HomeMy WebLinkAbout1994-006166 - sewer connect PERMIT
CIT� �� ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box S15 Permit Number: - -`��'' '={ �``'"' ��`
Orono, Minnesota 55356-0815 ;.'�-'�`��_=�_�_
(612) 473-7357 Date Issued: �V;i,., V _. Y.
SITE ADDRESS:
.:__�_ ,::�;�_ - . ��.;�i .;:ar"�.
; _;;��
. . _. . -. . . _ _.— '. �. , ...__: _. ''k—���':J'.'�
DESCRIPTION:
_._..'Lf�':". _,i_'f'JZStL�.f�I i_ii�V
_;3,�.�,cF+;, .� I'�:=t#.t:'�' .-3!=':'rli��.• �>�':_ -t=°:����'� _:I!����;�!_ t�s+_il`•,
-t:�,atE.`t' _.. ia1��'�',•!�'y' �,c`t_�1"r:; � V��M �.'G t�'(_;F.��f..C:
'!�'ti i�[' rifl('!i5li! �
L•1! ! L'( V/\L'!SL
i�' :?Aii'� lC��L?.+'t
t 1/tf!ltLL t!I 1 1LL
+ i+< {sr"s;"t;"t;S �e
i..�i���vvvvv �
e}* i CAi ' r"tri
VJ. LTLI! ��.aVV
�•,��1��%M'� ,�
REMARKS: '�°
1.�.L LLl�f �JV
!'A�if'h' .'1 -- •-.i!
L•!!L4�1 !L �Jl•
?:L'i'.L fill�_'�J•�A�F' ti!!t
!tLLLl� ! I1Jl7ITl1 !1JL7
ti:e3i;ii'} :�i:if§ '�:id T:iTaii}
7f��f.�L'tSY L•tJV1 1111.1 1Vl�L1
FEE SUMMARY: �'``T'"`'`'
yL�r yT:!'7
��_.���= . .-.._ 'a�:y+i_ j_ii_}
_ t{�t,�?=I�: _ — ��i
�{_f�.:,i : i'"i_'i-' —.�..��..��._.�3:•.��4 `.11
CONTRACTOR: -- �_,�,��i =:__:.�;�. — OWNER:
: - :,��;; -, ; .::-. �;,�:;�: -
�� t_ �:-.,.... : ,,.: �=':i�.r,i :..._. �. -���' ��}r':;�?
.- ,_ :w�i�.. .����" �_. _ {:1��:'���f�:'I+���� ;=��-'t�
_• i _`.';_�i�f�". . . °.F i`� �+rka C:�=_.��L: tV i�';�_;th.!�_'E f+ri:,� .. ". _ �F}
. . _.._.� � . _ ' . . _ - '
-:� .�.. . _. _ , . . - - - - � - � - —
: �...:�; k:f°,1 ki-c�:`.—� i Ftx } �-i" �~•C's...� � I— l'-.�'- - —; t.��(�';� #'�€ iY :;r�:° �--;� �'� �'�—'=`-;i i't;' � 1-��i '
_._,.:._.
.
, . .. _, ; _ r .�
� � .:
_. _. ._. ' -
—.,.-.:..__ r.w____ _ .. _ .. . _
. .,:�.•,
'.�,'.-'f-i, . ; � �;�;: ;.q��,�el iii7?,';w.€�:� :��i i'•i_; ;i_._�._ l.e_. .C�. .!� .. . . .{;y {Tx-��.i��� �;,,;.�s_i�_��R. �T..A. :�._. ._ _ � # `? t I''
.__.» ._. _ _,. �
z�iC'li_ii�ai � {f"�<.L.��3� f�..�� .^`�'. . .i 3£.t _. . , _. F_' ' j t .. _.�^� �.. . _E . ..� _. .. . _.}_y_ R _i� F�}.�...�.... _
. � _.. _ �:. � ._...... '<:L � i ri���: � f r l Fvc's ! i c ;i`r_'.' � r':�"�`? . �3 �
L _. _ .
��%rn-�'� �
APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
Cl'1'Y O1�' U1tU1VU AYYLI(;A'1'IUIV N'Ult U'1'1L1'1'Y YL1tMl'1'S
CBox'i?6 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GENERAL 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 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.
JOB SITE ADDRESS: � � �
Occupancy Type: �/� siden ial Commercial
Owner's Name: PhoneNumber:� �' -� J S��
Mailing Address: �'" % City: 'p:
Contractor's Name• PhoneN ber: —1 �
Mailing Address: C►tY� �P��,��Z.S '
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size � inches; material �,�PVC (on sand fill); cast iron
SAC Charge ($80�0.00) 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; other
WATER METERS 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 Tneters inust 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 PERNIIT 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.
Signature of Applicant: _ 2� �� � �h�_L.
DATE TIME
CITY OF ORONO cn��Eo iN - � � -'`�`�,�`���>—>
INSPECTION NOTICE scHE�u�E� (o i N �`� .' Lz ,J� /1�
PERMIT NO. ��,!���� � cornP�ETEo —1 I 2 •c3�
i /'
ADDRESS =� �� L���C�_.�'. �Lt�-��� �,� ��� �- �--�
OWNER CONTR. ��%���'���'.��%
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FiNAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
= 07 DEMO—SITE 14 SEWER HOOK-liP'
� � �__ 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO �
� COMMENTS: �
��
� �G(.�Gr�I 9`�
�
J
0 3�
o !!�t/L ��j-� p, �� �,�
w
�
Q
� �,.,e( .
z
� ��
w
�
j
u/�ORK SATISFACTORY:PROCEED �pROJECT COMPLETE
f� CORRECT WORK&PROCEED i , ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN ' PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR
� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac�on s' :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED Q� 22-oS
ADDRESS Z 37 C rIX.3Tv�2=7/t� /�'�'`�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
ti
�
Q
�
Z �
�
W
�
�
d
W [_1 WORK SATISFACTORY:PROCEED f i PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �" ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
[7 CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR W4LL RETURN
TOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContr o si :
Inspector
Whit pylinspector's File Canary CopylSite Notice