HomeMy WebLinkAbout1999 - 011277 - sewer/water con PERMIT
k CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 & WATER
Permit Number:
Crystal Bay, Minnesota 55323 011277
Date Issued:
(612)473-7357 03/19/99
SITE ADDRESS:
2190 WAYZAfA BLVD
CH
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DESCRIPTION:
SEWER & WATER CON
Sewer & Water Permit TypP SEWER & WATER
Sewer
;: Water Work Type COMMERCI
REMARKS:
FEE SUMMARY:
Base Fee $70 . 00
'6urcharge a L.:J-1
Total Fee ec-17 CC,
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CONTRACTOR: OWNER:
UNITED WATER & SEWER 2E428268 ( REN VALLEY ASSOCIATES
11666 WAYZAIA BLVD 407 F iAKE ST
MINNETONKA MN SS306 wAv2wirl MN .5E, 91
(6 12) 5 4 2-8:2 e.',8 4 7,5- 7 4 7
THE UNnERSI(;NED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES to DO ALL WORK IN STRICI C0MPi i- :E WITH ALL CITY OF
L ORONO ORDINANCES AND STATE OF MINNESOTA EUILDINfi CODE REWIREMENTt; .
P AN /PERMITEE SIGNATURE
•-••'' ISSUED BY:SIGNATURE „Al
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(249-4600) 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 249-4600.
24 hour notice required.
JOB SITE ADDRESS: /9 a to .e y?ett'`r
Occupancy Type: Residential Commercial
Owner's Name: /c. /vt 136,77 d, C-, Phone Number:
Mailing Address: City: Zap:
Contractor's Name: (Lv, 1-c J (,&í& r- v_ fcc., i" Phone Number: s—V)--8--(s 2
Mailing Address: //(9& ic� z o L.4 Tip:
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size t'. " inches; material ); Schedule 40 air tested; cast iron
SAC Charge ($1,050.00) 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 t,- inches; material copper; other k-'t t'
WATER METERS must be picked up and paid for at City Hall.
(5/8" meters= $130.00; 3/4" meters = $180.00; 1" meters = $240.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Water Department(249-4600) 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: ) 1t h�� ��
DATE TIME
CITY OF ORONO CALLED IN 3--4_79 2-
INSPECTION NOTICE SCHEDULED 3-29- 7 y�®
PERMIT NO. 0 1/v7. 7 7` COMPLETED it `"
ADDRESS ... /90 Gv
OWNER7`�'11-e-^ li ONTR. .. ..�' ,/ ! tAJ i
TELEPHONE NO. ?/ 9 Z. if
DESCRIPTION Q ',( /Y _ Q& .Ji
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
c• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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0• • WORK SATISFACTORY:PROCEED PROJECT COMPLETE ��
CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0BEFORE COVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR II CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra o ?Ste:
Inspector. 'WIN -
White Copy/inspector's File Canary Copy/Site Notice
DAT TIME
CITY OF ORONO CALLED IN 3- 7 T•` a
INSPECTION NQTICE,7 SCHEDULED v-q _`z
PERMIT NO. /ii _ COMPLETED
ADDRESS
OWNER 1/ ' /�' "� CONTR. f (MEET
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TELEPHONE NO. / �L Wy 0 �')
DESCRIPTION __J-4/47(/ JJL/'€&J
lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES NO
COMMENTS:
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O ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
❑ CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
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 ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor n ' e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice