HomeMy WebLinkAbout1992-004384 - sewer/water connect PER�IIT
CITY OF ORONO ' PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: L�EWEFi � WATE�i
Crystal Bay, Minnesota 55323 Date Issued: t�i}��1;1�
(612) 473-7357 t�r./�)::/_=Ji
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A NUPE ITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO � APPLICATION FOR UTILITY PERMITS
Box 66 (1335 So Brown Rd) � � ��_ ` SEWER WATER
Crystal Bay, MN 55323
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. ou ma�ly�tor 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 sam�e day the application is received.
3. P�i.ts are mt valid until y�au reoeive a �*�+�;t card.
4. Work �ust not begin unless the permit card is available on the job site.
5. Utility oonnection permits may be issued to licensed contractors only.
6. Contact the Public Works Dep�nt (473-7357) for utility stub as-built locations.
DO NOT EXCAVATE IN ANY SZR�r A1�ID DO NCyr TAP ANY MAIN without express approval of the
Public Works Department. Issuanoe 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.
24 haur mtiae requirec3.
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JOB SITE ADDRESS: /� �-� l � �GL,��IZ� G�� ��ti�
Occupancy Type: � Residential Commercial
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OWNER'S N�: Phone No. : ���-����'�
Mailing Address: City:
CONTRACTOR'S NAME: ��2 2�vJ �� - Bus. Phone: !77 =�S��l�"
Mailing Address: City: Zip:
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_ __.. PERMIT TYPE AND FE$ CALCIILATION
MIINICIPAL S CONNECTION ( $30.00 p� stub) $
pipe size inches; material �/� PVC (on sand fill) ; cast iron
SAC Charge $700.00 ) must accompany all sewer permit applications unless
prepaid. If not prepaid , a sewer connection permit will not be issued.
AiIINICIPAL WATER CONNECTION ($30.00 p� stub) $
pipe size �_inches; material �� copper; other
WATER 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 )
Water meters must be set and sealed by Orono Water Department (473-7357)
upon campletion of ineter installation.
REQUIRED minimum setbacks from drainfield and septic tanks = 75 '
REQUIRED setback from sewer line = 20 '
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1. Subtotal of above permit requested $
2. State Surcharge .50
The State Building Code Division Surcharge of .50 per permit must be
included for each well, sewer and water connection permit requested.
3. Postage � Handling (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 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 c�lete, true d rr
Signature of Applicant: Date: l� -5'� �/�'"—
v
DATE TIME
CITY OF ORONO CALLED IN �3' `��
INSPECTION NOTIC SCHEDULED — — Z �=�
PERMIT NO. 3� COMPLETED � �_
ADDRESS �
OWNER CONTR. /�
TELEPHONE NO. 9�y �� � 9
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FIILING
y 031NSULATION 8-BUA�/FIREPLACE 19 LAKESHORENNETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��,, COMMENTS:
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d ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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� �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Cont r o site:
Inspector.
White CopyOnspector's le Canary CopylSke Notice