HomeMy WebLinkAbout1999-012125 - sewer connection PERMIT
CITY OF ORONO PERMIT TYPE:
� 275c� Kelley Parkway - P.O. Box 66 Permit Number: :=���'��� ��
Crystal Bay, Minnesota 55323 - - - - ---
(612) 249-4600 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
, Bog 66 (2750 Kelley Parkway) SEWER/WATER
� Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for utility pemuts by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below. Pernut cards will 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 pernut card is available on the job site.
5. Utility connection pemuts may be issued to licensed contractors only.
6. Contact the Public Works Department(249-4600)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. Ca11249-4600.
24 hour notice required.
JOB SITE ADDRESS: � ''��� S��'^-��S �.�, I� .
Occupancy Type: �_Residential Commercial
Owner's Name: �)%�F} PhoneNumber: ���
Mailing Address: S-z.c_ ���,�.si. City: 7ap:
Contractor's Name:'���wtp�'�c v� (��b�s- • Phone Number: �3 3-�2�t � 7
Mailing Address: j5c,c�r�(vt-�, �`.�.1 , (3 t.�� City: �-E-1��, 7ap: 5s3 s�r ,�
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PERMIT TYPE ')-�
Municipal Sewer Connection ($35.00 per stub) $�'�� `'`' 1
pipe size �` inches; material Schedule 40 air tested; cast iron
SAC Charge ($1,050.�00) must accompany all sewer pernut applications unless prepaid. If not
prepaid, a sewer connec�'ion permit will not be issued. �
Municipal Water Connection ($35.00 per stub) $
,;�� pipe size inches; material copper; other •
WATER METERS must be picked up and paid for at City Hall. .
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(5/8" meters= $130.00; 3/4" meters= $180.00; �1" meters= $240.00) �
Separate Plumbing Permit issued for water meter.
Water meters mus�be set and sealed by Orono Water Department(249-4600) 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. 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 conect.
Signature of Applicant: Date: '}'�
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DATE TIME
CITY OF ORONO CALLED IN
WSPECTION NOTICE /� SCHEDULED �
PERMIT NO. O��j!%�� COMPLETED �—b`_�"_ .r�,r; C
ADDRESS�� ���� !-�� �t �''���-
OWNER CONTR.�I�n T�'�l ����.
TELEPHONE NO. 3��77��
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 4 SEWER HOOK- O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 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 �1(VORK SATISFACTORY:PROCEED �ROJECT COMPLETE
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W Cl 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.CALL INSPECTOR ' CITATION ISSUED
i.': INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-460�
Owner/Contractor on site:
Inspector.,���� L�z ��-�
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