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN. ❑STOP ORDER POSTED.CALL INSPECTOR. ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. call for the next inspection 24 hours in advance. O Contr. on s'te Ins tor 473-7357 White Copy/Inspector's File Gold Copy/Site Notice