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HomeMy WebLinkAbout1997-009543 - sewer connect PERMIT �� (;F�'Y"OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: - :;:``-K',�`,;_:•'` '�'�' `'`�' Grystal Bay, Minnesota 55323 -'- -�= - - (�12)473-7357 Date Issued: - - - �- -. ; ii: __ .. . ' SITE ADDRESS: _ _�_ r ? [�{ i"S��f i Y. I�d ,e� _. ._ . : . "',:' ; . _. ' ' ' . � .. . . ,. .. . . —.:^ -. ... ._.._... . ; �...-_.._�.� .:_ _ ...'��'.'�.('S DESCRIPTION: ,__ , : : , _ - - - ._. __--�.:: ....._ _�:. ,�...,., . _ _ __�:'�_'1 .. . _. _ :�i' �`}a s",E�7, '�. �{F='k� ..`-��,.i?F,�`t' •.,.{,,,I CV Cl��.�i j_iC� _.�x'.::_=?1' :s a1::�;,.H.�' .,;'+:i'.:: 1 V'�:=t�.` ` �'i�'".�: _{�_ai.:.%'�t.•__ REMARKS: _ .. .. _ - - - , . , , _ ,, .. _ :,, :, FEE SUMMARY: _=�'C:t�.E' - " ________ ''�� .�� �'�'s'.:�.� ,�=r?�' . ._ _ . '"l? CONTRACTOR: - ° : � � . OWNER: . _ -:;;,:r _ } . .. , :_ _ . : : .: _ . _ . _.�.�_;.� ... .. _ _ . _. . . _ ._. ._ . . ._ _ . _ _t�� _ _. , _ .. _. _. ._.�..�..'..i ' - _..: _T;..( ';};L.; ;�.! .; �...t _F.;'� ��`;1 u ' c,�t:; �: " ';'•J €"' ... _ 7.,.. a.., . _ . � : . : ?" � .���.,.��.����.t. .?.,. `�`„__ i �'"1�... _'� _ . . s _.�l%� . _ w _ .. . �._.. .._ ,_. . . r•c_"„�i�i� _. . :'.�T'���r������ .'��\!?.} : ..�. .�_rr�.. . �._'• �'..� i'��. ... W�Jt�ff .. .s.�_•� .. .. a . . ..._ (.�1 . . . � ....«'. �.l�.I.� S�SE_ .. .. _ .. �.,�F'c�,��� i..���� ; ti..;:... ,=-',:�� ... ' �, ._: ' . ?'_=C'���_�= _ . .��: . �`i._i'����?� _. .. . _. �. . . �? i . I �„_ J . � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �^l. bil I VI VI\VI\V � VIL`fIJVJIV V//L// /1 IJ.J/ �' .VL/VL 1\V.VJV �:1'['Y Ur'U4tt�NU APPLICA7'ION kbR t7�'II�ITY PERMITS s• , �,� �oz Sb (275t1 Kelley F�rkw�Y) SEWE�tlWATER Crystal Bsy, M1�1 SS3f� �L�S�3 GfiHEf3AL[N�'Of,�„M,tT10N 1. You rnay apply far utiliiy pormits by mail or in person et the City offc�s, 2. !tilailed in applicati�ns are subjcct tc�thC poacago and har�dling feea yhown below. Permit r�rds wfll be sont by rotut�rpail the sa[no day tho app}icntion iY rtcciv�d, 3. PermttY are not valld unt11 yoa rrccivo a permti cArd. a. Work rtiusl nat begin un�eae the perniit c�sci is svetlabie oa the job site. �. Utility connoctton permit�may be is�u�d to licensed cnnu�actars only, 6. Cont�ct thc Public Works Dcpartment(473-7337j for utility atub as-built locatio�s. DO NOT�XCAVA'I'F. (N ANY S'fR�F.T ANt� DU NpT 7'A}� ANY M�#IN without exproas approvat of the Public 1Worica UepArtment. Issuance of a pormic doe9 riot grani thu apprpva[. �. AI! work rnust bo done in accorclance with Siatc Codc requiron�cnts, 8• All work mu�t bo inapoctod before it fa coverod. Ca11473-7�57. 24 hour natke rsqutred. aoesi��r�nn��.�: I�?��� �- -`�<>�'` -�-� ��� �� `i Occup�ncy Ty�e: � ,�,Residentisl Comm�reial Uwaer'e Name:�(�;��;C�,�� �f'��'l�#-�('',�1���-i�'1 P�oneNumt�r: Muiltng Addre�a: ���.; Coptr�ctar's Nqme: ` �� x� ��+ + ;, -�,��, ,, PhotuNu�ii�r: �`7-�,�� ��'�- Mulling Addres�: _ � L.��,: �, PERMIT TYI,;,E Munlcipa!S�wer Coanectiop($35.OU per stub) $ pipr.hize�_ ineiles; materisi! PVC (an sand fi1i); case imn r SAC Charge($900.1X1}must accom�ny uil sewcr petmit applications unless prepaid, If not prtp�id, �scwcr cuun�c;tion permit wiil not ix issued. mun{cl�Al Water C'ottneciion (535.00 per stub) $ pi�� sizc inches; matcrial copper; flther Wt�►'��LIt Iv1�TERS must bc picked up�znd peid fin at City�Iall. ~� T��T (S/R" mctcrs a$J 39.Op; 3/4" metcrs��191.Op; 1"mot�rs =�247.00} SCparatc Plumbing Permit issued fot watcr rneter. Watcr mcter�mu`t be:et And ae�lcd 6y Orono WRtcr Departmtmt(47i-735�upon compktion ot metcr iastall�tloa. 12�QUIRF.I�minimum setbacks from drainfield at�d septfc tanks=7'S' �t�UIRED actback frc�m s�wor line a 20' ��T�.�..cA4S�3;A�orr 1, Subtotal of above permit requested $ 2, State Gc�rch rae `"�" s .so "fho State Auiidi�g Code Uivieio�5urchat�e oP S.SO per perm}t must be included fnr each watt,sewcr nnd watcr oonnect�on pctmlt roquoated. 3. pusta�g HandlinQ{Qnly mai!-in applioetic�n�) � �.�pp _ a. -rorA�. PERMIT FNF(add tincs 1•3�bovc) $ Thc undorsigned hercby appties to the City of Orono far issuance of e�UtiIity perrnit,agrees to do aIl wqrk in strict eCcnrdancc with the ordinaiiccs of the City and the rcgul$tions of the Statc nf I�'�innesot�, �nd certifias thnt al!s temen�s maciC on this agplic.�liQn are complete, true and conect. � � � ,� Signatwe of Applieani:_ 1 ;� � Da�e:�!�� ��— ,. �y,D/ATE TIME CITY OF ORONO CALLED IN !(J`���g� INSPECTION NOTICE SCHEDULED ia 9 �. PERMIT N0. �'J.S`��J� COMPLETED � F1�7t� ADDRESS � - u.��,P• OWNER CONTR. TELEPHONE NO. �3 3 ' �3 S� � DESCRIPTION s ���.��1Ls� � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG �Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER H 17 SITE INSPECTION Q = OS F�NAL 4 SEWER HOOK-UP 06 PROGRESS ~ 07 DEM4—SITE 27 SEPTIC MAINT. 21 COMPLAINT v W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL Q OWNER/CONTRACTOR TO�F�T Y U: � ES NO � c�„ COMMENTS: "" � � / W � a � J " � c7�'t "�/ � 0 � � � � o � ,i W � Q ti Z � W � � W � j �� C WORK SATISFACTORY:PROCEE PROJECT COMPLETE W [_ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOPORDER POSTED.CALL INSPECTOR - CITATION ISSUED �� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ecti n 24 hours in a an e.473-7357 Owner/Contractor o s' �� Inspector. �--� �' (� ���— White Copyllnspector's File Canary CopylSite Notice