Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1997-008723 - water meter
PERMIT CiYY OF ORONO PERMIT TYPE: t2750 Kelley Parkway- P.O. Box 66 �°; :.i��:;�: �i:��_= Permit Number: ,_��;;M;;:-�-: Crystal Bay, Minnesota 55323 - (612)473-7357 Date Issued: i;� ,f-;�^:;.,`;! SITE ADDRESS: ..`'.:'i i!_ '_�i!'�t=t��i4�E_��,.�i.1 iJ;�: .i�; - -- ,-. a `.4 , «�., ,� 1 .... `:'. ' . ' �..- . :: .�. �.. . ......'. . _: � , '� _...:. .f .'. � , .+. . . . . ..,.._�. E ...�_� ,_.._� ;: .:4; .:. DESCRIPTION: i-' },GJf,i��`t 7 j"j��'P �-�r'„'Y'�..!. �: =t•'- c.ui� i �...`s'i .'it�,- { �f? �'l.+�r�i�.�zt��� l����r�:: Ty�=��� hC:°=;I�,��•J��� �''�r?'�•w'°�' ��1��;� 'I j•{��.�1' '•_��1'7.��. �`�i!ifliL+�v'1, t;i :.,F"+,.�i�:��;r 1=it=[i��_i1:.� �i?«t���t';?j'` �'�I;�f�t�:h+i'` �,f 3�.'=�.h;�C G !`i��•L:'i' �Y�°�' `'����'•��il'w; REMARKS: FEE SUMMARY: --.:.._:__ �::.__.. ______ `�'r��.�'.��?'�� 4�=;t i_.�I, j-;.a r_ �',•'r , i_'t 3 CONTRACTOR: -- ���=��=�? 7.;_ -.�-:�. - OWNER: _:. _ . . _ . _. _ -- _ : �.�;:,—,., :,•;..; ::: _ � � _ {.. �..,�.•=:�:s -{� �.,,, ,s, �.�,:s,.:..ti� . �. _.j�`s;.-;T��.fi,; _'!i i'-lF.!i �s ._. .. ._ .. +E€_;,7 _. ._ _.._.__.iF-E .....f'� 's __ � . •s� ,. ?t3 ��€!,'�}� .t�,: •'s:_!:�, ,;'t_!i;»�"r�'�.�,ii_i._fif ���� ��iF'�,._� t-`4 i-�1,�.! r�'ij•,j r�'�'��.� �:.l�:°._�;°ui":3 i=i;�v ?-�=��-�f-. _.!?�:� 1 �j.f�—;��i i,'-: . ._ _.._ .. _ _ , .. .� _, _. _ , _. _ �"�"(L t_:�'wi i�r•;:-��t�1 ih'.s_7 �^'If^i^if'�-��` ; ...�� .t t_'_ i+W� P�"t...�.. . . _ - '.�_t? . _. . .. �'.�.`_ r.. . , i;'i� �if_!�'�-�'f�;:�=;� .� ._._ ...., ._.._ . �.y + -} �, y-..-.,---''(�__T.__; � '" ,y._,f_,,-.,-�:_, .,-i�; ,...- ., � •y- -e�� r.-;i :�� t �. I f `� 1�� -t� • 3�; p � . 6 { � 1 � S'a r;. � .: � :'1.c. .: ' _. _�."1 .__._F��. �..:. '.•r'_ . ��.a.._i._ 1 � �' E..��"' .,-,1''�l_ ._h' i,,..(" (=�. 1`.I r�'.,7�''f:`.:._�� t �_ L3_ i-.��.. ��,.i _..� _ �^K � _ _� ; ... 7� r � �C` i�''i � ��'S�: i :�4L��i1,,.i'.`: ,f.�i�.�,s �i �t>� � f. ��t�'" .�7 .}lt��`.__ei,E� �; '', 2.. .�.�....._ �. �" ' 3_ �..��. . , f� S.!'t,�"i'��...lkf . � . .�_.. . . _ - . .. J ,,--- ; ; _._--__ � _ APPLIC„AN MITE RE ISSUED BY:SIGNATURE r '-y �� � ya r� � �3a CITY OF ORONO APPLICATION FOR UTILITY PERMITS � � � `�''� � , . � 1 ��� c+ � I Box 66 (2750 Kelley Parkway) � SEWER/WATER �`.;� ��� ��� - . 5323 �� . �'w�,� ;� � a Crystal Bay,MN 5 �, � �r a � o ( �� � '�i�fl�. fi�` t. ���'� � :.�� .r.\ ..,.•,~ �_!� :,a.,t �' � 9 i GENERAL INFORMATION r 1. You may apply for utility permits by mail or in person at the City offices. � 2. Mailed in applications aze 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. Permits are not valid until you receive a permit card. ,, :-., �;, ,� ,,k..$ r. �: �°� ��. , 4. Work must not begin unless the permit card is available on the job site. � �� 5. Utility connection permits may be issued to licensed contractors only. �' 6. Contact the Public Works Department(473-7357)for utility stub as-built locations. DO NOT EXCAVATE p;�� xr � IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works � ` Department. Issuance 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. Ca11473-7357. ,����� � ,,, ` , �'� � i��� �+��''''���"� ' 24 hour notice re uired. "'_ '� � ��� ''° � ` � 9 � -� _. r., , ,� ,�, , - y . .. ����' r- ` . ' __ ,. : _ <'_ , %;z'; i� � �;�rH �" JOBSITEADDRESS: �� c�<� ;.� � ��: � y � r- ��_ _ '�,�, h'� r� Occupancy Type. Resilential Commercial . ,; � � � - � i� �-, i �-- Phone Number• �< ,� ` Owner s Name: ( � ,� ��;:�� �; Mailing Address: City: 7�: �; Contractor's Name: ,�,�.J � ` ��� �L ��� � �- 1 Phone Number: ,�,�% L ,�� � {� , � - ' "_ Mailing Address: � � Cih'' l" � '` ZP�3`T � �; .L C:/ z -L .�— • � >J � / r< . � �' ��'✓l -�-� '�� , ���it , � �� �.�/�' • � v � b: r� PERMIT TYPE z,� ;; { Municipal Sewer Connection ($35.00 per stub) $ �'=� '�` " , pipe size inches; material PVC (on sand fill); cast iron �„��� �.f �� {z��. � : SAC Charge($900.00)must accompany all sewer permit applications unless prepaid. If not prepaid, � �A ���� � ;� . =. � 1 r � a sewer connection permit will not be issued. �� � r, , ` ' � �� ��. Municipal Water Connection ($35.00 per stub) $ �::h�r'�x pipe size inches; material copper; other y�A���,� WATER METERS must be picked up and paid for at City HaIL r ��� ;� (5/8" meters= $139.00; 3/4" meters = $191.00; 1" meters= $247.00) '`' �� �� � � Separate Plumbing Permit issued for water meter. :�.� �� Water meters must be set and sealed by Orono Water Department(473-7357)upon completion t`� ,��, �:�}� f � �-� . .� of ineter installation. �� REQUIRED minimum setbacks from drainfield and septic tanks =75' ��� "�' ��� � REQUIRED setback from sewer line=20' � ,�� ti �: ' '��:�� +�'� �� �,,.� � � � � , . - �` � ' . ,. , � � ��� 4 �� PERMIT FEE CALCULATION ' ` ��;`����` ���'�� � ��-; 1. Subtotal of above permit requested � $ � B , 2. State Surcharee � $ � � .50 .�:� � i � The State Building Code Division Surcharge of$.50 per permit must be �'� '�`�' �' � � , "�' included for each well,sewer and water connection permit requested. T �� � � � �� �. �. , � .� 3, Postage & Handlin� (Only mail-in applications) $ 1.50 ��� � �` 4. TOTAL PERMIT FEE (add lines 1-3 above) $ �4��' ,� r�,« �� � R �K �� ;:. 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, and certifies that all statements made on this application are complete, true and correct. ��:��';; a _- ����'t� ; � �; � � � � ' ' � r r�� � . V � � ' . ;., � � � � --- _...._, . � Signature of Appli�catrt�---=-- ` D��� `� �` � ,�`� � • � . .� � ' �" `�5' ,_ � �:��. 4 :.,< <� .�._,.. �u_, � -r�