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:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: . .; : _ . OWNER: ,..,_;.
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��.!/�.
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r� CITY OF ORONO APPLICATION FOR UTILITY PERMITS � ` ,.�
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#° ' Box 66 (2750 Kelley Parkway) SEWER/WATER � � "� °
Crystal Bay, MN 55323 �j�l ' �;���� ;
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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 :� �
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`" v''�` return mail the same day the application is received. ' �
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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 < <�,��
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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� *�
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JOB SITE ADDRESS: i�y��I '!�'��/,�=��- '�����°
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� Occupancy Type: �� Residential Commercial ��' �
Owner's Name:_�,',.� �-:i�L<�� - Phone Number: `� ` h
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.�,�, Mailing Address: s��r�— City: 7�p: ' �,�
� Contractor's Name: �•''�c%�-- i---��– Phone Number %r' %� � -- '"'�r `
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� � Mailing Address: �--'� r���� �i�` City:�' _�; -- 7ip: - f �> �
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� PERMIT TYPE ��� "
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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. ��;�� �
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Municipal Water Connection ($35.00 per stub) $ ,:';�� , �`'�
} '�� pipe size inches; material copper; other '�•�-�� �
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� �*`` 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. � ` ���
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Water meters must be set and sealed by Orono Water Department(473-735'�upon completion �� � u ;�
of ineter installation. �r= �`` �:
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'� �` REQUIRED minimum setbacks from drainfield and septic tanks= 75' ��
; REQUIRED setback from sewer line = 20' � Y ' ' *
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�a �3 PERMIT FEE CALCULATION :�': `� � '� �:� �``�'"
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°� 1. Subtotal of above permit requested "' . -�' � � $ -� r�tir:
g � 2. State Surchar�e $ .50
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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��:`
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; ' 3. Postage & Handlin� (Only mail-in applications) $ 1.50 �-;�� ��-�
�'' 4. TOTAL PERMIT FEE (add lines 1-3 above) $ �� �`�
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� '`? 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 '"������
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� ,�;: Minnesota, and certifies that all statements made on this application are complete, true and correct. �`t����
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Signature of Applicant: .�� ����-���–C' Date: ��� _�',% �`-�, ��;
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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
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Z 05 FINAL 14 SEWEFi HOO��OP'• 06 PROGRESS
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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:
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d �ORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
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� ❑ CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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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