HomeMy WebLinkAbout1996-008421 (sewer & water) PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 '=:�;��::�� :, �'E.';;�i=F`
Crysial`Bay, Minnesota 55323 PermitNumber: ;_;,_,,_;r�;,� `
�612)473-7357 Date Issued: ;-y,� ;•-,'`::�y�,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CITY OF URONO APPLICATION FOR UT'ILITY PERNII'TS '��
13ox GG (2750 Kelley Parkway) S�WEIt/WATER _, `
� Crystal I3ay, MN 55323 ��`f �
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� CGNI;RAL INFORMATION
l. You may apply for utility permits by►nail or in person at tl�e City offices.
2. Mailed in applications are subject to the postabe and handling fees shown below. Permit cards�vill 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 ouly.
G. 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 Stnte Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
JOBSITEADDRESS: /,)���� ,��.';<_��� ��,�,�, i ���:%
Occup:�ncy Typc: x Residcntial Commcrci�l �
O�vner's Name: �'��/�, � ��,�1�;� ,`';��i�F;�� ,� Phone Number:
Mailing Address: City: 7ap:
Contr�ctor's Name: , j `� ;�������<�;- �.,�,;;.�,�_�,._;�,�-cPhone Number: ;����-���.>i/
Mailiug Address: -� ���� r.��.�`,-r�-v _�.- City: ��";�";�r 7�p. �-.-,, ;
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PERNIIT TYP�
Municipal Setiver Connection ($35.00 per stub) $ 3��"�'
pipe size�inches; material^�PVC (on sand fill); �cast iron
SAC Charge($850.00)must accompany all sewer pennit applications unless prepaid. If not prepaid,
a sewer connection permit will not be issued.
Muuicipal W�ter Cpnnection ($35.00 per stub) $ �j"`�
pipe size�inches; material co er• odier
—,� PP �
WATER MF,TERS must be picked up and paid for at City Hall.
(5/8" meters = $139.00; 3/4" meters = $191.00; 1" meters = $247.00)
Separate Plumbing Permit issued for water meter.
W�ter mcters must be set and sealed by Orono Water Depnrtment(473-7357)upon completion
of mctcr installation.
REQUIRED minimum setbacks from drainfield and septic tanks = 75'
IZ�QUIRED setback from sewer line = 20'
PrRMIT FI;F, CALCULATION
1. Subtotal of above permit requested $ l0�`�
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. Postage & Handling (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.
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Si�nature of Applicaul: ��_ �O _ Date: �j �27���'