HomeMy WebLinkAbout1996-008550 - sewer/water connect � PE�RMIT
�I�Y OF ORONO
i 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: :_.����`i� ��.�_��
Crystal Bay, Minnesota 55323 Permit Number: ;;�,;���,{;
(612)473-7357 Date Issued: ; � ;t;f j����,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -- ��_�__ ?����t� — OWNER:
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APPLICANT/PERM SIGNATURE ISSUED BY:SIGNATUFi
�� CITY Or ORONO APPLICATION FOR UTILITY PERMITS
Box G6 (2750 Kelley Parkway) S�WER/WATEIZ
� Cryst�l Bay, MN 55323
GfNf;RAL INFORMATION
l. 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 wit}�out expcess approval of the Public Works
Department. Issuance of a permit does not grant this approval.
7. All work must be done in accordance with Stnte Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 hour uotice required.
JOBSITEADDRESS: � ��v `Z�d'zr�;S
Occupancy Type: ,, � Res' ti�l Commerci:tl �
Owner's Name:.�u— � `��,�r� Phone Number:
M�iling Address: City: 7�p:
Contractor's Name. c� � „ Phone Number: 6�S"� ^ �-S�'Q
Mailing Address: '7��S �u�` G-� �� City:�/�l �/-��- 7�p:S'�'-���
PERMIT TYP�
Municipal Sewer Connectioii ($35.00 per stub) $
pipe size Lf;, inches; material>D� �'l� PVC (on sand fill); cast iron
SAC Charge($850.00)must accompany all sewer permit applications unless prepaid. If not prepaid,
a sewer connection permit will not be issued.
Municipal Watcr Connection ($35.00 per stub) $
pipe size '[ r inches; material copper; odier
WATER MrTERS 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.
WRtcr mctcrs must be set�nd sealed by Orono Watcr Department(473-7357)upon complction
of mctcr installation.
REQUIRED minimum setbacks from drainfield and septic tanks= 75'
REQUIRCD setback from sewer line= 20'
P�RMIT rCI; CALCULATION
1. Subtotal of above pernlit requested $
2. State Surchar�e $ .50
The State Building Code Division Surcharge of$.50 per permit must be
included for each weli,sewer and water connection permit requested.
3. Postage & 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 that all statements made on this application are complete, true and correct.
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Si =nature of A 1' �'�L�� � Date:
b PP
D� TIME
CITY OF ORONO CALLED IN / � � � •���U�
INSPECTION NOTICE�j . _ 1 SCHEDULED i�- � c/� ���iiyy��
PERMIT NO. �'-�%�=i COMPLETED T_ �I � 3 U
ADDRESS ���-��� — � �`, _C,��tt��7�� ' ,�� �
OWNER�� �'L� _-�i,:.c..tt- C�NTR. � '. �=--�� .
TELEPHONE NO. ��:�7 �?�`.-���-�� � "
� DESCRIPTION
� 01 FOOTINCi 11 MECHANICALRI 18IXCAV/OHADIN(ilF�WNO
y 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BU�R/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. ' 12 WATER HOOK-UP 17 SITE INSPECTION
e OS FINAL 74 SEWER HOOK-UO O6 PROGRESS
_
F` 07 DEMQ-SITE 27 SEPTiC MAI . 21 COMPLAINT
J
�Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
J 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ' s tion 24 hours in advance.473-7557
OwnerlContractor ' e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notics