HomeMy WebLinkAbout1986-8467 - general permit GENERAL PERMIT CITYPERMITNO. g46� �
CITY OF ORONO
P.O.BOX 66 Date
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
Owner �• �'1 I�L-f�Address .� �`—� ������ � ��•
Contractor��d rn v TC1'S • Address �1" �CJG�� /�/"
City License No. � v T State License No.
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE: ❑ NEW ❑ 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
Municipal Sewer Connection Fee $ _
Fire Fee $
❑ PVC ❑Cast Q 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 irnprovement specified; that this permit does � (-7l
not grant any authority to do work or activities xequiring Total Amount Paid to City Fee $ u��
sepazate Permit approvals; and that this permit does not
grant authority to violate any provision of any City
oxdinance or State law,rule or regulation. All work shall be
done in strict compliance with all City ordinances, building
codes �a�or ne�cn department regulations, �,a sh8u ue This permit is not valid until the proper fee is paid and
subiect to inspection, approval or reiection by the c�tv. 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 ` Signature of City Official
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Code:White—FIIe Copy Canary—Inspector's Copy Pink—Finance Copy Gold—ApplicanYs Receipt
I
� /� DATE TIME
v CITY OF ORONO CALLED IN —
INSPECTION NOTICE SCHEDULED � � �' U�
PERMIT NO. COMPLETED '� "� ��
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ADDRESS �� ���� -� � � �G �
OWNER CONTR. � '�2J
TELEPHONE NO.
G FOOTING ❑ PIUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
� ❑ tNSULATION O MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL BO. �WATER HOOKUP ❑ LICENSING
W ❑ FINA� METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS ❑ SEWEFi HOOKUP ❑ FOLLOWUP
� ❑ DEMOL. ❑ SEPTIC INSTALL. O SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP ❑
Q COMMENTS:
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W� WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
p '� CORRECT WORK 8 PROCEED
V ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDIT�ON WITHIN HOUFiS.INSPECTOR WILL RETURN.
� STOP ORDER POSTEO.CALL INSPECTOR.
� INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
catl for the next inspection 24 hours in advance.
Owner/Cont on site
ins ector l7 '►'�'�--� �
p 473 7357
White/Inspector's File Canary/5ite Notice