HomeMy WebLinkAbout1996 - 008477 - sewer connect PERMIT
CFP( OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 , , „?IAF' ; WATER
,rystal Bay, Minnesota 55323 Permit Number: ;;;0/08/
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�� Date Issued:
(612)473-7357 1 `:'0 =--,
SITE ADDRESS:
WESTLAKE ST
LSV
P . I . N. . 05-117-23-23-0040
DESCRIPTION:
_SEWER C:UNNE i:T I ON
Sewer & Wat.ur Permit. Type SEWER C=ONNECTION
Sewer ?, Water Work Type RESIDENCE
REMARKS:
FEE SUMMARY:
Base Fee $35.00 SAC FEE _iiQ
Surcharge 1-50 Total Fee $8�, 50
Subtotal $35 . SO
CONTRACTOR: — Applicant — OWNER:
HIGHVIEW F`LEG '7,9338600 Ft-Fps GREGG
4 :01 HIGHVIEW PL 309 WESTLAKE ST
M1INi'ETONF:.A C•1N 55345 ORONO MN 535E
(A13) 9:=::=:-:=u.c)0
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES Ti:' DO ALL WORK:: IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
s 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(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: Z 0 `� ( ,`lam S\ 4 AX 6 S .
Occupancy Type: )( Residential Commercial •
Owner's Name: G 12 E(', PE 2 L Phone Number: tos---/''6' 7
Mailing Address: 3o 9' w E57- (A N. City: 0 e2of,so tip:
Contractor's Name: {4IbtiotE,) piA Phone Number: • cT33- 66043
Mailing Address:40oi (M 4u Le,.) Pi_A-c-i.I City: ill TKA- ZIP:,sJ 3Y.S
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size II. inches; material X 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 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
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 Applican (- Date: / 6- --- '6
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ! I SCHEDULED Q
PERMIT NO. C MPLETED /e C
ADDRESS 309, Ca. Let
OWNER -P&r1 CONTR. All' !/��[.J ?1 k
TELEPHONE NO. 1
DESCRIPTION
k 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
rQ 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
= 05 FINAL &EWER HOOK-UO 06 PROGRESS
ti 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
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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WORK SATISFACTORY:PROCEED E PROJECT COMPLETE
C ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
• Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO 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
OwnerIContrac49r ovite:
Inspector. Q /-c4
White Copy/Inspector's File Canary Copy/Site Notice