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Home My WebLink About1990-003236 - water connect PERMIT CITY OF ORONO PERMIT TYPE: =EWE; _�� W�T��: 1335 Brown Rd. South • P.O. Box 66 PermitNumber: ;i{�''�'�'' Crystal Bay, Minnesota 55323 Datelssued: `'�'�� i��'�{} , (612) 473-7357 SITE ADDRESS: �,='i_��y=� :=�t.�t��tFiW�t��I� Gr; TL�i �'. i .tJ. : i��.-11::-:�:ti-�:�-i ri 3t�r� DESCRIPTION: :W�eir,��r• t� Wnt•�F �'�tzti�i t• TyF�c Wr=�i EFi C�t��P�I��iEC:TI�=+�`+i :��=�er �� +�lat.Yi� G1+�,�tk: TY�� fiE'_I[3Etd�:E F�EMARKS: FEE SUMMARY: E�� Fe� �:��C3. c)�3 :=:ui��-,ar3� ------__--�_�z� T��tal F�� :;i} .5ti �H �1~" � F'�' I[�c i� • , CON �{ Qi �,��:�;; ' ��'y=_::��:�i ��ft'=; �:i�t��:1Tfit1C:i'I��t�l 1��:C}1 t�I hJNE��+P�i�::{� E�LUU :�:��'� W�E�L�T�'f; AVE (�1Ii��h�ET�i1�ii�:A #�fiV ��=�d:� '=�T L�at1I'=: �'Anf-: �'1h! ��+4��+ (�•�;G} '_i_.::.—:c':�+:r•=�. _ __.,._ _ _ -- --._ _ __ __ -- __�__ _.--_ . _ _ ___ .. __--- - ..4�^er_ ��i*t�'��"!�_�1 i..��lCL.+ �'"!r�",C�: t i-��t,�}�__ } _. !' C_�-{�'f i:��'.��_i1`+� F�_� !'�t-14'+.t_ !j"j� R�F-`!L_ .L.'fT�"!1�._E'v C!'��I i_ � '.__1='i-_��i i�I;..�t� t"-ii�d'i� t��;:il=ti-�."�-.�'�� T;� Lf�t ;iz_� �,�i ii�:��: i}•� =��t i�:�T �:r i'i!°1�='L i i�=+iS�i�E' }a,1 s T°s; i=ii__L _:I T'`i i i; � - h • sF -t r. ,r -- --rr- r;k�r-,-•- _ �y ._ 7 :._ _. ..'.7 r r-t.ar-t �..i�1�...�:'�i { %��?al l f�i�fl��.�._•_• i=t�'+it„s :i t7! � t��" r'!.!.F�!f'�G•_�1_S E i-{ ��E�i.L_1_}1�4i,� L•�_.�e.}� !"1�"_�a'1�1 i'?C_4'!C_}��. _�1 � , 1 / J APPLICANT/PERMITEE SIGNAT RE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR PLUMBING PBRMIT Box 66 (1335 So Brown Rd) 3�� Crystal Bay, MN 55323 *********************************�*�**a!** ****************************** � General Instrnctions � 1. You may apply for plumbinq permits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage an�d 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 peroit card. • 4. Work must not begin unlesa the permit card is available on the job site. '� . � � 5. Plumbinq permits may be issued to licensed contractors only. � 6. When any new construction or remodeling is involved, a separate building permit must � ' be obtained. '- ` 7. All work muat be done in accordance with State Code requirements. _ 8. Al 1 work must be inspected before it ie covered. Call 473-7357. ;� 24 honr notice reqnired. ' ' ***********************�O*�**** ******** ******************************* ' : • JOB SITB ADDRESS: � �� ' Occupancy Type: �_Residentia Commercial O��'S N�. ��/�,�' Phone No. : . Mailing Address: ,�2�5 City: �C-- ,. CONTRACTOR'S NAME: � Bu s.( N�. : �j'3 �7I� �. Mailing Address: City: ��I�� Zip•� � Master Plumber's State License No. : / City Cert. No. : *************************************************************************** PLUMBING FIXTIIRE SCHEDOLE (Show number of fixtures of each type on each f loor) FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER ------------- --- ---+----- ---�----- ------ ------------- ---- ----�---- --------- ----- : Water-Closet -�_ ---�-- ---�-- ------ Sewer_Ejector ---- ---•----- --------- ----- Lavat------------- -/�-- --�--- -- � --- ------ Laundry Tray � ory -- -- ---- ---•----- --------- ----- Bathtub � � Washer � Shower ---__' /- ------ --/---- ------ Water Heater_ - /- ---•----- --------- ----- ---------- - -f- - - .,. Kitchen Sink � Water Softner ------------- ----- --�----- Disposal / Wet Bar ; ------------- ----- --�--- ------- ------ ------------- ---- ---•^-- --------- ----- i. Dishwasher � Sump Pump ' ------------- ----- ---- --- ---�---- ------ -------List)- ---- ------- ---------- ----- �` Sillcocks--- -� ---•--- --------- ------ Misc_-(------ ---- ---^--- ---------- ----- . __ �. Floor Drains ` ---�---- ---------- --- :. --+---- --------- ------ ------------- ---- ,: *************************************************************************** �. U, u-- D � 1. Fixture Fee The minimum permit fee is $30.00 $ r Compute number of fixtures � x $5/fixture ; � x $3/fixture reset ' � 2. State Surcharge $ .50 : 3. Postage & Handling (Only mail-in applications) $ � 4. TOTAL PERMIT FEE (add lines 1-3 above) $ � �'��"S v � *************************************************************************** The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit, j agreea to do all work in strict accordance with the ordinances of the City and the I regulationa of the State of Minnesota, and certifies that all statements made on this application are complete, tru and correct. � D � � - 90 ; Signature of Applicant: Date: � i --- . - . �;,�- �, CITY OF ORONn A- ApPLICATION FOR UTILITY PERMITS �,�-. �`� Box 66 (1335 Brown Road So) �EWER WATER W�LL �"' Crystal Bay, MN 55323 ************************************************************************** -� General Znstructions `:� 1. You may apply foz utility permits by mail or in person at the City offices. 2. Mailedin applicationsare subject to the postage and handlingfees shown below. Permit cazds will be sent by return mail the same day the application is received. 3. Permits are not valid until you receive a permit card. 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 City offices for utility stub as-built locations. DO NOT EXCAVATE ZN RNY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works Department. Issuance of a permit si� does not grant this approval. �.,�, 7. All vork must be done in accordance with State Code requirements. ��-: 8. All work must be inspected before it is covered. Call 4J3-7357. s��e,a_�� ; *�Ir**�r***it*�Y�rxsk*ik�riric�kic�ticstiyk4c�tytik�k �t*a�ryk��t�t****��i�ir*�r**�r**ir**�c*�t*�l�c�:*�tir�t*4c�:s�ic�:� # � � f� �&:. : JOB SITE ADDRESS ,_�L�C%� ;�--'J`�--� lL'�.,, �� `�,l�,!t"z--�_G�.�.c� � - Occupancy �ype: X Residen�i ' Commercial �1M6��, �lr �� OWNER`S NAM�; ..�s�f;C::i.�t.J (.:�C!)Z�, l.�l�, � ::Tele anc� Np: G ' � '�"�Mailin Addres� � �� ""� g �- S � ,� � ", �-�•.-� : Gt��C. � �° S ' . :��.. . . .�.... � - . � . .. ,�-m+�.a�.�� :'` CONTRACTOR e S I�T L',..,ti�vX� �rru_f � (� , B s i n�� Na. %�� %�,� µ�x° M a i l i n g A d d r e s s � i a ��_ �; Master�� Plumb�r` s Stat� LYcense I�o� � �(� �� Gity Cer�.. Na. �� ''; ******�c****yYsY�k�lc*�cic��lrirsc*�k�k�ti�4c�t�r�k�r�r4ca4*�c**�cyY�c*�ti;�kix*�F*�Y*�t*�t*�tic#ic�r#�k�Y*�:ic*��tic�k�stsM ��' � � ��ZMIT T�,'�E AND �`�� CALCIJL7�TIf�� ; „�,_ ,� N.. �.. . � � _ . . . ��. MIINICIPAL SEWER GONt�IECTION ($3 0 per stub} $ � U - �'` � pipe size inches; ma�erial PVC (on sand fill) ; ° �� cast _iron . SAC Charge ($425 . 00 ) must accompany all sewer permit applica�i.ans u�SJ_ess � prepaid. If not �repaid, a sewer connection permi� will not be issued. ' :,:'. MUNICIPAL WATE�t Cdk'N�C��01N ( $3 0 per stub) $ ,,�G� , C%C� . � pipe size �.nch�s; ma�eria�. _ c��.��e�r other � �^ WATER METERS must be picked up and paid for at City Hall. (5/8" meters = $95� OQ 3/4" meters = $130. 00 } � PRIVATE WELL INSTALL�.TIQNS ($30 per job) $ 3.;; check: - new well replacement well �'"` repair existing well ��,,;,; casing size: inches e '� REQUIRED minimum setbacks from drainfield & septic tanks = 75 ' CALL FOR A SITE LOCATZON BEFORE DRZLLING _ - Upon completion, City must be sent a copy of state well record. *******************�**********************��*�**************************�* µ- '1. Subtotal of above permit requested $ (� fU, Ce C> �� 2. State Surcharge $ �50 ' The State Buildin Code Division Surchar e of $.50 p , �. 9 g per ermit must be included for ��:�: each well, sewer and water connection permit requested. � �� ; 3 . Postage and Handling (Only mail-in applications) $ .�- . ��'' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � C�, s U ******************�*********��***�******************************�*�a******* � ;:' The undersigned hereby applies to the City of Orona for issuance of a UTILITX �.; 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 statemen'ts made on this application are complete, t ue and correct: ' � � G'� � C� '�? �� Signature of Applicarrt t�,c�� CC� Date: x ` l� " � � �f DA C� �TIME CITY OF QRONO � CALLED IN / � /V �"��'k'�� INSPECTION NOTICE SCHEDULED � - D 3� PERMIT NO. COMPLETED � ADDRESS OWNER CONTR. � � TELEPHONE NO.� �' `�� 7 j; ❑ FOOTING ❑ MECHANICAL RI ❑SITE WELL ~ ❑ FRAMING ❑ MECHANICALFINAL ❑WELLTESTPUMP W �� ❑ INSULATION ❑ FIREPLACE/WOOD BURNER ❑ EXCAVIGRADINGIFILLING a� ❑WALL BD. Ia WATER HOOK-UP �,��'J�o ❑ LAKESHORENVEfLANDS Z ❑ FINAL �� METER SET(fURN ON ❑TREE REMOVAL T ❑ DEMO—SITE �SEWER HOOK-UP 3 �35 ❑SITE INSPECTION � ❑ DEMO—FINAL ❑ SEPTIC MAINT. ❑ PROGRESS J W ❑ PLUMBING RI ❑SEPTIC INSTALL. ❑COMPLAINT Z ❑ PLUMBING FINAL ❑ SEPTIC FINAL ❑ FOLLOW-UP J z COMMENTS: 0 � � W a � J O � � O � W � Q � Z W � W � � d W� 'j�WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN W ��CORRECT WORK&PROCEED ❑CITATION ISSUED 0 ❑CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE V BEFORE COVERING ❑ ISSUE CERTIF�CATE OF OCCUPANCY ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY INSPECTOR WILL RETURN PERMANENT ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr t n site: Inspector. White Copyllnspector's File Canary CopylSite Notice