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HomeMy WebLinkAbout1997-009712 - sewer connect PERMIT �`CIT. OF ORONO PERMIT TYPE: 2750 I�Iley Parkway- P.O. Box 66 Crystaf Bay, Minnesota 55323 Permit Number: . .. ._ (612) 4ik3-7357 Date Issued: SITE ADDRESS: _ . . ... .. � : . -. DESCRIPTION: ::f.., �.f"? . . r .'1 y.� 'A ' � .N . . . .. .. _.. �..�. . .i €f'`{, �.^f'��y _ . .. . . _.�. .. , 't�i , � . �.r� , .a .. REMARKS: FEE SUMMARY: . =. .-.,:� - .. - .. _ . .. . . . ... _ - _ ,- _ . . .. CONTRACTOR: . .; : _ . OWNER: ,..,_;. ,. . , ._ _; ._; -.. .. , , . _, . , , _. �:. _ 'A �� �_f�.�i �.�k'�'"_'E�.��'�s'; � »ri, . t. �.���.��}���+ �'4�`�#Y��� _ $¢. `s ' i. ::��r ' ;' � , ,.. ���'�.""'�� I�.�:�' ���u�� r'��.����`.� T�� #��;� f�l.,L. _��.,�+i�:: ��t ��c�d � ��.�t # .�,� ��# ..M �� S r� �'� �.�'� ��,:�. r..�:_�1`�:�r ►�t�i,��`���`�t��W.�'�rt r��r� :i�T� ���' �,I��'��;��t�`�"���.�_����.����"� s����� � ���:��."����'��#;�:'� L --� � - r" l9'. APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��.!/�. ;�::Y � ,T��� '� _ �:�� �� ;.� .�:: r� CITY OF ORONO APPLICATION FOR UTILITY PERMITS � ` ,.� �. �- � � � #° ' Box 66 (2750 Kelley Parkway) SEWER/WATER � � "� ° Crystal Bay, MN 55323 �j�l ' �;���� ; . � , � > � �r � 2.0�.:.'."C��... �4 br : 'z GENERAL INFORMATION �� ���� '''' 1. You may apply for utility permits by mail or in person at the City offices. �':��`"�����; �. �` .4' � 2. Mailed in applications are subject to the postage and handling fees shown below. Permit cards will be sent by :� � �- ^�.�� `" v''�` return mail the same day the application is received. ' � r} y �� �, ,;� ,� ��, 3. Permits are not valid until you receive a permit card. , k �a - 4. Work must not begin unless the permit card is available on the job site. - -� �4 �' " ��� , '�� { -' . 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 t t'�,�,�.; -�-:� 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. � x ,^ � ,, -� , �; _� 24 hour notice required. ,�,-" °��� ,� � �` ��r` �� ',� ;�,�J� *� � < , ��; JOB SITE ADDRESS: i�y��I '!�'��/,�=��- '�����° � �� ��. � Occupancy Type: �� Residential Commercial ��' � Owner's Name:_�,',.� �-:i�L<�� - Phone Number: `� ` h � , ; � .�,�, Mailing Address: s��r�— City: 7�p: ' �,� � Contractor's Name: �•''�c%�-- i---��– Phone Number %r' %� � -- '"'�r ` ��. � � Mailing Address: �--'� r���� �i�` City:�' _�; -- 7ip: - f �> � _ Ar � L ° � � PERMIT TYPE ��� " ,� � h� Municipal Sewer Connection ($35.00 per stub) $ pipe size ��� inches; material'��- �� Schedule 40 air tested; cast iron ��`� _�� 4 Y #r's� SAC Charge($950.00)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 '�•�-�� � T � �*`` WATER METERS must be picked up and paid for at City Hall. `' , � � z �y (5/8" meters = $139.00; 3/4" meters= $191.00; 1" meters = $247.00) ' ��l �� ��` �� � Separate Plumbing Permit issued for water meter. � ` ��� � :� Water meters must be set and sealed by Orono Water Department(473-735'�upon completion �� � u ;� of ineter installation. �r= �`` �: ,� s '� �` REQUIRED minimum setbacks from drainfield and septic tanks= 75' �� ; REQUIRED setback from sewer line = 20' � Y ' ' * , ti c;�= ���, `��, ��; � . � ;�� �. �� ,, .. _ �,,,, , �a �3 PERMIT FEE CALCULATION :�': `� � '� �:� �``�'" �.a �.�� -- � � x -�`� �.-_ �. ,;,;�� ,��. °� 1. Subtotal of above permit requested "' . -�' � � $ -� r�tir: g � 2. State Surchar�e $ .50 ,;� a��� �,� r `' The State Building Code Division Surcharge of$.50 per permit must be x����� �,` �� included for each well,sewer and water connection permit requested. ��n�`A��:` ,��r� ' �; ; ' 3. Postage & Handlin� (Only mail-in applications) $ 1.50 �-;�� ��-� �'' 4. TOTAL PERMIT FEE (add lines 1-3 above) $ �� �`� �°� ��Y s��. � � � '`? The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do j� � £ �� 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. �`t���� � ��;; � s r s�,+ �.:. ' ': � { �5 � � � � 4 � Signature of Applicant: .�� ����-���–C' Date: ��� _�',% �`-�, ��; � x, Y �:y t ��� ua. �..:� a�»�-.-, .��-.. ��. - � a , �.�:.�' ..i..�-t..,, .,.i ... �.. .__� . ;,v*..�_-...��.•s,�.... . .. _:z .. a t..... ..c.� r@Yn�t�f'.1'4.'"� DATE TIME CITY OF ORONO CALLED IN �� � `�7 7 INSPECTION NOTI�C/E SCHEDULED o 7 0? 3 d PERM�T NO. �� / �Z--'" COMPLETED ADDRESS 1���� �l���_e -(� ��-.�, � OWNER� ����..�J�� .� CONTR. �����j-t.F_�_ � TELEPHONE NO. ��� -• ���J � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAVlGRADING/FILLING �Q 02 FRAMING 13 MECHANICAL FINAL 19 LAY�SHOREJWETLANDS Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z 05 FINAL 14 SEWEFi HOO��OP'• 06 PROGRESS � �"- - _ - J 07 DEMO—SITE 27 SEPTIC MAINT. � 21 COMPLAINT Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 2 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 70 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION fiEMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a � � Ciir � � J o �JG � 0 � W � � /�'0 Go'ti a W � � fi�,, � _ a � d �ORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W � ❑ CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance.473-7357 OwnerlContr r site: Inspector. White Copyll�spector' File Canary CopylSite Notice