HomeMy WebLinkAbout1996-008428 - sewer connect PERMIT
r CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 .EWER b WATER
Crystal Bay, Minnesota 55323 Permit Number: 00842
(612)'473-7357 Date Issued: 09/30/96
SITE ADDRESS:
225 TONi'-::A AVE
LSV
P. I . N. , 05-117-23-1-3-0023
DESCRIPTION:
SEWER CONNECTION
:.ewer & Water Permit Type SEWER CONNECTION
Sewer b Water Word: Type RESIDENCE
I
REMARKS:
FEE SUMMARY:
Ease Fee $35 .00
'surcharge ------- -1--K
Total Fee $35. 50
CONTRACTOR: - Applicant - OWNER:
DAY EARL W & SONS 24738403 i MCCARTY MARLYS
520 BR I MHALL AVE 294 225 TONKA AVE
LONG LAKE MN 553S6 ORONO MN 55356
(612) 473-8403 (612)476-9506
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THE tJ1 DERw�I NE HEREBY REQUESTS PER 1I SS I CtN TQ MAS `SME SAL:. I W � MEN,rs
SPECIFIED At , GREES TO DO ALL W13RK IN STt � _'�0�L.I A,,F ��I T� .E� � � �
'ORONO_ ORDINANCES AND STATE OF K' NNE 60TA .fltD1 G ,COD NI
PLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 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
return 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 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. Call 473-7357.
24 hour notice required.
JOBSITEADDRESS: e-
Occupancy Type: Residential Commercial
Owner's Name: y Phone Number: -X7L -5yso<
Mailing Address: 2,- S 7-Dtisl/f -e- City:
Contractor's Name: Of-%I gy Phone Number: 717,3
Mailing Address: 4vZ 0 /. ,�r,442 1�2-11 e City: Z, L Zip: 5 5 dsl
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size__V inches; material PVC (on sand fill); cast iron
SAC Charge($850.00)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 = $139.00; 3/4" meters= $191.00; 1" meters= $247.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Water Department(473-7357)upon completion
of meter 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 $
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) $
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 complete, true and correct.
Signature of Applicant: Date: �73a�
DATE TIME
CITY OF ORONO ✓ �CCA.LLED IN
INSPECTION NOTICE EDULED � .L/
PERMIT NO. �� 7����0 COMPLETED ��-
ADDRESS -9d,.v
OWNER j2 CONTR.
TELEPHONE NO. 73
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
,C02 FRAMING 13 MECHANICAL FINAL 18 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
2 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL HOOK UO 06 PROGRESS
v 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO, FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
4 Fl 36 FOUNDATION REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
10„ COMMENTS:
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O WORK SATISFACTORY:PROCEED ❑JPROJECOMPL E
WuC ❑CORRECT WORK&PROCEED ❑ TIFICAT OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERM ENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next in tion 24 hours in advance.473-7357
OwnerlContract e
Inspector:
White Copynnspectoes File Canary Copy/SI%Notim