HomeMy WebLinkAbout1999-012164 - sewer/water PERMIT
CITY OF ORONO PERMIT TYPE:
" 2750 Kelley Parkway - P.O. Box 66 � ' � �°
Crystal Bay, Minnesota 55323 Permit Number: _ _�.���..-:r�. f � �
i (612) 249-4600 Date Issued: _ - =
SITE ADDRESS:
._._. _ �. _ _°_��-;�:.: _ _ _ _... .
,._�
_. . . . : . .- .. .. .. -....� W`�—�:;:,�_ .
DESCRIPTION:
_--:;�.�- :i���. . _..
;:a. l.��Y t �=`�•• ,�i x. i - ' ._, ,�,;� �� ;s,� *_:_
� �c _. .�tzT•�f' . � f.� r=`i' _..-..4'�_ _ ..1 1 _i-i
_�_�i,��'�' .... �}i,::t.�::�}- i.��_�f••'s:: T;�:y.: i;•��::;r���,u E—,;—.
REMARKS:
FEE SUMMARY:
�-��� _ ;;t�:
�:._.__ . ._ ... . -. . . ..
_. _.±'��Eti t'-?�::r _._.._�__�_._ ''�f�i
::s1:_�t, r-�=r.: .� ,+ _ , -i_J
CQNJ'R.ACTQR� � i�;=�,:���. i}�;{���� -- , - -
. -�r,��:�,. ,
, . ;�..�.. , r. _�. :..::;
; .�,.:�.� . :w. . , . . . . . _ _ -. . _
�� :�;::�::
_ _. . . _.._. _. __ . . ___.�__. _.
_ :,.,.. ' i i �; ' � �'`�ey':.i! «I �4!
._»_ _ � '.:h�H I ?_`-�: �. �._ . ... _ _`•,ji , ,•-t•.,{} 1;_ .. -i
�,- —
f;f_,at:;,�_} !'r:i°s _ _ � _ --. ;�;;F'�.�;#f..i r'i:'� _. _. .. _-
_. . .,_.�� _�—..._- ... .
:rs_. lt#'4i���1"•�F f r_;�a `i �=..i" ,3; __... .�� ... !_" �,t .. _�i�...�e� ii.� r . .. ._. ! " _ E .__ i , . , `�, *: t ��
,I, "` _
: _ _.. ._. ._ .
�;.`"`�.�v�i'1�� `s�l��.,� �"t'.1�5,'.e; ,..,. ..,;.: { ;, ; _5;" ._ .;:� .. .� . . _ r -
µ F
: ��.;� !��_f ?'�s.��.. :jt.!. .�. � � �' . 3',,.,_,.:t _.E_. # ;a+,[t � :� 1 . � _ .:_�� *. M'L
;_.�.�_��Ft.. ..;�-�r���-;��..�':.� ��� :=:�'���`�: �s� ��1[��i�'-'.���`�"{� �:.il�..�.�,�! .. � _ , �" �._...f, r , ._..',�-_.� . _
L �
��..�.�c, �?G,�i
APPLICANT/PERMITEE SIGNATUFE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Bog 66 (2750 Kelley Parkway) SEWER/WATER �
.. Crystal Bay, MN 55323
. �,� 0
� GENERAL INFORMATION � L�
1. You may apply for utility pemuts 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 �j�
retum 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 pemut card is available on the job site.
5. Utility connection pemuts may be issued to licensed contractors only.
6. Contact the Public Works Department(249-4600) 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 pemut 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. Ca11249-4600.
24 hour notice required.
JOB SITE ADDRESS: �� �� � �1 ' ��'" � o � ��
Occupancy Type: � Residential Commercial
Owner's Name: '��C:,- �.� •� � � Phone Number:
Mailing Address: City: 7ap:
Contractor's Name: c`� Q n C � S 9—�� Phone Number: 4 �1 � �-3 � �,
Mailing Address: S 0 �� S������c�C� C�t3'� �'1 v � n.J 7.ap: C " � �,
PERMIT TYPE
Municipal Sewer onnection ($35.00 per stub)� $ � �� ��'
pipe size�inches; material Schedule 40 air tested; cast iron
SAC Charge ($1,050.00) 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; other �
WATER METERS must be picked up and paid for at City Hall.
(5/8" meters= $130.00; 3/4" meters= $180.00; 1" meters= $240.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Water Department(249-4600) upon completion
of ineter installation.
REQUIRED minimum setbacks from drainfield and septic tanks= 75' .
REQUIRED setback from sewer line=20'
PERMIT FEE CALCULATION
1. Subtotal of above permit requested $ � C� -��
2. State Surchar�e $ .50
The State Building Code Division Surcharge of$.50 per pemut must be
included for each well,sewer and water connection pernut requested:
3. Postage& 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 1 statements made on this application are complete, true and correct.
Signature of Applican ,�' � ' � ` � � � � C� �� �
Date:
DATE TIME
�ONO CALLED IN �/�� p,
N NOTICE �/ SCHEDULED l �U � 3(L
/1 7 COMPLETED l ' T�Z 1 � 'I U
ADDRESS �
OWNER CONTR.
TELEPHONE NO. �I.,Z � �'. 3/G�
�- DESCRIPTION .�1.[/.c/'��=-c�%
�
lV 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FIL�ING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. TER HOOK-U 17 SITE INSPECT�ON
Q OS FINAL 4 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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/REP�IOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
j CIv,S�
� ���
O
� �,� �v�� %
� �C��'/v �[!�
W � �'a- ,�i�
� �`,�`~
z 5�6 ��'� ��s.fi �.
W
�
W
�
j
d
W,�ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARf1ANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
Inspector.� �����-�
White Copyllnspector's File Canary CopylSite Notice