HomeMy WebLinkAbout1995-007233 (sewer & water ) PERI�✓IIT
CITY OF ORONO ` � " PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - � ""'-� , i;.;}:,-i-;��;
Crystal Bay, Minnesota 55323 Permit Number: ���:�s;w;.-,���
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(612)473-7357 Date Issued: - _
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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PUCANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR UTILITY PERMITS
I3ox 6G (2750 Kelley Parkway) " � SEWER/WATER
Crystal Bay, MN 55323
GENI;RAL INFORMATION
I. You may apply for utility permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postagc a�ld handling fees shown below. Permit cards will be sent
by rcturn mail the same day the application is received.
3. Permits are not valid until you receive a permit card.
4. Work must not bcgin unlcss tlic permit card is available on thc job sitc.
5. Utility connection permits may be issued to licensed contractors only.
6. Contact the Public Works Dcpartment (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. tssua�ice 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:� f� ��ti P � � _ '
Occupancy Type: Re ide _ al Commercial
Owner's Name: � f , �-��-vc.-�•�' PhoneNumber:�7�/--�l3 Z. �
Mailing Address:. -- City: 7�p:
Coiitractor's Na�ne: �" honeNumber:�/���<jc�t�`�
Mailing Address: > 1 � ;�, � City:l��� 7�p:�
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size � inches; material _� PVC (on sand fill); cast iron
SAC Charge ($850.00) must accompany all sewer perrnit 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 MCTERS 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 ineter installation.
REQUIRED minimum setbacks from drainfield and septic tanks = 75'
REQUIRED setback from sewer line = 20'
P�RM1T FEE CALCULATION
1. Subtotal of above permit requested $
2. State SurcharQe $ .50
The State Building Cocle Division Surcharge of$.50 per permit must be
included for each well, sewer and water connec[ion permit requcsted.
3. Postage & Handlin� (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 �lpplicant• ' Date: �//�1��
DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION N IC SCHEDULED 'r'!J /�O D
PERMIT NO. ��� � COMPLETED � �
ADDRESS �
OWNER CONTR.
TELEPHONE N0. '5�7.'f - �3 D�
� DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 17 SITE INSPECTION
Q 05 FINAL 4 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 . 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r-, 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.473-73�J7
OwnerlContrac
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
DATE
CITY OF ORONO cA��E�iN �''/L'�-�'_S`�
INSPECTION NOT/I�CE � , SCHEDULED
PERMIT NO. "/ � � �� COMPLETED
ADDRESS �� C°� ��
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OWNER l�c�`-�--�'`-���- CONTR. ���—�-��
TELEPHONE NO. �7j � ��-�`��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q
Z 04 WALL BD. 12 WATER HOO -tiP ` 17 SITE INSPECTION
Q OS FINAL 4 SEWER HOOK-UP� 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED PROJECT COMPLETE
W C CORRECT WORK 8 PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CAL�INSPECTOR r': CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract s
Inspector.
White Copyllnspector's File Canary CopylSite Notice