HomeMy WebLinkAbout1993-005756 - sewer/water PERMIT
��tITY_,OF ORONO PERMIT TYPE: -� I
275b�Celley Parkway • P.O. Box 815 PermitNumber: iiis.�?��;r:�� I
( Orono, Minnesota 55356-0815 Date Issued: � _� f�'�`-�-� �
(612) 473-7357
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
{ . B�x 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
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 retum mail the same day the application is :eceived.
3. Permits are not valid until you receive a per�it 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. Cali 473-7357.
24 hour notice required.
JOB SITE ADDRESS: � �''�' ` �L �l�'��a��� ��
Occupancy Type: ' Residen�ial Commercial
Owner's Na.-ne: /i PhoneNiunber:
Mailing Address• City: 7ip:
Contractor's Name: :;�,.,, c� =��-��, PhoneNumber: ; -3 :� y� �` l
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Mailing Address:�.y��`'%.�,�,,,��C� �� � City:/�-�vs, t'.� u i 7ip: S�S���,� :F
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size inches; material PVC (on sand fill); cast iron
SAC Charge ($750.00) 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; o�er
VVATER METERS must be picked up and paid for at City Hall.
(5/8" meters = $133:00; 3/4" meters = $181.00; 1" meters = $235.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Water Department (473-735'� upon
completion of ineter installation.
REQUIRED minimum setbacks from drainf'ield 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 Buiiding Code Division Surcharge of$.50 per permit must be
inciuded for each well, sewer and water connection permit requested.
3. Posta�e & Handlin� (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 Pernut, 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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Signature of Applicant: 1i��� y�r�t-G�. Date: �/—/� � y. 3
,
DATE TIM
CITY OF ORONO � CALLED IN /� 3- ��
INSPECTION NOTICE �1� SCHEDULED '�' - � `az�
PERMIT NO. � COMPLETED u 3 f�
ADDRESS � •
OWNER - CONTR.
TELEPHONE NO. � S3 3-�3 S — �v�-�
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� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI i6 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24l25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANOS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE FEMOVAL
Q 05 FINAL 1 RN ON 17 SITE INSPECTION
� 07 DEMO—SITE R HOOK-UP O6 PROGRESS
� 07 UEMO—FINAL 27 SEPTIC MAI . 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑WORK SATI�R PROCEED
W ❑CORRECT —S�� ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Nodce