HomeMy WebLinkAbout1999-011852 - plumbing • PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 PNumb
ermit er:
Crystal Bay, Minnesota 55323 •
Date Issued:
(612) 249-4600 09/14/99
SITE ADDRESS:
OLD CRY5;TAL BAY RD N
CH
P. T . N . : 28-11S-23-4S-0006
DESCRIPTION:
An WATER METER ,... ,
PlLimhin9 Permit Type WATtR Mt [tr,_
PlLimbing Work Type I1JTTT TT
Meter Size 4"
Meter Serlal Number 991 747b7
Remote Reader Number 9834*27
Meter TypiE! RADC,ER
REMARKS:
FEE SUMMARY:
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Total Fee 1 00
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oLn CRYSTAI ,
5 I OS ORONO MN
(612) 64S-0ASI
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE :THE REAL IMPROVEMENTS
r:SPEED AND AGREES TO DO ALL WORK IN STRICT' COMPLIANCE WITH ALL CITY OF
t;in FIR D I NANCE-- AND STATE' OF M I NNESOTA LD I NG CODE REQUIREMENT
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APP ICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GENERAL INFORMATION
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 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(249-4600)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 249-4600.
24 hour notice required.
JOB SITE ADDRESS: &OS O Id Cv yS / ! �Qy
Occupancy Type: Residential pt. w 'ioHcz f -
Owner's Name:-T-4- .278 Phone Number:
Mailing Address:Co'8.S Old Cry*/ ,6y /Y IVc' City: L 6.1-(1 tez ap:S-S7.SIo-&O'1
Contractor's Name: Ma)/LLQ' Ce3 -72-1A-c-- Phone Number:t„.5/ (o4/3—O47/S/
Mailing Address:433 Foil ii J j City:Sf / Zip:.5-.37069
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size inches; material Schedule 40 air tested; cast iron
SAC Charge ($1,050.00) 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) $ ,V/(0 • UO
pipe size L/A' inches; material copper; other •
WATER METERS must be picked up and paid for at City Hall.
(5/8" meters= $130.00; 3/4" meters= $180.00; 1" meters=$240.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Water Department(249-4600)upon completion
of meter installation.
REQUIRED minimum setbacks from drainfield 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 permit 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 statements made on this application are complete, true and correct.
Signature of Applicant/° 401%,- ; .
DATE TIME
CITY OF ORONO CALLED IN I 10-00 ►:4-155
INSPECTION NOTICE SCHEDULED hl tC q'(De:,
PERMIT NO. 'I I 25-D- COMPLETED
SIOo c Id c r f o>,-c-�o- � -1--
ADDRESS yS �
OWNER CONTR. NP.U -
TELEPHONE NO.
• DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING (13 MECHANICAL FINAL ) 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
0 COMMENTS:
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d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
❑ CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
W ,
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
r]STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
U INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contract r on site:
Inspector. �.�/
White Copy/Inspector's File Canary Copy/Site Notice