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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: - - " 3.70 0 FEE SUMMARY: __ `'' x -' CHECKTf BaseFee $35 . 00 1SL.L•L 2!- 7 7 "jS! ' «i !LSJ Total Fee $36. 80 • 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' . _!y=_. _. ti.�•, ail -;!-i 7 APPI IrANTJPPRMAITPF CI(;NATI IRP ICCI IPP RV.CI(:NATI IPP if-4d s 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 er x " qt.} >. c, W cc Q W 0; d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W 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 /w- CITY OF ORONO CALLED IN ' . ` Jl INSPECTION NOTICE SCHEDULED AAW95.'` /•-9& ' PERMIT NO. COMPLETED i -Z/. -5S— J.1(-) ADDRESS q,Y--)71,' 4-'. �,p OWNER CV15-9 ONNTR.• `(�z �'� TELEPHONE NO. '/72 - T1 J 5 DESCRIPTION t4.. 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: a #4f.► 77 Z D �r 1 rr ,, ✓ _ ---.0 ` u'1 c e 11 cc o ... C�. (C urea 0 9 cc o LJ W , cc W Z LW d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W • 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