HomeMy WebLinkAbout1984-7555 - central air system GENERAL PERMIT CITYPERMITNO. --�55� I
CITY OF ORONO Dat� �' .— � `--�1
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
Owner � ' Address ��O ���-�-��- l--/ /Q'�
Contractor �� - � '� Address � � •- 7'�
�/�� L_C��t-G�l 1��,
City License No. l State License No. �"5�54�—G,
RF,MARKS AND SPECIAL CONDITIONS
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PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑ REPAIR
Inside Plumbing ( # fixtures ) Fee $ On Site Septic System Fee $
Water Meter (Size ) Fee $ Water Well Fee $
Meter # �j,
Mechanical Equipment Fee $ � f� v"
Remote#
Mixnicipal Water Connection Fee $ Moving/Lifting Buildings Fee $
❑Copper ❑ Land Alteration (Excavation, Fee $
Grading, Filling, etc.)
Municipal Sewer Connection Fee $
❑ PVC ❑ Cast [� Other: �a-� Fee $ / ' �
MWCC SAC Charge 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 State SU1'C�1dI'g2: Fee $
undersigned understands and a�ees under penalty of law
that this permit is strictly limited in scope to the work,
activity or improvement specified; that this permit does
not grant any authority to do work or activities requiring Total Amount Paid to City Fee � � / t �
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 and/or health department regulations, and shall be 1'111S p017111t 1S 170t Valld Ulltll ttle pl'OpeT fee is paid and
subiect to inspection, approva� or reiection by the c;cY. it is approved by an authorized City Official.
Whenever so ordered, the undersigned agrees to conect
any work found to be in violation of the conditions of
this permit.
Signature of Applicant . � Sig re of City Official
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Code:White—File Copy Canary—Inspectur's Copy Pink—Finance Copy Gold—Applicant's Receipt
DATE p TIME
CITY OF ORONO CALLED-IN 3-p� °G� �
INSPECTION NOTICE SCHEDULED S�'�'
PERMIT NO. ��S coMP�ETE� �'�`1-�y �V �L"3
ADDRESS �a� �L�e-���I C��S_P_
OWNER CONTR.F�'' 1�G
TELEPHONE NO. Cj a�lc"7(�z_,�7
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING �MECHANICAL �'na� ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ METER SET/TURN ON ❑ LICENSING
W ❑ FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
�L ❑ PROGRESS ❑ SEPTIC INSTALL. O FOL�OW-UP
� C7 DEMOL. ❑ SEPTIC MAINT. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ WELL TEST PUMP ❑ FIREPLACE/WOOD BURNER
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Q COMMENTS:
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W ❑ WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
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p ❑ CORRECT WORK& PROCEED
V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑STOP ORDER POSTED.CALL INSPECTOR.
�NSPECTION REQIJIRED. CALLTO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector . �^�-- 473-7357
White Copy/Inspector's File Gold Copy/Site Notice