HomeMy WebLinkAbout1996-008050 - sewer connect PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 SEWER & WATER
Crystal Bay, Minnesota 55323 Permit Number: t)('80.150
(612)473-7357 Date Issued: 06/24/96
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SITE ADDRESS:
425 TONKAWA RD
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P. I .N. ; 06-117-i:3-41-�ii 8 '
DESCRIPTION:
SEWER CONNECTION
Sewer h Water Permit Type 'SEWER CONNECTION
Sewer & Water Work Type RESIDENCE
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REMARKS:
FEE SUMMARY:
Ease Fee $35.00
Surcharge ------- -�� s i
Total Fee �:r;5, 5c3
CONTRACTOR: — Applicant — OWNER:
SULLIVAN'S UTILITY SERVICE 547=.4_;0 f KNIGHT BARRY
660 HWY 101 S 425 TONKAWA RD
WAYZATA MN 55391 ORONO MN S53S6
(612) 473-4300 (612)475-:3314
TI- , .}IMI{ r D # EREBY REOUE TS P` RN '=ON T : , E TSE
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C .WCRK INTRICT �SPECIFI� AV3 A RSE TDC � 4 �.
ORDINANCES D STATE IE � BILI 1 GO # S �
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
CITY OF ORONO APPLICATION FOR UTILITY PERMITS ��
Box 66 (2750 Kelley Parkway) SEWERIWATER g
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 jot)site.
5. Utility connection permits may be issued to licensed contractors cnly.
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: '/2 (0 V KHw A r�o�C
Occupancy Type: V' Residential _ Commercial
Owner's Name: 9,dr r v Irv, ;g.%,,+ Phone Number: Z-175-33141
Mailing Address: y?-3' %o n 1:AwA 12 City: 6,-6110 7ip:_3_53J2;
Contractor's Name: s�� Phone Number: 4/73-413,9 y
Mailing Address: (,60 /f k_,(/ !yl Sam Ci ty.-2eeti Zip:'5-7
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size�_inches; materialYa 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 Hal 1.
(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 reque.ted.
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 Applicari Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 5b COMPLETED
ADDRESS
OWNER CONTR. 1 _
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
h 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREJWETIANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL 14 SEWERTIOOK 06 PROGRESS
v 07 DEMO—SITE 2 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBIN 36 FOUNDATION REMOVAL
Z OWNER, TO MEET Y U: J�/YEB_NO
ti COMMENTS:
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4, 4RK SATISFACTORY*PROCEED ❑ PROJECTCOMPLETE
CC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
vnedContract o
,ctor.
White Copy/inspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE_ SCHEDULED
PERMIT NO. 05 COMPLETED
ADDRESS �� ��•�
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
H 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
2 04 WALL BD, 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL l _ 06 PROGRESS
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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
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
Cr
cc
cc
0
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W
QCQ
2
W
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W ❑WORK SATISFACTORY:PROCEED ROJECTCOMPLETE
cc W
[3 CORRECT WORK 8 PROCEED IS
W aSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 7PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473'7357
Owner/Contractor o
Inspector.
White Copylinspectoes File Canary Copy/Site Notice