HomeMy WebLinkAbout1985-7990 - general permit GENI'ERAL PERMIT CITYPERMITNa '799� �
CI'�Y OF ORONO Dt - �
P.O.BOX G6 � � �
CRY'STAL BAY,MINNESOTA 55323
(612)473-7357
� ��� 7�5 ��i.P_cts�.� �c�•
Owner Address
Contractor w /,��� �6� . Address
City License No. ��� �7 State License No.
REMARKS A1�1D SPECIAL CONDITIONS
PERMIT TYPfi AND FEE: �NEW ❑ ADDITION ❑ REPAIR
Inside Plumbing (#fixtures_) Fee $ Water Well Fee $
Water Meter(Size-�� Fee $ - � Mechanical Equipment Fee $
Meter# �- a
Remote# �� L � � 3 � Moving/Lifting Buildings Fee $
Municipal Water Connection Fee $ 6 • � Land Alteration (Excavation, Fee $
� Grading, Filling, etc.)
�Copper
Municipal Sewer Connection Fee $ .
Fire Fee $
❑ PVC ❑Cast n Sprinkler System (Fire) Fee $
MWCC SAC Charge Fee $ Other: Fee $
On Site Septic System Fee $ After-the-fact Investigation Fee $
ACKNOWLEDGEMENT TOTAL
The undersigped hereby acknowledges receipt oY this limited
permit, inclpding acceptance of all special information, �J�
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terms, condltiona or reguirements w�itten above. The State Surcharge: Fee $
undersi�ed understands aad a�ees under Penalty of law
that this permit is strlctly limited in scoDe to the work,
I activity or itnprovement apeciHed; that this permit dces
not �ant any authorlty to do wark or activities requirina Total Amount Paid to City Fee $
I seperate perqiit agprovals; and that this perniit doea not /�� �A
�ant autho�ty to violate any provta[on of any City � � �
ordinance ox'State law,rule or regulation.All work shall be
done in stric` complience with all City ordinances,building
codes aad/or health deDartmeat regulationa, and ahall be 'This permit is not valid until the proper fee is paid and
subiect to inspection, appzoval or rejection by the City. it is approved by an authorized City Official.
Whenever so ordered, ihe undereigned aarees to correct
any work folund to be in vlolatlon of the conditions of
this permit.
Signatur f Applicant • Signa re of Ci Official
�
Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt
CITY OF ORONO CALLED-IN —�� T:ME�
INSPECTION NOTICE ��� �+' o d
SCHEDULED � S O�-
PERMIT NO. c MPLETED —�����qla.2� s UCI
ADDRESS �� S`
OWNER CONTR.�
TELEPHONE NO.
❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING ❑ NIECHANICAL ❑ EXCAV./GRADING/FILLING
❑ INSULATION �r�'9VATER HOOKUP ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. Cj METER SET/TURN ON p LICENSING
l� ❑ FINAL ❑ SEWER HOOKUP ❑ COMPLAINT
�l ❑ PROGRESS ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ DEMOL. p SEPTIC MAINT. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ WELLTEST PUMP ❑ FIREPLACE/WOOD BURNER
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W �WORK SATISFACTORY: PROCEED ❑PHOTO TAKEN
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O ❑ CORRECT 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. on e
I nspector 473-7357
White Copy/Inspector's File Gold Copy/Site Notice