HomeMy WebLinkAbout1985-7778 - fireplace GENERAL PERMIT CITYPERMITNO. ���H �
CITY OF ORONO �j �-�
P.O.BOX 66
Date � ��� 1S -�
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
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Owner `-'" � � �� � Address C� � -� a�� ��
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Contractor � ����-L� J �1 �� Address l '
City License No. State License No.
REMARKS AND SPECIAL CONDITIONS
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PERMIT TYPE AND FEE: N W ❑ ADDITION ❑ REPAIR
Inside Plumbing (#fixtures_) Fee $ Water Well Fee $
Water Meter (Size_) Fee $ Mechanical Equipment Fee $t �'�
Meter#
Remote# Moving /Lifting Buildings Fee $
Municipal Water Connection Fee $ Land Alteration (Excavation, Fee $
� Grading, Filling, etc.)
❑Copper
Municipal Sewer Connection Fee $ _
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, ��
activity or improvement specified; that this perxnit does /
not grant any authority to do work or activities requiring Total Amount Paid to City Fee $
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 end/or health department regulations, and shall be This permit is not valid until the proper fee is paid and
subiect to inspection, approval or rejection by the c�tY. it is approved by an authorized City Official.
Whenever so ordered, the undersigned agrees to correct
any work found to be in violation of the conditions of
this perxnit.
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ature of Ap i nt Signat of City Offici �f�
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Code:White—File Copy Canazy—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt
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Cl���'`i� ATE. TIME
CITY OF ORONO CALLED-IN `�� �
INSPECTION NOTICE scHE�u�E� % �
PERMIT NO. connP�ErEo I '1'LI - FS'� •` �7
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ADDRESS
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� t�WALL BD. ❑ METER SET/TURN ON O LICENSING
l4 ❑ FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
� ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. ❑ SEPTIC MAINT. � L
Q ❑ FIRE PREV. ❑ WELL TEST PUMP IREPLACE/ OOD BURNER
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W WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
O �ORRECT WORK& PROCEED
V ❑ CORRECT 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.
Owner/Contr. n site
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Inspector ! 473-7357
White Copy/Inspector's File Gold Copy/Site Notice