HomeMy WebLinkAbout1996-008567 - sewer connection • 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 i''i �i.f°=;6=�
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:StGNATURE �� {�'
� CITY Or ORONO APPLICATION FOR UTILITY PERI�II'TS
t Box G6 (2750 Kelley Parkway) S�W�R/WATER
Crysta113�y, MN 55323 .�.����
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GGNGRAL INFORMATION
l. You may apply for utility permits by mail or in person at the 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 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 notice required.
JOBSITEADDRESS: � gs�
Occup.incy Typc: �/' Rcsidcnti:� Commerci:�l �
O�vner's Name: �-,r�J J�. h�� 5�.-, Phone Number:
Mailing Address: City: 7�•
Contractor's Name: ��y������{l� ���,�,�,b�;-,y �-�-,C PhoneNumber: 5 3�;- �;�7
M�iling Addi•ess: �yc��J,,,.,t 7/*.� /'�-e n.�- City: ���:�/�/y"f?,�k 7�p•_s�y��g
P�RMIT TYP�
Municipal Sewer Connectiou ($35.00 per stub) $ 3�. v O
pipe size �-{ inches; materialse.h��/�' PVC (on sand fill); cast iron
SAC Charge($850.00)must accompany all sewer pennit applications unless prepaid. If not prepaid,
a se�ver connection permit will not be issued.
Municipal Water Connection ($35.00 per stub) $
pipe size inches; material copper; odler
WATLR MrTERS 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�tcr mctcrs must be set and sealed by Orono�Vatcr Dcp�rtment(473-7357)upon complction
of ineter inst�►ll�tion.
REQUIRED miniinum setbacks from drainfield and septic tanks = 75'
IZEQUIRED setback from sewer line= 20'
P�RMIT FF,P; CALCULATION
1. Subtotal of above permit requested $ 3 S �o
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 & Handline (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ �' 7. aa
The undersigned liereby applies to the City of Orono for issuance of a Utility Pernlit, 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 al statements made on this application are complete, true and correct.
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Signature of Applicant: /l��C'�-G'�- Date: /�- �� 9�
OATE TIME
CITY OF ORONO CALLED IN �j" ��-'—��/� /-��'����
INSPECTION NOTICE,..--- SCHEDULED �l_1'y� �
PERMIT N0. �5� � COMPLETED +" � �C�;�
ADDRESS �--� ���� � ��.f. "��- �u=--
OWNER �/s'�-yr„�e=� CONT �. �����
TELEPHON NE�O'.-'" c� ���� `'� % %�7 �
� DESCRIPTION
� Ot FOOTINC3 11 MECHANICALRI 18IXCAV/GRADINC3/FlWNC3
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER K-UP 17 SITE INSPECTION
ti� OS FINAL EWER HOOK-UO 06 PROGRESS
J 07 DEMO—SITE 27 SEPTf�IUPCIRiT:J� 21 COMPLAINT
Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINC3 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBIN�FINAL / 3@�OUNQ7fTTONRHAIAVA�
Z OWNER/CONTRACTOR TO MEEI Y�:� � NO� `
� COMMENTS: " �` �
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d C WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� ❑CORRECT WORK 8 PROCEED �i ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CAIL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next�nspeetion 24 hours in advance.473-73�J7
OwnerlContractor oA s�te: -`�y r`"�'
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Inspector. ` � � �-" �
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