HomeMy WebLinkAbout1996-008132 (sewer connection) PERMIT
CITY OF ORONO PERMIT TYPE:
' 2_750 Kelley Parkway- P.O. Box 66 ,=.,; � �<,--; ,
Cr stal Ba , Minnesota 55323 Permit Number: '=��:i�;�� ?� ��� i F�+
y y Date Issued: �='�:3���i:�,��`
(612) 473-7357 - -
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPL CANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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. CITY QF QRpNp - A�PL��A�1V1Y FOR UTILITY PERMITS
, Box 66 (275U ICelley Farkway) SEWERIWq,T�R --
Crystal B�y, MN Ss323 �-� �
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1• You may apply for utility pennits by mail or in persQn�t ttie City of�ices. ��
2� Mailed in�►pplication5 are subject to the post�e and handling fees shown below. Pern�it eards will be sent by
x0turn mail the same day the application is receivcd.
3� Permitg are not valid until you recejve a ��ermit eard.
4. Work must not begin unless the permit card is avai[�ble on the job site.
5� Utility co�nection perrnits m�►y be issued to licensed cootrnctors only,
6• Cont�ct the PpbIic Works beparhnent(�473-7357) for utility stub as-built iocations. DO NOT EXCA VAT'E
IN ANy STIZE�T ANp DO Np'T TAP ANY MA�N without oxpress approval of the Public Wor�:s
De�artment. Issuance of a permit does not grant this approvc�l.
7. All work must be done in accordance with Scate Code requirements,
S. All work must be inspectcd before it is covered. Call�73_735?.
24 haur notjce required.
JOBSIT�ADbRESS: u`� a ��, s � pa,y�� ��
Occu�ancy Type: � Restdentinl Comrnercial
Owner's Name: s�-.�d�� �,� PhoneT[u���r:
Mailing A,ddress:
Cohtractor's N$nne: K �,� ,�� Gity: ��
Phone Number:
Mailiqg �d��css: ���,:
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P�,�3�ILT TYP�
Municipal Sewer Connection ($35.04 pe� stub) $
pipe size r inches; material PVC sand fill); east iron
SAC Cllai'g� (�$�0.00}must aCcompany all sewer permat ap�licatiaiis tuyless prepaic�. �f not prepaid,
a sewer connectian pernlit will not he issued.
Munlcipnl �ater Cottnectior� ($35.Qp per stttb) $
pipe size / , inches; matezial�co�pp�r, other
WATE[Z ME'I'ERS must be picked up and paid for ut City HaII.
{5/8" ineters � $139.00; 3/4" rneters — $191�UO; 1" nleters = $247,pp)
Separate Plumbing Permit issued for water n�eter.
Water meters must be set and sealed by(Jrono Water Dcpartment{�473�735'�upon cornpletipa
af ineter install�tt�on.
�EQUIRED minimum setbacks fxom drainfield and septic tt�nks = 75'
REQUIK�p setbacic from sewer line=20'
� �CUL TI )N
1, Subtota� of abav� permit requeste�l �
2• ,�i�te Surchar�e �
The Stake�uilding Code Division Surtharge of�,50 per permit must be
included for each well,sewet and wuter connection petmit rcquasted.
3� � (Only z�lail-in applications) $__ �1�Q_
4. TOTAI, FERMI'Z'FEE (add lines l-3 �bave) �
The undersigned hereby �pplies to the City of Orona for issuance of a Utility permit, p�rees to do
all work in strtct accord�ce with tkae ordinances of the City �d the regulatipns of the State of
Minr,esota, and �e�tif es that all statements made on this appiication arc coinplete, tru� atld c�rrt>ct,
Si�n�ture of Applica Uate:� - / ` �`�
�'
ATE TIME
CITY OF ORONO CALLED IN 7 �f'�
INSPECTION NOTICE SCHEDULED �7 r G / ` =3�
PERMIT NO. ��'/3 � COMPLE �
ADDRESS �U � '�Y� �
OWNER C.LiL�z�_/y� . CONTR. : i r . -v
TELEPHONE N0. � %�Q - /�L�
� DESCRIPTION �l r �,- `i �c/
� Ot FOOTING 11 MECHANICAL RI 18 IXCAV/CaRADINO/FILLIN(3
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 031NSULATION 24/25 ER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z05 FINAL � 14 SEWER HOOK-UO 06 PROGRESS
�` 07 DEMO--SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEMQ—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PIUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU:_YES_NO
� COMMENTS:
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ty iswORK SATISFACTORY:PROCEED : PROJECT COMPLETE
� L CORRECT WORK 8 PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pH0T0 TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnerlContra on i :
Inspector. •
White Copyllnspector's File Canary CopylSite Notice