The URL can be used to link to this page

Home My WebLink About1992-004347 - sewer/water connect P �.RMIT CITY OF ORONO ' PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 Permit Number: ti�c��7`'� wA�� Crystal Bay, Minnesota 55323 Date Issued: C��l�?t�/_�:� (612) 473-7357 SITE ADDRESS: �i l�� tJGA�t�,J+_u�D DR L'�V F'. I .N. : :�4-1 �L��i�..-c-��.-C�i��:� DESCRIPTION: '=�EWEF� tr �ATER t:�=�tdNEC� ��c��cr � W�t.�t- F'�rri�i#• TyF�� :=�EWE�' t� WATER :�rwNr t� Wat.�r� �J�,��:: T��e �E'=:ICtEP�lC:E �"� i� x �� a' �a�a�� .�,�fi�.�'��i�+�';; a � �� .� �, � ��'�� ;�� '� � �'"�� '�, �' ��,�` ��<�� r�' �'. �r�`� � �i „�,�� w� �� ' �� i �' �� G �/��r;,��-�� c��,�� '�=��.''��b�"� m"��a��'' Y�� P�, � �� t�, a `�'� i _ r�i�� np"� � >'�"� ""�'� �� '� � r�k� , ^rrv��in 4 . i�' �$�'�� ,� '` �� Y� �� "�� p ' s� '�i7 �� a "*��,i. .�� ''- � �d n�,a�uuab�fi��` �r ^� � �ka �'� r c ra , �, z'�um3x•` � k � ' F � 3 � t ry �M1� �w*�,'�,�"'�j,��k:� '"'�1�9. .�� '4 � �' �' �' .y . +� ,� '�° ��,��,�"��F' fi"�','��.. �,�� W�� t�"k� e� ; ' • ` .. . ....t_F.: , .,,. . �.�r r}�w>' . REMARKS: FEE SUMMARY: C��s� Fze �r:t�,t)i� r�U 1'C rl�i i'3E' ---------��.�..�[1 ;;;i... i rC t rF_:i!rs 3c�t•�1 F�� 1 . C��:� ,��,�' �, �.,.�,'�� r e el%+�•,'c tit'C7 r t T s e rn�'��•i. au t l�.rs. �.is.,�r.i�r}L}{rl�i� n �:�.� �E�' L��.:tv tL�t�t;t�t}�' � �'1 ;,��r 1.v;; �','��'L�4' 7'�L {�j ,�./t.v�' l�14L�y1/1lf(��+'��i{l1'�I-Y!/�{ �1JUj'}t . nr.17L.�JTV� 4•V�l.L ��V�L/ �V v•V!s tiJij�V/�1�'. c�� C�Tp�� — App�l icant. — OWNER: —�C�FLI�'l�ING .c:�777�ri�+ C:HA�iLEL; �:tjGC� �:��1 r;t):�s7 4�TH AVE N �11 C� �_.t1GAFiWi�i=iD {3Ft F��Ak:DALE MI� 5�i:c�: t:.�fi�:i�l�i ��( 55:�:�F. {:�1La 777-75�5 ____ __ __ ___. _._ ___ _ _ _ _. _ _ __ _ _. _.__.. _..__ ._ __ ____ ._____________— TNE ltPdC}E��:I GPdEC� NEFE�� [r� � =. F r��I _ _. I F��N T�� h��:E THE �E�;± I t��°��:��IEMEt�iT_: � =;F'EC:I F I ED AiVD A��'EE'�� 7�� t��+ ALL W�i�,#�:: I�i '��T�'I C.T 4�:��ii�lF'L I�l�f:F W I TH ��L �:I TY f�1F 3�,�;ri�t;�� E_iRC I��;�fC:E'=� �P�E� '.:T�T� t_tF �#1 h�fjlE'��_�Tfi� �,t J I L��I t�� f:��,�r� ��t,?�.t I fiEt�(Elri�:��. , _. � �� APP ANT!P ITEE IGNATURE ISSUED BY:SIGNATURE ��d�U—' CI`PY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (1335 So Brown Rd) SEWER WATER Crystal Bay, MN 55323 f ' �� C� � *************************************************************************** I�'You maIny`�pply�or utility pernu.ts by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fees shown below. Pern�it cards will be sent by return mail the same day the application is received. 3. Pe�.its are mt va]id iuYtil you reoeive a �*�;t c�rd. 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 F�CAVATE IN ANY S'IRE�r At�ID DO NOT TAP ANY MAIN without express approval of the Public Works Departsnent. 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. Call 473-7357. 24 hour no�tioe requirea. *************************************************************************** JOB SITB ADDRSSS: _� � � V �--- Occupancy Type: Resi tial Commercia'2 OWNER'S NAI�: ��',��C � �� .�� Phone No. : � Mailing Address: City: � � �� CONTRACTOR'S NAME: � Bus . Phone: ��ty � Mailing Address: � , City: ip: �'� / ********************** ** ***********�******************************* * *** �. P$'I2MIT TYPE AND FSE CALCIILATION MIINICIPAI� 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 f or at City Hall. (5/8" meters = $133. 00; 3/4" meters = $181. 00; 1" meters = $235. 00) Water meters must be set and sealed by Orono Water Department (473-7357) upon campletion of ineter installation. REQUIRED minimum setbacks f rom drainfield and septic tanks = 75' REQUIRED setback from sewer line = 20 ' *************************************************************************** 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 PERIKIT FBE (add lines 1-3 above) $ ****************************�t********************************************** 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 Minneso , d certifies that 11 statements made on this application are co�lete, true an rre Signature of Applica Date: r�� ,/y ��--- �. � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � �L OD PERMIT NO. '�.� ��I COMPLETE ADDRESS 0 S OWN ER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGFADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z04 WALL BD. �2 TER HOOK-UP 34 TREE REMOVAL Q 05 FINAL -T3 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE �WER HOOK-UP 06 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMP�AINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL , ` � Q OWNERICONTRACTOR TO MEET YOU:_YES_NO ; �ti(7 Z � COMMENTS: � W a j ( � O a � O � W � �� Q � 5g e��.r' � �V z � e,r-� W � � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � ❑CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WtLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor on site Inspector. White Copyllnspector's File Canary CopylSite Notice