HomeMy WebLinkAbout1994 - #006715 - sewer connectCITY OF ORONO
2750 Kelley Parkway - P.O. Box 66
Crystal Bay, Minnesota 55323
(612)473.7357
SITE ADDRESS:
PERMIT
.3640) I- AYS 10F: RO
REMARKS:
FEE SUMMARY:
PERMIT TYPE:
Permit Numb9►:
Date Issued:
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CITY OF OrdW
1`WFIA' E OFFICE p
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01 ca 800.00
CIM IL 800.00
PECUPT-78ft' YOU
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CONTRACTOR: OWNER:HF
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THE LINOERSIGNF-O Ht=REBY REtIUESTS PERI�I':SWN f0 MAKE THE REAL IMPROVEMENP3 O
SPECIFIED AND AGREES 10 DO ALL WORK. IN STRICT CC,MF'I.IAN(L WITH ALL CITY OF
ORONO OROINANCEI__ ANO +-•rATI: OF MINNESOTA RUILOIN6 COOP: RERUIREMrNf
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APPLICANT PER TEE SIGNATURE �111"Day SGMTURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GENERAL UffORMATItNI
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 ntrt vaUd umil you receive • perark card.
4. Work must not begin unless the permit card is available on the job site.
S. 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 eta 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. n
JOB SITE ADDRESS
Occupancy Type: RedduKW Commercial
Owner's Name: 141PhoneNumber-y_n
Mailing Address: City: Z✓a_T�-�,
Contractor's Name: PhoneNtmber — _
Mailing Address: City.A7 4'.r—
PERMff T_1'_P�
Municipal Sewer C rtnection (S35.00 per stu S
pipe size inches: material PVC (on sand fill); cast iron
SAC Charge (5800.00) must accompany' all wer permit applications unless prepaid. If not
prepaid, a sewer connection permit will wt be issued.
Municipal Water Connection (S35.00 per stub)
pipe size inches; material copper; otter
WATER METERS must be picked up and paid for at City Hall.
(5/8" meters = S133.00: 3/4" meters = S181.00; 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 5
2. State Surcharge S .50
The State Building Code Division Surcharge of S.50 per permit must be
included for each well, sewer and water connection permit requested.
3. Postage 6t Handling (Only mail -in applications) S 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) S
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 ail statements made on this application are complete, we and
correct.
Signature of Applica6t: � .d r � 1 �1/yz
DATE TIME
O
CITY OF ORONO CALLED IN !
INSPECTION N?
TICE SCHEDULED L�iY Lam_
PERMIT NO. J COMIKEUD M �-
7
ADDRESS
OWNER �C �• COWIL'"-
TELEPHONENO. 073-`430c)
DESCRIPTION
---
c
01 FOOTING
I, MECNANTM AT
19 E%CAVIOMDagIFiLLING
92 FRAMING
12 MECHANICAL FINK
19 LAKESHCREAVETLANDS
00 INSULATION
24R5 WOOD SURNEWHREREACE
?N TREE REMOVAL
OE WALL DD.
12 WATER HOOK-UP
IT SITE INSPECTION
_.__TEMPORARY
-ftSEWER HOOK -IO'
OK PROGRESS
05 FINAL
01 DEMO --SITE
OPTIC AEAINT
21 COMPLAINT
07 DEMO -FMK
15 SEFTIC INSTALL
22 FOLLOW-UP
09 PLUMOINO RI
27 SFPTIG FINAL
05 HARD COVER REMOVAL
10 PLUMBING FINAL
Inspector-''�UUU -
X FOUNOATIJII REMOVAL
OWNETUCONTRACTOR
TO NUT YOU: _m _ NO
COMMENTS:
c
-
WORK SATISFACTORY PROCE EO
PROJECT COMPLETE
CORRECT WORK A PROCEED
ISS.:F CERTIFICATE. OF OCCUPANCY
CORRECT WORK. CALL FOR REINSPECTION
_.__TEMPORARY
BEFORE COVERING
_PERMANENT
CORRECT UNSAFE CONDITION "THIN _"OURS
PHC'M TAKEN
INSPECTOR WILL RETURN
SIOPORDER POS. ED CALL INSPECTOR
CITATIC• 'I'&JED
INSPEC I ION REOUIRED CALL TO ARRANGE ACCESS
Call for the next i spection 24 hours in
advance. 473-7357
IJwnedConlr. � EN1 »t,: -----
- - — - - - ---
Inspector-''�UUU -
- - - - - - --
WIIIIN CWFAKWKInr FW
CAIWv CupYmme PwIc.
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO. Box 66
Crystal Bay. Minnesota 55323
(612) 473-7357
SITE ADDRESS:
l3AY•--Ent- an
CH
f'.1 .N. ; 0,- 117- -'1-,:011
DESCRIPTION:
PERMIT TYPE:
Permit Number
Date Issued
bf:WEk CCtNI�EC`i IC+N
Sewer & Water f:armit Tyre_ SEWER CONNI=CTIVN
i:ewr-r u Water Wc,r+ 'iypr- Fit SiI+NCE
CITr a
FI;4AXE OFFICE
1313300000
01 LEN 35.00
1«200000
REMARKS: V1 L-1:111
c"M R 35.50
- RECEIPT-TrUiV riX,
«iY0 w1 r.01 T09:22
FEE SUMMARY:
Base Fee $35 ','ii
:surcharge ------- --$_6r2
Tc-t•a l Fee 1.?S r,i a
'•ULLCOIfTR�ACTOR�Ek:'!ff
arih0 HWV 1-2:
WI1Yti,i, MN
- OWNER:
IIP - E Ft'
Q;iY':IUL R0
PN 551.116
THE VNIDEF:1-:16PAJ! HEREBY REQ', ;TS PEk141,S5.lC'N 'm MARE THE REAL IMNRUVFMENTS
SPECIFIED AND AGREE, TO Or) ALL WORK; IN STRICT CONPLIANCE WITH ALL CITY Or
ORONO 'L![11NlN (ES AND S,TA'FE OF 41NNE:;('TP [!VIl_DINu CLUE: REQUIREMENTS.
C,i/APPLW,MT PEF MiEE SCMIURE —_� — --r55uEDBr S+GNnrVF*,&V .4 _...