Laserfiche WebLink
_ CITY OF ORONO APPLICATION FOR UTILITY PERMITS ���3,; �' <br /> • � Box 66 (2750 Kelley Parkway) SEWER/WATER � u <br /> Crystal Bay,MN 55323 .: <br /> �_. �::f�;':♦: <br /> �,F., <br /> GENERAL INFORMATION " �_ <br /> .-. <br /> 1. You may apply for utility permits by mail or in person at the City offices. - <br /> 2. Mailed in applications are subject to the postage and handling fees shown below. Permit cards will be sent by /;,`; <br /> return mail the same day the application is received. <br /> 3. Permits are not valid until you receive a permit card. <br /> 4. Work must not begin unless the permit card is available on the job site. 'j> <br /> 5. Utility connection permits may be issued to licensed contractors only. �' <br /> 6. Contact the Public Works Department(473-7357)for utility stub as-built locations. DO NOT EXCAVATE <br /> IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works <br /> Department. Issuance of a permit does not grant this approval. ;;� <br /> 7. All work must be done in accordance with State Code requirements. ' <br /> :>� <br /> 8. All work must be inspected before it is covered. Ca11473-7357. ; <br /> 24 hour notice required. <br /> � �' . � � c� � . <br /> JOBSITEADDRESS: fi�� ��v �v,-�..��� .�.�- �`- <br /> Occupancy Type: �Residential Commercial <br /> Owner's Name: . ;�{ . c�- z� �c �t- <. �' �� Phone Number: <br /> Mailing Address: ie�c� o �-�� �-�- �t, ��e.�" City: i(!i a_�-�.�r 7ip: ;� <br /> Contractor's Name: �'��c.�'-e-�yv '-�.Gc��-��-z PhoneNumber: �� ;y= ���'�� <br /> Mailing Address: �/�! ,�e �� 0 1��' Cih'� ��-t/c�P�-�2 7;p� SS �j I '� <br /> PERMIT TYPE <br /> Municipal Sewer Connection ($35.00 per stub) $ <br /> pipe size ��� inches; material��PVC (on sand fill); cast iron <br /> SAC Charge($900.00)must accompany all sewer�ermit applications unless prepaid. If not prepaid, ' <br /> r;, <br /> a sewer connection permit will not be issued. "' <br /> };., <br /> Municipal Water Connection ($35.00 per stub) $ <br /> pipe size inches; material copper; other �' <br /> WATER METERS must be picked up and paid for at City Hall. � <br /> (5/8" meters =$139.00; 3/4" meters = $191.00; 1" meters= $247.00) '" <br /> Separate Plumbing Permit issued for water meter. "� <br /> Water meters must be set and sealed by Orono Water Department(473-735'n upon completion <br /> ; <br /> of ineter installation. '`'� <br /> REQUIRED minimum setbacks from drainfield and septic tanks=75' <br /> REQUIRED setback from sewer line=20' <br /> ,; <br /> PERMIT FEE CALCULATION <br /> 1. Subtotal of above permit requested $ <br /> 2. State Surchar�e $ .50 - <br /> The State Building Code Division Surcharge of$.50 per permit must be '`'h <br /> included for each well,sewer and water connection permit requested. <br /> 3. Posta�& Handlin� (Only mail-in applications) $ 1.50 ��`-'f�' <br /> 4. TOTAL PERMIT FEE (add lines 1-3 above) $ <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do ��` <br /> all work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete,true and correct. <br /> ,� <br /> ' � <br /> Signature of Applicant: �� �����-� �������-�-�'"`"'' Date: �--� �/— �� � <br />