HomeMy WebLinkAbout1986-8423 - general permit GENERAL PERMIT CITYPERMITNO. 8423
CITY OF ORONO � _ � .� ��
r.O.EOX 66 Date �( % �
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
\ �� �
Owner Address s%'s'�..-��� ��f'�Gr;�
r
Contractor � U`� ��✓���1� ��'_ � �1���� Address ���� �'��/ �� �
City License No. � � 7� State License No.
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE: � 1EW ❑ ADDITION ❑ REPAIR
Inside Plumbing (#fixtures_) Fee $ Water Well Fee $
Water Meter (Size_) Fee � Mechanical Equipment Fee $
Meter#
Remote�$ Moving �Lifting Buildings Fee $
Municipal Water Connection Fee $ Land Alteration (Excavation, Fee $
� Grading, Filling, etc.)
❑Copper
—�. �r''
Municipal ewer Connection Fee $ e� �; _ Fire Fee $
PVC ❑Cast ❑ 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 a�ees under penalty of law State Surcharge: Fee $
that this permit is strictly limited in scope to the work, � � r,�'�
acUvity or improvement specified; that this perxnit does �r'�7
not grant any authority to do work or activities requiring Total Amount Paid to City Fee $ i -�
sepazate permit approvals; and that this permit does not �
grant authority to violate any provision of any City
ordinance or State law,rule or regulation. All work shall be
done in strict compliance with all City ordinances, building
codes andJor health department regulations, and shall be This permit is not valid until the proper fee is paid and
subject to inspection, approval or rejection by the City. lt 1S 3 roved b an authorized Cit Official.
Whenevex so ordered, the undersigned agrees to correct pp Y Y
any work found to be in violation of the conditions of
this permit.
Signature of Applicant Signature_of City Official
_ ; ,--,
- �� �� �
-��---- `,
Code:White—File Copy Canazy—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt
TE � TIME
CITY OF ORONO CALLED IN —_ _
INSPECTION NOTICE scHE�u�E� 1_ f�- 3v
_
PERMIT NO. COMPLETED _� ��� �
ADDRESS � �U �U/�i��
OWNER CONTR. ��-�c,r / ��
TELEPHONE NO. Sei✓•
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
� FRAMING ❑ PLUMB�NG FINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ WATER HOOKUP ❑ LICENSING
� ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
❑ PROGRESS �SEWER HOOKUP ❑ FOLLOW-UP
� � DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP ❑
Q COMMENTS:
z
ti
J
W
Z
J
Z
�
�
�
W
a
o $��l�,_
'� _ � to I� /o..� �'r.
�
o • •
�
W
�
Q
�
Z
W
�
W
�
j �
a
W
�
W ❑ WORK SATISFACTOR �ROCEED � PHOTO TAKEN
� ❑ CORRECT WORK&PR EED
O
V ❑ CORRECT WORK.CALL FOR REINSPEC N BEFORE COVERING
7 CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspectio 24 ho rs in advance.
Owner ontr. on �
Inspe tor_ 413-7357
White Copy/Inspector's File Gold Copy/Site Notice