HomeMy WebLinkAbout1997-009721 - sewer connect PERMIT
CITY OF ORONO PERMIT TYPE:
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Kp,*y Parkway- PO. Box 66
CrI Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued:
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
CONTRACTOR OWNER
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UNDERSIGNED N�;R�-B RF��t�U S T � �� �' ���; i a �, � .� ►� -' THS' � ' :
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATU
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER
CAnystal 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
return mail the same day the application is received. y� . �
3. Permits are not valid until you receive a permit card. Z, k
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 r:
8. All work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
JOB SITE ADDRESS:
Occupancy Type: Y Residential Commercial
Owner's Name: Phone Number: �.. z
Mailing Address: City: Zip:
Contractor's Name:Wes YA�iG� Phone Number: 4'1 a - 4
Mailing Address: Cps CL LA-Si_ A6. 1 S City: MDyt h CI Zip: M N
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $ 3!S- : CSC
pipe size inches; material Schedule 40 air tested; cast iron
SAC Charge($950.00)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 3s (>C)1. Subtotal of above permit requested $
2. State Surcharge $ .50
The State Building Code Division Surcharge of S.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) $ 35 • 50
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
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Minnesota, and certifies that all statements made on this application are complete, true and correct. f F
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Signature of Applicant:t.. Date..
5-00 r o w k a wax, act.
J� WESTONKA
.- MECHANICAL CONTRACTORS INC.
RICHARD MORRISON
6501 County Road 15
472-4959 Mound, MN 55364
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D TE TIME
CITY OF ORONO CALLED IN w97
INSPECTION NOTICE SCHEDULED _///w-9
PERMIT NO. COMPLETED l( Qom_
ADDRESS
OWNER I CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 ER HOOK- P 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED PROJECTCOMPLETE
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C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
4 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
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/Contr o n i e:
Inspector. -
White Copy/inspector's ile Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS ,, `�SZD Di 7
OWNER I``X CONTR. cG�
TELEPHONE NO. a " `I C,
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DE15 SEPTIC INSTALL. 22 FOLLOW-UP
JLvI'BING RIS 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNEFIXONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: Vol I
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WCc WORK SATISFACTORY:PROCEED C PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nextin pection 24 hours in advance.473-7357
Owner/Contr Si :
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice