HomeMy WebLinkAbout2000-P02105 - water meter . �
` PERMIT '^
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2ios
Crystal Bay, Minnesota 55323 PeCCTIIt Typ@: Plumbing Water Meter
(612) 249-4600 Date Issued: 3ilioo
SITE ADDRESS: 2104 Sugarwood Dr
LONG LAKE,MN 55356
P ID: 34-118-23-21-0022
DESCRIPTION:
Proposed Use:
Permit Class: Plumbing
Permit Type: Plumbing Water Meter Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: Valuation: $ 240.00
State Surcharge Fee:
TOTAL FEE: $ 240.00
APPLICANT: Lee Plumbing OWNER: RVC HOMES INC
4004 Baker Road 2104 SUGARWOOD DR
Minnetonka, MN 55305 LONG LAKE MN 55356
TIIE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE � : SSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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. CITY OF ORONO APPLICATION FOR UTILITY PERNIITS
Boz 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for 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. Permits are not valid until you receive a permit card.
4. Work must not begin unless the pernut card is available on the job site.
5. Utility connection permits may be issued to licensed contractors only.
6. Contact the Public Works Departrnent(249-4600)for utility stub as-built locations. DO NOT EXCAVAT`E
IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works
Departrnent. Issuance of a pemut 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. Ca11249-4600.
24 hour notice required.
JOB SITE ADDRESS: ��-- �� �1 a�� ��—
Occupancy Type: __�Residential Commercial
Owner's Name: Phone Number:
Mailing Address: City: 7ap:
Contractor's Name: Z, � c�.,,,, �, Phone Number: �,�� � `����
Mailing Address: c90 �e. City: /y�f��; 7ap:5 53d S
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size mches; material Schedule 40 air tested; cast iron
SAC Charge ($ ,050.00) must accompany all sewer permit applications unless prepaid. If not
prepaid, a sewer connection permit will not be issued. '
Municipal Water Connection ($35.00 per stub) $
pipe size � inches; material copper; other �
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WATER METERS must be picked up and paid for at City Hall. _.-- -- ---- �
(5/8" meters= $130.00; 3/4" meters= $180.00; " meters= $240. 00)
Separate Plumbing Permit issued for water meter.
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Water meters must be set and sealed by Orono Water Department(249-4600) upon completion
of ineter installation.
REQUIRED minimum setbacks from drainfield and septic tanks= 75'
REQUIRED setback from sewer line=20'
PERMIT FEE CALCULATION
1. Subtotal of above permit requested $
2. State Surchar�e $ .50
The State Building Code Division Surcharge of$.50 per pernut must be
included for each well,sewer and water connection permit requested.
3. Posta�e &Handling (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (add lines 1-3 above) $
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 conect.
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Signature of Applicant: �-�i `�1���-��� Date: ��l ,� ( ��