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Home My WebLink About1998-010901 - sewer connect PERMIT ��TY OF ORONO PERMIT TYPE: _ 2750 Kelley Parkway- P.O. Box 66 '_�=�'��t� �� f "�'�� Crystal Bay, Minnesota 55323 Permit Number: i;�j_��i:t; (612) 473-7357 Date Issued: � t,,•�-.�-�!_„_: SITE ADDRESS: �°�_..# ��r.�Er�°i�L�i�� i..li={ 3':�.f _ . . . . . S f_i—� 7 ,i��._�_��_i j{;{�L DESCRIPTION: �__:`L�; `;i_ti;a. .=;tW: 3 j;ai�;� =��t+=?1' l+�=�{�_i�. �i='�1'fi�l i�. f�,.. � ,_��t��: �,�_�i�l��l��_��i=!(�l z t� — '_;�t�:�w:r� :�., #�1r,t.t=i� ��zi�l:; l";r •} �;��l.i�i:lti;�. r=•=' REMARKS: FEE SUMMARY: - � .,_.l.:_`,;::,��: y. i —.. -.i _ _-_ _______ _ _-—. 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APPLICANT�PERMITEE SIGNATUFE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR UTILITY PERMITS ' � �;� Box 66 (2750 Kelley Parkway) SEWER/WATER �� 1 Crystal Bay, MN 55323 3 �_ �C� 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(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. Ca11473-7357. 24 hour notice required. JOB SITE ADDRESS: � l 3O . ��t Occupancy Type: }/ Residential Commercial Owner's Name: �'��- ��„.� __ Phone Number: �7�----ir �; / Mailing Address: � ��;3 �> ..$�e..P� c�� City: (}u,.� 7ip: % 53�/ Contractor's Name: �.�� PhoneNumber: �7�- /�c�� Mailing Address: =?�� 1<.,1�i Ja i City: u.��R� 7ap: .�{"s=��/ , PERMIT TYPE Municipal Sewer Connection ($35.00 per stub) $ pipe size inches; material Schedule 40 air tested; cast iron SAC Charge ($1,000.00) 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 ineter 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 Surchar�e $ .50 The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection permit requested. 3. Posta�e & 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 th, statements made on this application are complete,true and correct. , q' Signature of Applicant: �;� � ��---- Date: /� —��r �/ �� DATE TIME CITY OF ORONO CALLED IN / C� INSPECTION NOTICE 6Ci� I SCHEDULED SJ' l .`30 PERMIT NO. COMPLETED � ADDRESS /��6 �d��_ut r� OWNER CONTR. _ �yt�-.L�c.�r�,�� TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK- P 17 SITE INSPECTION Q 05 FINAL 4 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE . 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP r09;f+LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLI�ING FINAL 36 FOUNDATION/REMOVA� � OWNEF'�CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: " � ,,,,, -�� > I/ � � � d< j � O � � � � ^ � � � � �� W � Q � Z W � W � j - � ❑WORKSATISFACTORY:PROCEED ,� PROJECTCOMPLETE W � ❑ CORRECT WORK 8 PROCEED �C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PEFMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN INSPECTOR WILL RETUAN ❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContracto" i : Inspector. White Copy/lnspector's File Canary Copy/Site Notice