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Home My WebLink About1990-002630 - repair sewer line PERMIT CITY OF ORONO �-��,�,�� , �;a� � � 1335 Brown Rd. South • P.O. Box 66 Permit Number: �'=°'1`-'=: ` � . . Crystal Bay, Minnesota 55323 Date Issued: ��j 3 � '�- (612) 473-7357 �}��''�'"` `-".� SITE ADDRESS: - - - - - - - =}.�r - �°_� :� - ::y , -.;. ; , - - � . :_... . . ::_... .: _- -- - . . . . . . �_ _ �. . _._. . - - - - - DESCRIPTION: F`EF'r'�I F '�;Ev��n �i��,:;- � -.--: :.._: . : __ _ _r}_'I.i1?'_'� �t iA�-=�.�_}�`s' ��izl'iillf• i `��'w :1��i.'-�.�.i"-. �_�_�!'•��'�..__ _. . _ . . ' ` 1 ,�.. _ . y - __it�r:�: .._. -{'�f,t.i��i �5;`i_i.�'k:. . . -_.. t�.�_ •L��"l�:t� F',h._. _. . _l.± ., i:l i. '^y,r� ..,� ' L�j",— ��'�171ti 3{lrSt� �..�lct+lL`-'S J`. }{�� '`� �,S:;iZfll��,le1 a c_a,:.v�ri!'v._, . � .t C:1 JjC� REMARKS: ' '� ��'�:�'•�i �'�� y� �._,..�_� , � , 4 '�r� r :'t't ft i v i/.s+.��:.:�. t:��'•t �v.r. .. ;_ � ,. FEE SUMMARY: �:��, �=,�,� �:;;.� . s;�� _�C..il'i:E`tcti''�� ________ _�..,_.�-.�.,t.v) Ti�t•�ti �ee ��:-;t-}. �i� __ ___ --- -_- — ... __ CONTRACTOR: -- i��=�1 i��-��. -- OWNER: � �-i��'t�:I fi'�{:=: F`Lf��iE�i�f:� �; H i� �„�;_;;� �.'�r � �4�;�i=i�':�€ _±;_;`_t;:v � s� �� 1:=_��. .,:. .- -._;- - ., ;,:. ..� � _i}�il i.ty:_,_�i {=._��`3� l'•.;% tvt Tt,c e t�r. .t C;L•� L -'t+•'t �uE f CC.:�=_;' I i-i1f4�f�_��Z{��i�•.H ��t� _ ,..�•c°�._. #_E#'1+_;�4%_� i'i��t _ __ _ I �:�t �:� '�_„-_--_�`_�_i.,� I ------ -----_ _------.—._--------- __ .____T__ __ � Tt E :� �- •r�:,-•s r: • ��-r��-r,.. _�, . _,-r�_ �L r�+.,t - -t4�) L - Ir� �� -� r r;r�.' -�i�-tsr�r.=.-�-r�• t I"��: �ti4��ii_�1��}��L: i-t=-n��i �1rri.i r`�t== 2-_. ��Fit'i 1.:: _ i i_.�}�! � �_.; �'iF-iF+.� I�"{L !lY 3�'i� !_. !i T��_`4'��1�1�3 i'- Y��='��=I{=i�:4:r �,�vi� i�:�;;r_r:_; T�i i:�,�� ==xi__i._ t�;��;t�:: �t� ==T�t I t_�i" �_��•�r=z I��t�E la I i�-i ia�.L f=:I T't ==:;= F >(' p �+ -F.{•' n'('F• y- {�j T x.,j�.tF�� • ('�E �r Tt ( -•: { ' + E L "-_" �`• �::. _. . _h�_ . Z.� •� -, . y .. ,...� i. ..,�. _ .. 3_ii'\�ttVt_� �_`�l}��j.E�f'{}'Yt.�_�� i--jt'�i3_.� _.��}"� ! r_ {_i3"' }'i.��Ya 4��1_{�r^� T't}.�.��1.F��ll t;i_ii 3C� ��d;i��I�ir 1�i�L.I'.I�.�� , L � r APPLICANi P :RMITEFSIGNATURE ISSUED �SIGNATURE INSPECTION RECORD CITY OF ORONO PERMIT TYPE: =;�G}r; :� i��i�F� 1335 Brown Rd. South • P.O. Box 66 Permit Number: i-ji i�r.:�;t i Crystal Bay, Minnesota 55323 Date Issued: �r�ij��='��y�' (612) 473-7357 SITE ADDRESS: APPLICANT: :;�?�.�_� `:�:_�:�� F`i i I t�lT �;� �-�f�t��`��::I C�i:: F'�_R_�t1;_I C��'� t� HT�� t:t�,1�:i `��'_—_��_ � PERMIT SUBTYPE: TYPE OF WORK: :��EW�i�; �:�+�1tdE��:3Ii��l xtEl=`��i;:E E;�I:�,T I;�iG U�'�.i�fi I�='T I<<E�`d Fi�:�►=t I�i '��E:f; 1 I i°s�: . .. . ,. , � I i I �__ -.� : ;.�•:r•r-r r,-er �. . . .--r �:r- i r � •-� -• T r:-.� t:�. -r�r r, n _ *��€.� I�'�i��-��.• � i�.��•d•r• i�4�1:�a �:•�. �:i=tL�E_!? ;:':�. �-;; ic_I�:°:�• �.��1 rE€.�vr-�f��.�E� . T{-�I'_� i�:r=!n�.3 f��tl'.=��' �,� �'i_t:=;�f��.�.f I��i � ti:��if��°=;=°i;::t.ii�ft;:=, ��; ;�r:� ��;�; T'r-I� F'i=�ct�f i_��`_� �=�i�� ,�r-�I(��-i Tt�� ',�'�.Ji��t�:. a:_� �'�t ��E �;�:i�ic . I__ =o: _ �;,',-'' � _.. .�. ,�-. ;�i;•�;.,, '�`i _?< ;ti`. �t�' . . CITY OF ORONO APPLICATION POR UTILITY PF.RMITS Box 66 (1335 So Brown Rd) SEWER WATER WELL y�� Crystal Bay, MN 55323 • + *************************************************************************** General Instrnctions 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 beqin 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 IN ANY STREET AND DO NOT TAP ANY MAZN 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. Call 473-7357. 24 hour notice required. ****************************************P********************************* Jos si� Annx�ss�:��..,�lp ('.�L,,_�� v--c;,_� (��.� Occupancy Type: ,�_. Residential � Commercial OWN$R'S NAME: Sv}{�J ►�Y� �p,�� Phone No. : Mailing Addres�.��'� ��,J �t�b � , City: �n L � SS Y�J j CONTRACTOR'S NAME: ��T�s P_f�� Bus. No. : �.3��3�/�3 Mailing Address: 3v ��^ �� ,V, City: }-�-�p�j<�..►.S Master Plumber's State License No. : City Cer�. No. : • *************************************************************************** PERMIT TYPE AND FEE CALCIILATION MONICIPAL S CONNECTION ($30.00 per stub) $ pipe size inches; material PVC (on sand fill) ; cast iron , SAC Charge $550.00) must accompany all sewer permit applications unless prepaid. If not prepaid, a sewer connection permit will not be issued. M[INICIPAL WATSR CONNBCTION ($30.00 per stub) $ pipe size inches; material copper; other WATER METERS must be picked up and paid for at City Hall. , (5/8" meters = $95.00; 3/4" meters = $130.00) � ' PRIVAT$ W$LL INSTALI,ATIONS ($30.00 per job) $ Check: New Replacement Repair Adandonment Casing size: inches (Installation of new/replacement well covers abandment of old well, � Well Abandonment - not concurrent with installation of new/replacement ' well requires a separate permit) REQUIRED minimum setbacks from drainfield and septic tanks = 75 ' CALL FOR A SITE LOCATION BEFORE DRILLING Upon completion, City must be sent a copy of State Well Record. ' *********************************************************�*********�******* 1. 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. Postaqe & Handling (Only mail-in applications) $ 1.50 4. TUTAL PERMIT FEE (add lines 1-3 above) $ *********�******************************************************�********�* The underaigned hereby applies to the City of Orono for isauance of a Utility Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulationa of the State of Minnesota, and certifiea that all statements made on this application are complete, true and correct. Signature of Applicant ~ �./ Date: / �� /'�v ..., , Y DATE r TIME CITY OF ORONO CALLED IN � —�-�-�— INSPECTION N„Q�IGE � SCHEDULED ' �— PERMIT N0. � "�'�>� MPLETED � �=Q� ADDRESS �� '��`� � OWNER �.�("=,2�/'�� CONTR. � a `� �' TELEPHONE NO. �.�� ` �� j; C; FOOTING ❑ MECHANICALRI ❑ SITEWELL ~ ❑ FRAMING ❑ MECHANICALFINAL ❑WELLTESTPUMP W � ❑ INSULATION ❑ FIREPLACEIWOOD BURNER ❑ EXCAV/GP,ADING/FILLING � O ❑WALL BD. ❑WATER HOOK-UP ❑ LAKESHOREJWETLANDS Z ❑ FINAL �ER SET/TURN ON C TREE REMOVAL Q C'� DEMO—SITE SEWER HOOK-UP �SITE INSPECTION _ � C_i DEMO—FINAL �SEPTIC MAINT. ❑ PROGRESS J Q L; PLUMBING RI ❑SEPTIC INSTALL. ❑COMPLAINT _ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP � COMMENTS: �� n �' 1 � vVl t�C � Gl� � W � C � J O � � O � W � Q � Z W � W � j `' d �j WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN � %`CORRECT WORK&PROCEED ❑ CITATION ISSUED O Cl CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE 0 BEFORE COVERING f=l ISSUE CERTIFlCATE OF OCCUPANCY ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY INSPECTOR WILL REfURN PERMANENT C�STOP ORDER POSTED.CALL INSPECTOR i:_: INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance.473-73�J7 OwnerlContra o site: Inspector. White Copyllnspector's ile Canary CopylSite Notice