HomeMy WebLinkAbout1996-008344 - water meter PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: PL t-1 B I N Gi
Crystal Bay Minnesota 55323 Date Issued: 00834.4
"12) 4739357 09/06/96
SITE ADDRESS:
2425 OLD BEACH RID
L!::',V
P . I . N . ; 21-117-23-22-0016,
DESCRIPTION:
WATER METER
Plumbing Permit Type WATER METER
Plumbins Work Type RESIDENCE
Meter Size 503
Meter Serial Number 49170599
Remote Reader Number 09T45056
Meter Type SENSU.'-::;
REMARKS:
FEE SUMMARY:
Base Fee
Total Fee $139 . 0()
CONTRACTOR: - Applicant - ST . j1.-IC OWNER:
-jf-1HN THOMAS CUSTOM R3MES 14315791 4528 jOHN THOMAS HOMES
7465 W 123RD #102 7456 WEST 123RD ST
APLLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-5791 (612)431-6791
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
011, 0 ORD ':ES AND STATE OF MINNESOTA BUILDING COOE REQUIREMENTS .
APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GI:NEItAL INFORMATION
I. 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 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 EXCAVATE
IN ANY STREET AND DO NOT TAP ANY MAIN 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.
JOBSITEADDRESS: atm
Occupancy Type: Residential Commercial
Owner's Name: JPhone Number:
Mailing Address: ,t; W 1? City: 2
Contractor's Name: � �� A��� PhoneNumber:_
Mailing Address: City: Zip:
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size inches; material PVC (on sand fill); cast iron
SAC Charge($850.00)must accompany all sewer permit applications unless prepaid. If not prepaid,
a sewer connection permit will not be issued.
Municipal Water Connection ($35.00 per stub) $
pipe size inches; material copper; other
WATER METERS must be picked up and paid for at City Hall.
(5/8" meters = $139.00; 3/4" meters= $191.00; 1" meters= $247.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Water Department(473-7357)upon completion
of meter installation.
REQUIRED minimum setbacks from clrainfield and septic tanks = 75'
REQUIRED setback from sewer line= 20'
PERMIT FEE CALCULATION
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 pen-nit requested.
3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT 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 stateme ade on this application are complete, true and correct.
Signature of Applicant- Dater `(p-162