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VILLAGE OF ORONO BUILDING PERMIT APPLICATION
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''- PURPOSE OF BUILDING
OWNER /C'/_ tv,y`r_ "T H ( r 7 :\., + ^• / /-1 BUILDER 7'>/t t/C ,"A 7 r
ADDRESS // / / • ADDRESS PERMIT N2 1141
PHONE NO. 795
l !�O,/l c 2 7 i� ��� 4 PHONE NO. I_1_ _i _7 ;! r t, -ti,-i=L
- Sec, No, Pal Lot Block Addition or Subdivision ,
LAND DESCRIPTION BUILDING LOCATION VENTILATION AND LIGHT /-0 4'ES T /,AN K E P!c- i
Size of Lot Dis. From Road Percentage of Floor Area Vent,
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Land Sq. Ft. Dis. Sides Percentage of Light to Floor Area
Elevation Dis. Back LINTELS r.
Drainage Size J Span h / I
aLocation " ,'c"
•• CONSTRUCTION
Frame L.----"-- Brick, Solid WELL TYPE
Stucco Brick Veneer Construction } J -i
Stone '' j 7- Cement Block Location e. D.
FOOTINGS SEPTIC TANKS / ., (- ,. ' J
Depth / O Least Depth • Size '-i (- / C''') ! �l'&
Width 'e Below Grade
c' "/- Distance From Well )'J ' -{- '
} Construction e__,, 11
FOUNDATION-Construction - 4 Size ! .y '' DRAINFIELD
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BASEMENT Depth '3 Distance From Well
Ground Drainage C /�, Floor _' =' 1' Width 2.. Distance From Lot Lines 0 /L
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Bearing Posts Size Spud.,,,:,. Length ) ;-
Beams Size Span PLUMBING FIXTURES
CHIMNEYS Dish Washer
No. 3 Type .`, { J , Sinks / Shower
I5,15 , Foundation r ) 'V. Laundry / Toilet `f
Height Above Roof r Bath Tub Z Lavatory
Smoke Pipe—Distance From Joists - ' r I hereby agree that, in case permit is granted, all work
% which shall be done and all materials which shall be used
",' • FLOORS shall comply with the plans and specifications submitted and
with all the ordinances of the Village of Orono applicable
Sub Flooring , 1 fa, •t: 1 thereto and shall include all additional specifications as listed
Joists rr Size2 ' ) Span 1 ; _ below.
>. Spacing / G " Bridging rW
+ $ Bearing tt . -7..;; - -'c-;' )4----. ..,f, - ?t,, r , 'c
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i,4 g STUDDINGS RAFTERS CEILING JOISTS
Size 2- ?='%'/ Size 2 r,CL Size ' 'S
Spacing / Spacing // Spacing / „ /_\ /
' Plates Q Span/G r"'' Longest Span % ! C 1 / i-
,�.` Bracing
EXITS Signe
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OWNER OR AUTHORIZED AGENT
Basement — No. j Size✓ ,c.) Stairway .} Date �- / /D
1st Floor — No. Size Y ' F Stairway Bldg. $ j '- c- Plumb. $ 'I. r' £' Sewage $ .' ')6 •
s ! INSULATION — Ceiling ', ,--,;,<,, Walls
r • Site Examination $ Well $ Total 3 11-3,-•-e:
PLUMBER WELL DRILLER
`^ ADDRESS /� ADDRESS
SEWER CONTRACTOR /_ '' °'( /)•-u
. ADDRESS
- _
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Village Permit NO 101 •
, 3 /2 0,—)e (, , (. I-1 ' L-c '/�
Contractor_ / Yl A WE L C o ddress A R R. I ,
„AI /Zo e,
Owner '` Address 4 / M Ci N
State License No Village License No / G �"
b GENERAL PERMIT
• VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No 7 Parcel No 316° Lots ""? Block______y Subdivision F /- A k F �)A1 r� K
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall comply with
the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
•
Install plumbing systems: Fee $
Install sewage disposal systems: Fee $
•
Install water supply systems: Fee $ O' eD
Fee $
Total amount paid to Village $ /a.
Signature of applicant Signature of Village Official
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, WELL OWNER AND ADDRESS G!, , ,...,(/ ���e//E%,/ ,/� /
�✓ / e ,1 F V WELL RECORD/1-4-7�ZiyYL__ t — 3e4/;044.4",
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— — ---- ----B VILLAGE OF ORONO
WELL LOCATION SECTION - LOT BLOCK
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CRYSTAL SAY. MINN.
DRILLER'! SIGNATURE 15--C-? DATE C r
PERMIT NUMBER
DRILLI COMPANY ADDRESS TELEPHONE
SIZE OF WELT �— INCHES WATER LEVEL_ �` 7 FEET
WELL DEPTH /LD —_ FEET DRAW DOWN 7k 1. FEET AT GPM
' CASING DEPTH/C_ FEET CAPACITY GALLONSO PER/HR. '1
•`,� CASED WITH �,.
DEPTH OF IMPER IOUS FORMATION FEET e
+" ; lc
c_, �/ WELDED JOINT D 01
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�',` SCREEN 1J /L�'`'' FEET 1 INC/�HES/BY_Y _INCHES °:
MAKE AND TYPE MATERIAL: �L (/� /t'j SCREWED JOINT .
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�"j,, ' REMARKS:
(OVER) _..._.._._....-....a. '.
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i`.� THICKNESS
` STARTED ENDED THIC KN[53OF
_j I KIND OF FORMATION COLOR DEPTH DEPTH rORMATIoM REMARKS
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EXTERIOR SPACE AROUND CASING f.EAL ED WITH: 'H❑ CEMENT GROUT 0 PUDDLED CLAY ❑ OTHER
DISINFECTANT USED �A/ t ` /
HOURS LEFT IN WELI
sS (OVER)
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:r.7 CARDARELLE & ASSOCIATES, INC. • ENG1f4EER & LAND SURVEYORS
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5205 VALLEY VIEW ROAD • WE '/-759C • MINNEAPOLIS 24, MINN.
-, . 0 6414"vtit ^ C.•/i-DA/S jed tlf - - _
CERTIFICATE OF SURVEY
Survey For: 0(.1 C (....j(II t 0.:' _
File No._____Book____1 f, =-, _Page /j
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:.:',.. I hereby certify that this is a true aLd correct re!_resentatinn of a survey of the boundaries of
':•,,,,, Lots 5,6and7, I'lock 4 Forrest Late Park Hennepia County . Minn. an'- this' streets ad,!acent-thereto.
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It also shows the location of the st,.k,s as fet for a proosed
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buildini . As ss:rveyea !dy ue this 2nd day of Cctober, 1.14'..11. s
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CARDARELLe & ASSOCIATES. INC. ' .
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STATE REG. NO. 566 No. 6508 .1
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i PERMIT RECORD
MONTH!YEAR TY-
REMARKS
1 ' NO. � � �'�DLJ l9�7
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DON STODOLA'S Well Drilling Co. , Inc.
Radio Dispatched Service
Wells and Pumps - Sales and Service - Well Abandonment
15306 HIGHWAY 7 • MINNETONKA, MN 55345
938-2111 Office 938-0154 Fax
City of Orono
Box 66
Crystal Bay, Mn. 55323
Robert Waade
998 Wildhurst Trail
Orono, Mn.
This letter is regarding the water well system at:
1000 Wildhurst Trail
Orono, Mn.
(Caretakers House)
This well is inoperable at, this tire and the repairs would
cost over $1 ,000.00. The house will be torn down in ninety
days and the repairs will not be made at this time. If you have
question regarding this matter please give me a call at
938-2111 . Thank you.
Sincerely,
Richard A. Stodola
President