HomeMy WebLinkAbout1995 - 007426 - sewer connect PERMIT
' CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Permit Number:!'
Crystal Bay, Minnesota 55323tr. T:" _
(612)473-7357 I.Date Issued: _.E ,•
SITE ADDRESS:
348 WESTLAKE ST
CH
DESCRIPTION:
SEWER -:F_ NNF_C. _ ..iN
Sewer'1" .;. WatPr Permit -- _ SEWER ,-,f__ F:=t '_i`:iii
Sewer & Water yp a RESI5ENCE
REMARKS:
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3.70 0
FEE SUMMARY: __ `'' x
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CHECKTf
BaseFee $35 . 00 1SL.L•L 2!- 7 7 "jS!
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Total Fee $36. 80
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CONTRACTOR: ;: ,__ ._;�.;; . -- OWNER:
WESTOWA MECH CONTRACTORS 24724369 ss
ROBERT
650 . COUNTY t_il I„ -x ` WEST
cy_ •- -
MOUND._��_N MN ....?6 ORONO:=O - _
MN
THE UNDERSIGNED HEREBYREQUESTS PERMISSION TO MAKE THF F =r f IMPROVEMENTS
SPECIFIED AND AGREE Ti (fit f ALL WORK I NSTRICT COMPLIANCE
- - i WITH AIL CITY OF
ORONO i iP=r:7I N"NC: '� AND - ATE E OF j 1I NNE'_. I A EU I f n_N CODE R`Q !I REMENT' .
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CITY OF ORONO APPLICATION klOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER /W2 C,
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.
JOB SITE ADDRESS: ?Li e2
Occupancy Type: ' Residential Commercial
Owner's Name: Phone Number:
Mailing Address: City: Zip:
Contractor's Name: 1e PhoneNumber (17,„)-e-795-,
Mailing Address: f City: ( J i Zip: est
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stip-j)
pipe size 1/ inches; material 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 = $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: 13,7_14,,,-. if/ Date: jV
DATE / TIME
CITY OF ORONO CALLED IN / _/�)_ 7S ,
INSPECTION NOTICESCHEDULED /
PERMIT NO. 7 `fes COMPLETED
ADDRESS 5 4i . /-
OWNER CONTR. all-11-t-;-74,1(��
TELEPHONE NO. V'7 - ` 4/93—V
DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 -UP 17 SITE INSPECTION
• 05 FINAL 14 SEWER HOOICi
06 PROGRESS
I` 07 DEMO—SITE 27 SEP Tom 21 COMPLAINT
cC 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: r
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CC 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
Owner/Contra n s e
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DO /
TE „ TIME
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CITY OF ORONO CALLED IN ' . ` Jl
INSPECTION NOTICE SCHEDULED AAW95.'` /•-9&
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PERMIT NO. COMPLETED i -Z/. -5S— J.1(-)
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OWNER CV15-9
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TELEPHONE NO. '/72 - T1 J 5
DESCRIPTION
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01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
CO 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL (-1-4 SEWER HOOK-U 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
ct
11.1 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
o COMMENTS:
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• El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
C 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 te-
Inspector. f CSC
Whi Copyllnspector's File Canary Copy/Site Notice