HomeMy WebLinkAbout1993-005151 - sewer connect 4. PERMIT
CITY OF ORONO PERMIT TYPE:
'•EWER
2750 Kelley Parkway P.O. Box 815 6 WAITER
Permit Number: 00-5151
Orono, Minnesota 55356-0815
(612) 473-7357 Date Issued: 05/17/9_;
i
SITE ADDRESS:
250 TONKA AVE �
CH
P . I . N. • 05-117-2_-14-0028
DESCRIPTION:
'_EWER CONNECTION
'=ewer b Water Permit Type SEWER CONNECTION J
Sewer b Water Work Type RESIDENCE
4.1 f tlr u foul./
REMARKS: 77 �'iff��('*('�Afjf��i�,jjyyi O 4i jjJ�
iI13JVV{V00 �QrN 7 y� fl
1212122,00000 it
�'
FEE SUMMARY: k "y''jj"
1iLLLI)f��_—ji�{ ltr�J1t�
r; �:�t-� f '7r
i4v r r T
Ease Fee
Surcharge ----------I -ti
Total Fee $35. 50
I
i
CONTRACTOR: - Applicant. - OWNER:
DAY EARL W St SONS 24738403 BRIGGS GERALD
520 BR I MHALL AVE 250 TONKA AVE
LONG LAKE MN 553S6 ORONO MN 55356
(512) 47:3-8403 �
MEN
TI7TG j� 3 EfkK �..: i �F'+ i I�''Sv i Few 5
V, �� �D .Lf,t3 t STF ta�q t' CMPI W11� `# , LLQ: C L fiY Y'
Of
-. 40V
L_
4jAPPLICANTIPERMITEE SI NATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (1335 So Brown Rd) SEWER WATER
Crystal Bay, MN 55323
1. You mayaapply 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.
JOB SITE ADDRESS: sO
Occupancy Type: Residential Commercial
OWNER'S NAME: %Z_W_1C y Phone No. :
Mailing Address : �, v Tc � y City: CD -,e0 ®
CONTRACTOR'S NAME: 11'1�11_12z G,/ /9_4L14_ Bus . Phone:
Mailing Address: Sa-cD �/Z/41 /��� City: C.l�✓�L a Zips 3�
***************************************************************************
3S'.CPERMIT TYPE AND FEE CALCULATION
MUNICIPAL SEWER CONNECTION ( - per stub) $ _3 `�
pipe size /'inches ; material ' (:' .-' PVC 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.
MUNICIPAL WATER CONNECTION ( $3-B:UU per 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 completion of meter installation.
REQUIRED minimum setbacks from drainfield and septic tanks = 75 '
REQUIRED setback from sewer line = 201
***************************************************************************
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) $ 3 6- . 6
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 d erect.
Signature of Applican Date: '1 , /
G
tl
_ ATE TIME
CITY OF ORONO CALLED IN /7 ;-3
INSPECTION NOTICE SCHEDULED S/1,V1,T0 c 1lSBr0
PERMIT NO. --'5-,(SE/ COMPLETED _A [I
ADDRESS S
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
14 01 FOOTING 11 MECHANICALRI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAWGRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FI L 13 MET T/TURN ON 17 SITE INSPECTION
DEMO—SITE < 14 SEWER HOOK-UP . 06 PROGRESS
`J 07 DEMO—FINAL 2 7 SEPTI M n T. 21 COMPLAINT
Aj
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NOZt
2 COMMENTS:
C
cc
J
rc tT
O
W
Q
2
Uj � S
Cc
J
dI WORK SATISFACTORY: OCEED PROJECT COMPLETE
W ``
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
w
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next 1 spection 24 hours in advance.473-7357
Owner/Contr n i
Inspector.
White CopyAnspector's File Canary Copy/Site Notice