HomeMy WebLinkAbout1997-009541 - sewer/water connect . � . PERMIT
'� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 = _�.���� ;: ;�:';���4:
Crystal Bay, Minnesota 55323 Permit Number: ,:i:�;;�,��-�
(612) 473-7357 Date Issued: - _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLIC %PE ITEE SIGNATURE ISSUED BY:SIGNATURE
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' CITY OF ORONO APPLICATION FOR UTILITY PERMITS ° ���`'*-
��' � ' Box 66 (2750 Kelley Parkway) SEWER/WATER � ��� � ,',
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Crystal Bay, MN 55323 ���� `` � ��
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GENERAL INFORMATION ' a,� '
' � 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 `'' �' ��
return mail the same day the application is received. "''.
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3. Permits are not valid until you receive a permit card. ,. ; ' � -
4. Wark 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 � a �
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. Ca11473-7357. ' r* '``` _. �� � x:
24 hour notice required. � �� �
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JOBSITEADDRESS: • � ---�✓� `-� i�� ,.,?
Occupancy Type: � Resid ial Commercial � �'
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Owner's Name: -� 2t1��-� PhoneNumber: �` ���.�
Mailing Address: City:_ 7ip: " �`r�:
Contractor's Name. �-� ' PhoneNumbe��$'`� - �.s% S,� '. `�j�
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_ Mailing Address: �LS` � h'� � ZP� �,
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PERMIT TYPE '��
Municipal Sewer Connection ($35.00 per stub) $ ���
pipe size � " inches; material(��.'..� PV on sand fill); cast iron ;4 Y1� ��
SAC Charge($900.00)must accompany all sewer permit applications unless prepaid. If not prepaid, � wr �".:
a sewer connection permit will not be issued. �a_� �
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Municipal Water onnection ($35.00 per stub) �,�� $ � y < �
�' p i p e s i z e � i n c h e s; m a t e r i a l_�c o p p_e r,'� o t h e r _ ,.�,
�;'. WATER METERS must be picked up and paid for at�i=ty Hall. �` �i
(5/8" meters = $139.00; 3/4" meters= $191.00; 1" meters= $247.00) �- '
Separate Plumbing Permit issued for water meter. �..`';�i��,�
Water meters must be set and sealed by Orono Water Department(473-7357)upon completion ;;�`,, �,�
of ineter installation. �'� � �''�
REQUIRED minimum setbacks from drainfield and septic tanks= 75' � ��
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r;, REQUIRED setback from sewer line=20' ' '' �
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PERMIT FEE CALCULATION ` ` '�` �'=
'`� 1. Subtotal of above permit requested � � � � $ d �� '� $�
;i'�, 2. State Surchar�e $ .50 � �� ,
fi ' The State Building Code Division Surcharge of$.50 per permit must be f �x;r r �
r included for each well,sewer and water connection ermit re uested. '��� $
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���� 3. Postag„g& 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 a '� � ,�
all work in strict accordance with the ordinances of the City and the regulations of the State of �r' M�;,
Minnesota, and certifies that all statements made on this applicatic�are complete, true and correct. °:-= "�
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; Signature of Applic � Date: '
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DATE TIME
CITY OF ORONO CALLED IN /o -�D 9 �
INSPECTION NOTICnE ,/ SCHEDULED /6 -�G �/:3TS
PERMIT NO. 7�`� / COMPLETED _� �
ADDRESS � ���
OWNER CONTR.
TELEPHONE NO. S � — aS��'
� DESCRIPTION
� 01 FOOTIN� 11 MECHANICAL RI 18 IXCAV/OFlADIN(3/FIWNQ
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 ER/FIREPLACE 34 TREE REMOVAL
� �W�B�• 12 W 17 SITE INSPECTION
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Z OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
F' 07 DEM�SITE 7 QI1G.lAAINF.-- - "�� 21 COMPLAINT
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W 07 DEMo--FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN(i RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBIN�FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED
W� - PROJECTCOMPLETE
W C'CORRECT WORK 8 PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
OwnerlContractq�te:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice