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Home My WebLink About1993-005168 - water connection ., PEI�MIT � CITY OF ORONO PERMIT TYPE: _.�WE�, L=. W�?TE�, 2750 Kelley Parkway • P.O. Box 815 Permit Number: titi.51r„=; Orono, Minnesota 55356-0815 Date Issued: ;-�,c_,/�_�/��:�; (612) 473-7357 SITE ADDRESS: ��s�,t�� t#�#='I_�F:I j�t�� A C_H �`. I . i�l. � ��—ii:'—:�:�,—:�'�—t�i7t�r�. DESCRIPTION: Wt�TEf� �:i==f�P�lEC��I t��d '_,��w�ai� u }�.��t.�r #='e��r;,it• Ty��e t�€�TE�i �.:�siVNE�:TI+i�I :�:�tx?�.t. �f ��t.�t� W��f�}:: Ty�.� RE°r�IC�E�fC�E REMARKS: �.�,j;r us ufivi�u �i 1�ne'�ri,i u�`i ir� FEE SUMMARY. 1JJJUV- VV V1 lJLlt �a�V 1JltitJ�l�VlVVV t � V1 VLlI J�JV �;�,�„ �,_,� �.�;r, , t�iY :_��it'C�'sc�i"�� ----------�.��{} ��t•�l �=�� :;� . �:C� 'i i��lt�fl�� j 1JJ JVVY S 1 r � %� ;1r� lri ia��t .:�.�.vv ;::r•,•ifiir;xl k i r:,c:tLvvvvv �y � •JV Vl VL'* Z: z�' rt 4.1�lfLW� �4 ��1rJV iiii.�i�T_T�3�kh' !%�� ii.-;i tC,h i•tti�� I'�t�'14 Ti;.c/ ffi.I�J�JJL 1.rVV /V1 +1t•i.''T �'tc?%rsr i •.:�c:vr�� CONTRACTOR: — ��__��1 i c��r:t. — OWNER: � �� }_: �'L�1t i��I x�� .:;�_7:�:�.�_7 �=:�j��t�:i i �.:H�'�F�LE'_� 1 r�.:�_: �x�LL Lf� '�F,t�,� i�A�=`LE�;I Gk�E �� i'�I:?t th�i) �� ,�:=;F.,r,1, t_14t_:�i�i �� ,:_::=;i �.��3.,:�? ;�-'.y,_.�;fs.�._, ��.��.—t_):;�=.i -�� • ; i{.!n�•-r�:.,�r., y,...._; f tL:C'�C:�:�'•1 G: " 'i =' ;i=_ _:si.: �i, _ _ Tf . i •-i i„�- �-:� �• -�. : t"��. _r�.i?`�:.te•��!•.:i�,�t-l7 r•�i:�s_._�_. . i•:`��t+�'_�_--. . . . _..�':� j�`•� _. _ .;i:i , •,,! i*}�i��:,f�- t F-�� :Fi-=;_ �{''?: ;i:_:'�'�.�''"t,!.-.�:i I'•r �', �;�-�i^ T i-=`�.3 ;t� f-!�:7�"!t:" � 'Ti,i f�!;! �+�., .�'i#-!,• ��' =•'�,- Y i.-,- _.;_li,i� � �'i "L` o�7 €�] (:'i�#"', ,_I,'�: � _ ' ' t"1. Zr" t..i.. ' 3 • .'�.�3.._ � i �1�• � �• i i: �L�t'1E�+.•i.._ 3�� i"��:� '. .r . .'. � ' ir>h � . . . _. . . �.,.... 7•_i F t� _ r^��. - 1 ( � !_!t-_a_,�(�St„t 1_1=-1[,D�:`+�ii��,�i_:t•_._� f=�,i'tf�3 '_; t F-, �t- !i�-: t:� FJ[,I ��t�; ;.€=; E L_' �,..?I ,F'�€: ''. i Fi. L ti 7�, . z.#a�L�s ; _ ��. ..... �. : ... !..�. ... .. L 7.L»._ . _ _. _.L..._ 1'?� _ .�. L:`. : _. . � �/�� APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE�tt�CJ[. .... .__ _ _ _ _ ,,__ =��c • CITY OF ORONO APPLICATION FOR UTILITY PERMITS t Box 66 (1335 So Brown Rd) SEWER WATER Crystal Bay, MN 55323 *************************************************************************** 1. You ma�pp�or utility permi.ts 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�ennits are nat va]id imtil ynu reoeiv�e a pe.�it card. : ` 4. Work must not begin unless the permit card is available on the job site. 5. Utility connection p�xmits may be issued to licensed contractors only. 6. Contact the Public Works Depart�ne.nt (473-7357) for utility stub as-built locations. DO NOT EXCAVATE IN ANY STRE�T AND DO NOT TAP ANY MAIN without express approval of the Public Works Department. Issuance of a pernut does not grant this approval. 7. All work must be done in accordance with State Code requireirients. � 8. All work must be inspected before it is covered. Call 473-7357. ,�� 24 haur notioe requirea. ***************************************************************�**********� , �-,�; , JOB SITB ADDRESS: o�G. � v� �— �� - � - - Occupancy Type: Residential Commercial OWNER'S NAME: c.�.�� & �-�-� �a�""' P h o n e N o. : �� - �� 7 Mailing Address: 5' �� City: ��,-,�� T�� CONTRACTOR'S NAME:��2ti�� Bus.�Phone: =��' � S(�� Mailing Address: City:(� i Zip: �;:5,�3� **************************** **** ******************* ******************** _ 3s c,t, PERMIT TYPE AND F� CALCIILATION MIINICIPAL SEWSR CONNECTION ( $3�6-�0 per stub) $ pipe size inches; material PVC (on sand fill} ; cast iron SAC Charge ( $700.00 ) must accompany alI sewer permit applications unless prepaid. If not prepaid, a sewer connection permit will not be issued. 3� o 0 MIINICIPAL WATER CONNECTION (�: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 ' ***********�*************************************************************** l. Subtotal of above permit requested $ 2. State Surcharge . 50 The State Bui lding Code Division Surcharge of .50 per permit must e included for each well, sewer and water connection permit requested. 3 . Postage � Handling (Only mail-in applications) $ 1.50 4. TOTAL PSRMIT FEE (add Iines 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 x a�� Date: Z c� l `��1 C/ � I ; _ _ I - � <! DAT TIME CITY OF ORONO CALLED IN •�6 3 INSPECTION NOTICE SCHEDULED � ; oa- PERMIT NO. .S/G.�' COMPLETED y1 3d ADDRESS �` � OWNE CONTR.[`2h�!�� TELEPHONE NO. ��'�-�o85�d � DESCRIPTION - � 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 INSULATION 2 666�H /FIREPLACE 19 LAKESHORENUETLANDS Z 04 WALL BD. WATER HOOK-U J 34 TREE REMOVAL Q OS FINAL 13 METER SE'T/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PIUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP � 10 PLUMBING FINAL 23 SEPTiC FINAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: W � � 4. � � � O � e - � 0 � W � 0 � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED ❑ PAOJECT COMPLETE W � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr�e)or site: Inspector: `� � White CopyMspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED PERMIT NO. COMPLETED ADDRESS L'e '� OWNER �.� _ . .�-- CONTR. TELEPHONE NO. � DESCRIPTION W � �' IL `'�'''�"�'��" l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WA HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ECT COMPLETE W ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-73�J7 Owner/Contra on s' e: Inspector. � White Copyllnspector's File Canary CopylSite Notice