HomeMy WebLinkAbout1994-005978 - connection - kennel/house PERMIT
CITY OF ORONO . • PERMIT TYPE: '.EWER & WATER
2750 Kelley Parkway • P.O. Box 8150 5`�7=_
Orono. Minnesota 55356-0815 Permit Number: i 3 f '�;/9
(612) 473-7357 Date Issued:
SITE ADDRESS: 350-S Wi,)YZAT BLVD
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REMARKS:
FEE SUMMARY:
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PO BOX 219 :3505 WAYZATA BLVD
ST E;OPdIF C•Itf'_ MN C_ERONO MN 55*_-- 6
(612) 446-1495
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) _4b 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 perruit 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: __5�3-6
Occupancy Type: Residential Commercial
Owner's Name: ,rJ fi//,-nom– - PhoneNumber:
Mailing Address: /city: f- zip:
Contractor's Name: Gy� .M� .rr� PhoneN r:
Mailing Address: �D �x his .�–• .��1f�.�� City: 5:� �i ,Zip:
PERMIT TYPE
Municipal Sewer Cgnnection ($35.00 per stub) / $
pipe size 7"/ inches; material ` Pvc (on sand fill); cast iron
SAC Charge ($750.00) 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) $
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: 'd� �%`�
�(DA/TEEq,/ TIME
CITY OF ORONO CALLED IN -� �-•�'�3��
INSPECTION NOTICE
1� SCHEDULED
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PERMIT NO. ` COMPLETED
ADDRESS v�_42 AIQ
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
h 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAI 21 COMPLAINT
= 09 PLUMBING RI ILL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FI AL
OWNER/CONTRACTOR TO MEET YOU: ES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor t
Inspector.
White Copy/Inspector's File Canary Copylsite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE 5q q SCHEDULED //-7 SIM
PERMIT NO. COMPLETED 'DD
ADDRESS
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREANETLANDS
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2 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 4 SEWER HOO - 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC IN LL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTI NAL
Z OWNERICONTRACTOR TO MEET YOU:_YES O
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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 on
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White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �a� SCHEDULED _
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING /1 MECHANICAL RI 18EXCAV/GRADING/FIWNG
h 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER H P 17 SITE INSPECTION
Q 05 FINALSEWER HOO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
..I 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: ES_NO
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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/Contracto on it
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE
CITY OF ORONO CALLED IN qytwog�
INSPECTION NOTICE 5C1-�� SCHEDULED OV
PERMIT NO. COMPLETED I
ADDRESS GAS— 7 Q
OWNER CONTR. Y
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
h 07 DEMO—SITE OK-UP 06 PROGRESS
v 07 DEMO—FINAL T. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTI
OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor an site:
Inspector. .00t —
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE /; SCHEDULED '
PERMIT NO. 5 COMPLETED
ADDRESS CSS' 7 DI
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TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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07 DEMO—SITE 2C MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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Z OWNER/CONTRACTOR TO MEET YOU: YES NO
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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
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE / TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE /�� SCHEDULED
PERMIT NO. / COMPLETED Ll
ADDRESS 5-07 y,
OWNER CONTR. 1
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MEcAANICALRI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREANETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 16f- 06 PROGRESS
07 DEMO—FINAL 27 21 COMPLAINT
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09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU: _NO
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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
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice