HomeMy WebLinkAbout1994-006179 - sewer/water connect PERMIT
C T) �F ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 '_.:E.WER Li WATEROrono. Minnesota 55356-0815 Permit Number: t( E 179
(612) 473-7357 Date Issued: 6 f 1 5/94
SITE ADDRESS:
9.5 TONKA AVE
_FES
P. I . N . . C)S-1 I7—
DESCRIPTION:
':'ewer & Water Perrr'iit• Type c;tWER CONNECTION
°_'ewer ?i Water Work Type RESIDENCE
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FEE SUMMARY:
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CONTRACTOR: - Applicant - OWNER:
` =CHTHENhYLE:AE �? �LBG in HTG 2G7:4G3 °;
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h'APLEWOOD MN 55119 j RONi i _ 55:356
(612) 6710—AOql
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APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE
• CITY OF ORONO APPLICATION FOR UTILITY PERMITS
B-- 66 (2750 Kelley Parkway) SEWER/WATER
t 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.
JOB SITE ADDRESS. 1 s`"�� ki
Occupancy Type: Residential Commercial
Owner's Name: GrtM i Phone Number: 'Ll`l3—`Y E,Z
Mailing Address: ut City: LAK,-- zip: Sc'-3
Contractor's Name: 2 ASSc=�t r,�t�.�-� e�I�heNumber: `2.D— Li.9i 1
Mailing Address: io%o 'TL-g",DXL_ City: Tp: swi
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size `'[ inches; material' " `' °PVC (on sand fill); cast iron
SAC Charge ($800.00) 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 = $133.00; 3/4" meters = $181.00; 1" meters = $235.00)
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) $ S `7 cro
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.
Date.
Signature of Applicant:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE // �3 SCHEDULED sl
PERMIT NO. (O� 7 ` COMPLE ED X00
ADDRESS Q 9� �O t1 le. .
OWNER AA i T Z CONTR. 1P_-VGt SSetA-V_
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
tQ 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
=l INAL 14SEWER HOOK-U 06 PROGRESS
J
EMO--SITE 27 SEPTIC MAINT. 21 COMPLAINT
4Q 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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O WORK SATISFACTORY:PROCEEDPROJECT COMPLETE
WE CORRECT WORK&PROCEED Tam ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR E CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance-473-7357
Owner/Contract onsite:
Inspector. -
White CopylInspector's File Canary Copy/Site Notice