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 �
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ADDRESS �
OWIVER CONTR.
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❑ FOOTING —
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❑ 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 �
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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 �
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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�'"
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TELEPHONE NO. --
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� 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 ❑
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❑ 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 �� �
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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 ❑
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p�RRECT WORK&PROCEED
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❑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