HomeMy WebLinkAbout1999 - 011875 - sewer connect PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 SFWER :_ WATER
Crystal Bay, Minnesota 55323 Permit Number:
Cr
y y Date Issued: 011875
(612) 249-4600 OSel1 i=r//,
SITE ADDRESS:
W000!f I LL RD
CH
s I w . i2-117 -:;-42-C)00
DESCRIPTION:
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W i.er WorkType RESIDENCE
REMARKS:
FEE SUMMARY:
Base Fee $35 .00
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CONTRACTOR: - Applicant - OWNER:
is L t: fNRAc ING `,47:w;9r7' Y:;I': -,EF:;fi-ERG CECILIA
WILLOW CF ,0 ?,'I 007HI } R
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(6 12) 478-9 579 475-8110
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE A .-o1 .
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323 1//81 ".
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.
I 24 hour notice required,,.
JOB SITE ADDRESS: 2 (t/UD�J LJ L LL I .I
Occupancy Type: A., Residential Commercial
Owner's Name: C t LJ b r�S t� �J} Phone Number:
J
Mailing Address: o U,/UD to L11 LL City:IAgYi ► zap:cS7j C
Contractor's Name: g # Phone Number: 5� '
Mailing Address: d, 112 City: ('VSA ' I K ' Zip:
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $ c j J _ 00
pipe size 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 inches; material copper; other
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 $ 3 SS C 6
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) $
4. TOTAL PERMIT FEE (add lines 1-3 above) $ 3 c S4
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.
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Signature of Applicant: ••�. _ -� i Date: C�4
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED n1/3nl9/
� ' 7
PERMIT NO. / COMPLETED
ADDRESS 456 ez,20 '.
OWNER CONTR. Or
TELEPHONE NO. "/f0 - 9.579
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
vc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL <3"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
ct OWNER/CONTRACTOR TO MEET YOU: YES NO
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COMMENTS:
CC
W
CC
O
CC
0
W
CC
Q
W
CC
W XWORKSATISFACTORY:PROCEED >if PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP 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 site:
Inspector. /67,1' -
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White Copylinspec or's File Canary Copy/Site Notice