HomeMy WebLinkAbout1999-011828 - sewer/water connect PERMIT
C;ITY OF ORONO PERMIT TYPE:
� �i0 Kelley Parkway - P.O. Box 66 __ - -
` Crystal Bay, Minnesota 55323 Permit Number: �
(612) 249-4600 Date Issued: _ - - =_�" _
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -- . _ ,._:-:�;,�. -- OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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APPLICATiON FOR 17�'ILITY PERMITS
Box 6b (2750 Keitey P�rkw�Y) SEWE�t1WAT�R
� Cry�t�1 Bay, MN SS3�3 � ��
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GT,jY�,�,L IN�O�RM,ATtON , l
I. You rnay apply for utility permits by mail flr in pereon at the City ofticea.
�. Msiled in applicotir+as tttt subjcct tc�thn pc>atngo�tnd her�d)ing fees shown below. Pertnit cards wi11 be sont by
rcturn�ail the satno day tho applicntivn i�rcccived.
3. Permtty are not va1ld until you rtcciYe�permtt cArd.
a. Woric must not begin unlCss the pern�ft catd is availabio on the job sita
�• Uti}:ty cunnoction permits mey be isstied to licensed cnntractors only.
6. Conts�ct thc Public Works Departmenl(473-7337)far utility atub as-buflt laatians. DO NO'f�XCAVAT'F
tN ANY S't'R�FT AM3 DU NpT T'A}� ANY MAIN without exproas approval of tt�c Publjc Worica
Urpunmcnt. lssuanc�of a pormit docs not grant thu approvAi.
7. All work must ba done in ecco�ance with Stat�Code roquiraaiertts.
8. All work must be inspoctod beforc ic is covrrad. Ca11473-7357.
24 hour notkm reqafred.
�IUBS[7�J:�nDiZ.�qS: � � , r;
Oerup�ncy Type: Reside isE Commerolat
Qw�,er'�Name: C� ' '� P6ona Number:���(—���{Ct
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M�t11Ing Addreas: t� �. t�-( �,�= City:�„i. �'+�a� �r�7�.����---
Coptractur's Nume: 'l� (� n 34i,,zP�iPhoueNunxi�r;_ ��:h:�- �-(�;"j�
Mr�ilin Address:' ' �� � •�_ '�� � �• ' ' �� �'� � �
B ���,.�;,s�, Csty: �'s� '� r „ - �Z�p:.�� � ;��
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�F�1T TYPE
Munfcipa!S�wer Conn�ction($35.00 per stub $ JJ� C��
,
pi��sixe�T_ incl�es; rnateri�l PVC (an sand fili); cQst iron
SAC Charge(�900.�10)must accompttny all sewcr pctmit�pplications unless prcpaid, Tf not prep�id,
a scwcr cuiincction permit will nat be issued.
lYYunlcl�at Water Conneciion (535.40 per stub) g�,� "�
pi}�e size `'._ inchea; material�cvpper; �ther
WATLR METERS must be pickcd up und paid fur 8t City�iaU. T '
(5!8" mctcrs a$139.00; 3/4" metcrs�$191.OQ; 1"mot�rs=�247.¢0)
S�paratc Plumhing Pormit issucd for watcr meter.
Water mctar�muat be set s�qd aeAled 6y Oronn W�thr Aepattmont(4y3-735�qpon comp�stion
ot meter iast�llntian.
�tEQUIRF,D minimum setbacky from drainfteld acid stptic tanks=75'
�QCJIRED sctback frc�m s�war line�20'
p�. M�t..r.I..T..�k...cAL.�LAT1S?�i
1, Subtotal of abovc perrnit requested � '-7�, ���
Z. S�te fi�rch rge $ S�� �
"C'ho Stata$ullding C'ode Ulvi�ion 6urcharge of S.SO per permit must be
includad for each wait,aewer and wator aonnectinn�etcuit roquoYted.
3. pc�sta�c�j�ydl�(pnly mail-in applicatic�n�) $ ,1 SQ
4. "fUTA�. PERMIT FN�(add lincs 1-3 abov�) $ ��1 .���
Tha undorsigned hercby appli�to the City of Orano far issuancr of a UtiIity Perimit,agrees to do
all work in strict aCcordancc with the ordins�ccs of the City and the regulati�ns of the Statc of
Minnesota, and certifies that aIl�iaternen�g tnac3e on this apglication are comptete,true and correct.
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: Signature of Arplican ._ �,��, '� L,,(,� � D�: � - ��-C�'�'
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DATE TIME
CITY OF ORONO CALLED W � �'y c
INSPECTION NOTICE Ci SCHEDULED � 1 / C/"�
PERMIT NO. // � � a COMPLETED � �d�
A D D R ESS G ..�� �f..�c�ev,.� -�-
OWN ER CONTR.
TELEPHONE NO. 5 � -� �- `� � �
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WqIEs-k9LUL-L1 17 SITE INSPECTION
Q 05 FINAL EWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE . 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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� COMMENTS:
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W WORK TISFACTORY:PROCEED PRO COMP ETE� �
� �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOPORDERPOSTED.CALLINSPECTOR �' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnedContractor on site:
Inspector.��%,✓� ��`�/�
White Copyllnspector's File Canary CopylSite Notice