HomeMy WebLinkAbout1993-004970 - water meter _ � _ .
PER�VIIT
CITY OF ORONO �" �� PERMIT TYPE: �`�-t���`�'��`��'
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1335 Brown Rd. South • P.O. Box 66 Permit Number: ���=j��;=;���;_;
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: ��t 3t;q. �_;t�G�;���!�Ei�t.� �,+�
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� APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��� J
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (1335 So Brown Rd) SEWER WATER
Crystal Bay, MN 55323� �`-
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I:You maI y�apply�tor utility permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below.
Permit cards will be sent by return mail the same day the application is received.
3. Pe�its are mt valid �rtil y�u reoeive a pexmi.t card.
4. Work must not begin unless the permit card is available on the job site.
5. Utility oonnection permits may be issued to licensed contractors only.
6. Contact the Public Works Departme,nt (473-7357) for utility stub as-built locations.
Dp NOT F,XCAVATE IN ANY STREET AI�ID DO NOT TAP ANY MAIN without express approval of the
Public Works Departmen� Issuanoe of a permit does not grant this approval.
7. All work must be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 hour natiae rec�uirec3.
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JOB SITE ADDRESS: �UO � ����,�!���,-G�CrJ c7 jJ� -
Occupancy Type: � Residential Commercial
�
OWNER'S NAML: �I� �'ti���� �"�� ��� � Phone No. :
Mailing Address: ��;�-,.� ;-� City:
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CONTRACTOR'S NAI�: s`� (�� 1-�-�i C�cv�� � ��j � Bus. Phone: ��- u � �J �
Mailing Address: �(� 3�, �a� /1�i�z'- j�� City: ��s Zip: �;���-�
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Pl3RMIT TYPE AND FEB CALCQLATION
MIINICIPAL SEWER CONNECTION ($30. 00 per stub) $
pipe size inches; material PVC (on sand fill ) ; cast iron
SAC Charge ( $700.00 ) must accompany all sewer permit applications unless
prepaid. If not prepaid, a sewer connection permit will not be issued.
MIINICIPAL WATER CONNECTION ($30. 00 per stub) $
pipe size inches; material copper; other
WATER METERS must be picked up and paid for at Cit .
(5/8" meters = $133. 00; 3/4" meters = $181. 00�' 1" meters = $235. 0�
�
Water meters must be set and sealed by Orono Water Department (473-7357)
upon completion of ineter installation.
REQUIRED minimum setbacks f rom drainfield and septic tanks = 75'
REQUIRED setback from sewer line = 20 '
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l. Subtotal of above permit requested $
2. State Surcharge .50
The State Building Code Division Surcharge of .50 per permit must be
included for each well, sewer and water connection permit requested.
3 . Postage � Handling (Only mail-in applications) $ 1. 50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
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The undersigned hereby applies to the City of Orono for issuance of a Utility Permit,
agrees to do all work in strict accordance with the ordinances of the City and the
regulations of the State of Minnesota, d r ifies that all statements made on this
application are co�lete, true
Signature of Applicant: ' Date• `�� � �
L �
�
DATE TIME
CITY OF ORONO ; cA��Eo iN �5 '�'13 �� � �m
INSPECTIAN NOTICE �� SCHEDULED 5 -a� -9� `
PERMIT NO. � COMPLETED � ` -''a�{ �,
ADDRESS av0� ����u-��� ,�1.
OWNER � CONTR. �Z�cs��i�,v,�J ;���.
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TELEPHONE NO. ��,� — 3��.�7
,
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI ��� 16 WEL�TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINALJ;�� 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI ����� 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBING FINAL ✓ 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �ORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73rJ7
OwnerlContr r ite:
Inspector.
White Copyllnspector's le Canary Copy/Site Notice