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Home My WebLink About1992-004446 (Sewer & Water) PER�VIIT CITY OF ORONO PERMIT TYPE: �=�W�h_t{ t�ATER 1335 Brown Rd. South • P.O. Box 66 PermitNumber: t�t�r�.�.�.t�' iir,%',:'�%'�t' Crystal Bay, Minnesota 55323 Date tssued: (612) 473-7357 SITE ADDRESS: �,�{y �A�'�ETT r�VE L'=�V F'. I . �J. i i��;—�. �7—:�:�:—_;1—c_�i��.F, DESCRIPTION: �E�'��E L�P�� '��w�z, �; W�t•�r F`�rrr�it. �'y�� '=:EW��, t:iil�IlVEi�:TIi�h] '��wei' °s W�t��r• �<<�t�:: "#"yF� F�E:=�IDEI��:E �� •� �zr w� ; _ � .� �.,, r ��a �� - � � . d r�lrr �^��4 h� � . �� r�� "�4' n . .� ' �x. a � y� I �' ,� `� " � . . � ` � ,„�rr Ny�pw F^" k �F��y^�rt' '�-.� � . � ��s '�',W � 4� �",�y�~;� �'�l' • . . + .—..�a .,,�: n. m.�+,�1+''Y��.._.q �w, �. ��.�1's� .�y�� , s.: � . REMARKS: FEE SUMMARY: G�SC F�e `.�:i{} ,i)i� _:C.�t'�I"t�t t'3� ------- —�.L�.,E) T��t•�e 1 �ee l�:�;4}, �C) ___. .._ :..;nar,� L•1! +� L'! L':{V77L' L i :?5:('L i1� �:1'i ! 17T1^!♦L•L L'!! JLL •••,•'+•4-:ie+e St ti i 2? .Li'J.Ji�lf�lt'VV T7 .. • !L+1f Si} �f� L'.l VL7T '4�s VV 1 ii�ir��.��.�V V� n V1 L4lT •J1�� .. ..»- �i! L��LL1\• 1L L��7�t'V .. .�,�'!!f.�l�L:?etih' 1!!tf il�LLi1! ! f 1l171�l1 1 VL Ji! !:rkil7 S'il? ie i .._ .�.l7L�V L•VV.1 flVd !V�.'T�. tii . � ii�,� N p ��T� — F'� 1 C cti� — C�'L"T�l�;1�t'G�E�;'�I��E': I�lC: t7c�,_;��i�L:i 3 Qf��' ��iHF'ER 1��cj i-�+,�Y 1 i.y �4�a ��i�:RETT AVE M I N��€E�iF'i�iL I:r� Mh! S4�_;z +��Gt�'=i MN =5��'�f �:�,�•�:a i;j:;—��t�_.�} _ _ _. _ _ __ _ _� . ____ -- _ _ __—___ _ __ _ r-- - - -TNE t.��dL�E�'=�I Gh�ECa HEF��E:Y �;E{�t 3�_T'�. f'E�-;M I _'�;I:_�td T+�� MAF.E THE �E��L _I MF'f;+��,'Ei�fEt�lT�� ; °=F'EC:I�i ED F,t�iD r��'�t�:EE'�; Ti�� G►=� r=�L.L.. �J+�F't�:: I i�� '�:TR I�:T �:��t�l�'�I ANS:E b1 I TN �LL ;=I TY 3�1� �,. t:+�;�_a�;+�t i=�FiD I hdAhdC:E:�, �h�ti ��T�T% t::� j�i;�N:��=:a:iTA E,i J I l..�?I l�t� G�=►C�E F�E�a��I�EI�Et�T'�� . � � "a`'_��/Lli, �(�`...�s-- �` 1�.�2��-�. APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE y��> CITY OF ORONO � ^ APPLICATION FOR UTILZTY PERMITS Box 66 (1335 So Brown Rd) SE�TER F�'AT�R Crystal Bay, MN 55323 *k***�k**�k�t*ic**********�t***�t*�t***�F*�k**�k�lr*�kic�k**�k�k***�c**ic�k�k�k�c**�t�k**ir****�Y�k�k�k�c�t I:-You ma�ply�or 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. P�its are n�t valid imtil you reoeive a permit c�.rd. 4. Work must �ot 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 Depas�tme,nt (473-7357) for utility stub as-built locations. DO NOT EXCAVATE IN ANY STRE�.'T AND DO NCYr TAP ANY MAII�7 without express approval of t�e Public Works Depas-�ment. Issuanoe of a permit does not grant this approval. 7. All work must be done in accordance with State Code requirements. 8. Al 1 work must be inspected before it is oovered. Call 473-7357. 24 haur no�t.iae required- *************************************************************************** JOB SITE ADDRESS: .� � �' r �" �- � � �'� Occupancy Type: Residential Commercial OWNER'S NAME: JA v h r � Phone No. : Mailing Address: 5�a /j.� r�^ �C /� ✓e- City: Oroi►/o CONTRACTOR'S NAI�R�: ��vM �j ,`Nq se �^ �� c e,s' �n/�, Bus. Phone: 7�� yo �0 Mailing Address: ( �. 9' �,'y ! r✓ •�y /e City: �1�/5 Zip: Sj'�3�, *************************************************************************** - P$RMIT TYPE AND FES CALCIII,ATION MIINICIPAL 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 for 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 completion of ineter installation. ` REQUIRED minimum setbacks from drainfield and septic tanks = 75' REQUIRED setback from sewer line = 20 ' *************************************************************************** 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 . Postage � Handling (Only mail-in applications) $ 1. 50 4. TOTAL PERHIIT 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 co�lete, true and correct. Signature of Applicant: ��'�� -�- Date: �� c1� �Q-z� .Q�c�� G�- '�`� /�� 'P ��-r� Dti�.�z'`'' � --�-��--e- �� DATE TIME CITY OF ORONO CALLED IN ��a�� y� INSPECTION NOT�� SCHEDULED � %3a PERMIT NO. COMPLETED � U ADDRESS �� '-� � < OWNER CONTR. ��-c �-,� TELEPHONE NO. ��.� — 1c0�0 ,f , �� DESCRIPTION v�� r lU 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING ti 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METE URN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWERHOOK-UP l O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � � f v� o � � a � 0 � W � Q � z W � W � � � WORKSATISFACTORY:PROCEED �' PROJECTCOMPLETE W � ❑ CORRECT WORK R PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOl1RS. — pHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContra o ite: Inspector. White Copyllnspector's File Canary CopylSite Notice p DATE TIME CITY OF ORONO CALLED IN /-� � �� INSPECTION NOTI E G SCHEDULED �"' '�� •�� "� PERMIT NO. ��" COMPLETED d� L� ADDRESS ��f C� ��,; .t z� �� C�� -"-- OWNER CONTR. , .{� ; �.{ ,.;,� 'i: �: ,:, : TELEPHONE N . 4 `'� ;?1: " � �`_��`� � DESCRIPTION t� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING � 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS � 07 -- AL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI ? 15 SEPTIC INSTALL 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � $� � �J ��- � a j � O � � O � W � Q � Z W � W � � d �ORK SATISFACTORY:PROCEED PROJECT COMPLETE W � [1 CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR !---' CITATION ISSUED C! INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor_oyi sit Inspector. � Z"� White Copyllnspector's File Canary CopylSite Notice �� DATE TIME CITY OF ORONO j/ CALLED IN � -5'q-'� INSPECTION NOT C) E',9� scNEou�Eo �,-F � PERMIT N0. "'f'` COMPLETED "L �c� ADDRESS Su0 �R/v7¢�f� OWNER CONTR. �� TELEPHO E N0. y�✓�- �s�� DESCRIPTION � 01FOOTING 11MECHANICALRi 16WELLTESTPUMP Q 02FRAMING 11MECHANICALFINAL 18EXCAVIGRADINGIFILLING y 031NSULATION 24125 WOO�BUfiNER/FIREPLACE 19LAKESHOREfWEfLANDS 2 04WALLBD. 12WATERHOOK�UP 34TREEFEMWAL Q O5 FINA 13 METER SET/iURN ON 17 SITE INSPECTION ti 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS � 07DEM0—FINAL 27SEPTICMAINT. 21COMPLAINT Q W 09 PLUM0ING RI 15 SEPTIC INSTALL 22 FOLLOW-UP = 10 PLUMBING FINAL 23 SEPTIC FINAL J Q OWNER/CONTRACTORTOMEETVOU:_VES_NO . 2 � COMMENTS: Q � . i �"L Gl, Q�.(�vtti� S � �� ° 3 4,i � o � � W � 4 �,. Q 2 4�� 3 w � w ¢ i WORK SATISFACTORY:PROCEED PROJECT COMPLETE W [I CORRECT WORK&PROCEED �ISSUECERiIFICATE OF OCCUPANCY O ❑CORRECTWORK,CALLFORREINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN_HOl1RS. r PHOTOTAKEN INSPECTOR WIIL RETURN �,�GTATION ISSUED ❑STOPORDERPOSTED.CALLINSPECTOR