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Home My WebLink About1994-006706 (sewer & water) t � . � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: _. Date Issued: `: "�'`� (612)473-7357 �:;;:'i'i ._:,''_r.;;. SITE ADDRESS: _ . . � �:r:�`�"_=.i`r.._ , ..� DESCRIPTION: _. . ; .- ...-. - _ ,._ _ � � , � . .._ . . . .:. ._.. .. : .:�. .. _ . . ...:. :_. ._.F- .,.. ':. � �-. : . ��:_ =;F-�i.��t^•� i,�i::s?.i<t' ;<%�'i ��•.:,� _iiEi"!``•,•;ai;-;`i� ;'!�_�! '�-,_ � '' � -:�� ' _ �:. ,.. . f �_':' : _-. .... _i�'r�: : �->. �'�.�...: _ : . .±.._ : �. f:L �'f�td?!: L1!!, 1�'1 L':1L'!Tl: _• .,. ;•.L i:�.,..t_� ��.1.t'!1'T7iLL L�!( .t.L•L ''y:I�+'}=i'ti�r� .L s.'1�•if L�4'\'V V f7 rr•• ='1. LLlt i.....+1/L i•"lP,. !.L'.L✓s'1:3\.'\'L�L !i it'f '_At 'Fe! V 1 Vi.!� �.�-a L•V �!!T'i 1�V 1!l �'};��} .7.t�•1Jn%1�1.`VVV }": L'.7. VllRi �.t.+Vli— . ..--.�l�ili}is�: 1 i..i_i.�i�VV1JV1/ .. }': �..�i: �.� V1 tSL.t7 aJl� REMARKS: FEE SUMMARY: ... .._-.. ��;.. -.- _. . .. .. . =:L;'s''=;ic�.t��"' __..____.___ . = :;';, Tr,::y..�,� �=c__ `.�h=_� :i;i CONTRACTOR: - :`:;._;=�;. ��.�;.��: � OWNER: _ , .: ,� _ -'__ _.... .': . . " _: .�. . : ...' �::�, r �. ��._ _ . . . _ . _.. .. � � ;�;:-: ;;_j:: ,; - c::'!`: ' i . - -�[� , . ._:3��._��_: :'��. ti t;_r_ ._: :"�.. .. � ... . . _�a.:...__ . .... , ,_., ;, .�, 1; _ ',i��,_I rr� i- , r . .. . ..-� . . ..� , + ,;.! . `'' - : ;- -. . - :,'e_ �,.��:3 -�., ': .�, ... ;.. G _. . , . g . . . _ . ... .. ..., �.. .. .. . . . _. . .. ._ ._ . — .. . ._... .__ .... . . ,_. . _. .�.. . . :. '.. ,` ...: �. .'�' ��:i.. .�,�. _,�,., r,: � ' , E� '� .._ � �_, . . .; _ . . .._ _:.i . _ .�.�� - - '•:; - .. .`i � .' i :,ji i � � .:i ._... .�.. ...L_�_: : .. ._� .�. ..*. ,.._a.�._._, . ._< ._� _ . :._.._ °.' . _ .... ... .. _ . . . .�.._ _ _ . . ... ... ., �, �. ..i F ' - rTi �....' : � , . ._... . t_. _ . � . . : , t.,., �, .�.: . � : . .�....,. i: . . .. .... .. . F'.. _ .. . _.. . . _. _ . . _... .. , .. , .m.., _.,. .. r ' �' t.. !i �, ' . .. _,y L _ .. . . � . ; , � ' �� APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE . .l;l'1'Y' Ul�' U1ZU1vU AYYLII;�'1'llll� �lll� U1'1L1'1'Y YLIZIVII'1'S Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 55323 S GEN�RAL 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 yoa 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 uotice required. JOB SITE ADDRE5S:� �l� �� ° ' -�-�� Occupancy Type: Resider�t�l Commercial Owner's Name: - ,�,� Phone Number: Mailing Address: �—' City�;�,�„, 7ip:��E Contractor's Name: � _ PhoneNumber:�..�7� --��'� ��.i Mailing Address: 3�� /G/ �- City: 7ip:��f� � PERMIT TYPE Municipal Sewer Connection ($35.00 per stub) $ pipe size inches; material �_ PVC (on sand fill); cast iron SAC Charge ($80 .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; ot��er WATER MET�RS 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' PERMIT FEE CALCULATION 1. Subtotal of above permit requested $ 2. State Surchar�e $ .50 The State Building Code Division Surcharge of$.50 per permit must be included for each well, sewer and water connection permit requested. 3. Posta�e & 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 ; F correct. �� .. Signature of Applicart�t�.� �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE�� SCHEDULED �;r�'.��`� �`/j�— PERMIT NO. COMPLETED � . ... �-,�. .� t � ADDRESS --� �` ��' � : � OWNER CONTR. r' TELEPHONE NO. � DESCRIPTION � 01 FOOTINd 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINO �Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL Bp. 12 WATER NOOK-UP 17 SITE INSPECTION Q 2 05 FINAL 4 SEWER_HOOK- 06 PROGRESS � 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT J Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINQ"FINAL - 36 FOUNDATION REMOVAL Q OWNER/�ONTRACTOR TO MEET�OU: a-�ES NO y COMMENTS: ��X� f � ,�.� � f a / � ' o i ,;s� � �. � � O � W � Q � Z W J � � � j / d C;WORK SATISFACTORY:PROCEED T PROJECT COMPLETE W �__ � C? CORRECT WORK 8 PROCEED � C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. INSPECTOR WILL RETURN � PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR fl: CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContractor on�i� �� ,� �t�- �/'.-.. Inspector. � Whife Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED �� PERMIT NO. � -- COMPLETED ADDRESS `- OWNER `"`� � CONTR. � TELEPHONENO. '�'��I✓ ~ `7�� DESCRIPTION � 01 FOOTINO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINO � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE,IWETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WAfER NOOK-UP 17 SITE INSPECTION Q 2 OS FINAL 14 ER HOOK-UO� 06 PROGRESS ~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT v � 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINCi FINAL 36 FOUNDATION REMOV L Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ' �' 4 �' N . . ,, _ � o ' � , � ,� ° �c, � W � Q � ��' z W , i � W � j d �WORK SATISFACTORY:PROCEED = PROJECT COMPLETE W � [7 CORRECT WORK 8 PROCEED �=. ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. — pH0T0 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 OwnerlContra r�site: Inspector. White Copyllnspector's ile Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN 3��/ -�:�� INSPECTION NO I� SCHEDULED � �S �-�'� PERMIT NO. L COMPLETED ADDRESS �� r � � OWN ER CONTR. TELEPHONE NO. �I 5 �— C�� DESCRIPTION �J'L�ur'�/t� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 P 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP ' �.f,E,�lit9',.[c-r06 PROGRESS � 07 DEMO-SITE 27 SEPTIC M INT. 21 COMPLAINT � 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: � w a � J O >. � ° � C�.�r' � t�c9 ci s W � Q � Z � U W � � d ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � O CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor s' : Inspector. ' White Copylinspector's File Canary CopylSite Notice