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HomeMy WebLinkAbout1996-008127 - sewer connect " PERMIT ` CI�Y OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 '_��'����' L' �� � E�' Crystal Bay, Minnesota 55323 Permit Number: i s::;:}��,�7 (612)473-7357 Date Issued: {;;�;i�:�;,f���, SITE ADDRESS: �;��,� �_�C`�;T;.'I�.�:� H4'� I _�� F' . I . hJ, , t��.��,,—i �7—•;:_':?—s�--�i it)t`t' DESCRIPTION: :-:�:ft}�:i=i E::i:l�'�t{�i�C:J T._it� _`y�:4�r;1' ,'1 l,y�.�7.f�+1" �`�'+1�I�;i={- 7 5�'�' _��'�3:�L�"'. �_�_�I����,�_�_ I Z���� '.�;�.���7- :, (.�1�{.�{-• �jr�t��:: ?"v��+?? ��-,=�IC��.i�iz�E� REMARKS: FEE SUMMARY: [���N r-�r �_;�i , tlt) �_+C.�i 1'i�f'!c�!''�EF� --�i'-!�t,�7 I<<�ct�. �.-*� "-------'�i:,-:'� , �i_] CONTRACTOR: - ��'�'� i=�!��. ^ OWNER: Fi�.f���{��.I'� [r�(; ��;;`,�.:If_���'.`,-1?-� �'�'r1_i�':ir�71; .,,�I,,,;I-3� t`i_i y�i i Ic .G:�.`y .�=_� '_�i+:�`•W��i�i r'?J �i�� '��T E�tr=t�#IF�:�:�li°v: �i;tK ��:_:��; t�i�;t���-�t:i ����( ��"����:�':, i:r,!',;::i �.,ir,•—j.%'�� i;�,:t',�'j=i.?::—�=��_�i's'i �y-j�{�^ jki p. r.._L.��'.,T i i:•CC�;t �^ 7^ { i�" y^ y;�r�T=_ .•.�' "',hi -- �;-;i�'i_ "f' ' ii �C#:'y„,P• 1 �EI'� +„�iWi_)�7�.4i 1,i_i��\.�'f i �'{�'_'•i!�t.�T i"��T tkt,,•u���� y�• i���.!ii �1•...',�.�.!.�_!!Y � {_.� i'jfil'•.!.. !���� . �T�-!L.. _ .f�����.� �!..,... !L.! � •« :���`��=I F` I��� �=1��f i :�i��'.`E.'_� i�=► ��i� f�E_i.._ !:�E�_it;'t�:. I3�a ��i t;I i;:T' i�:i i�i�='I s t=�j.it::� �,,;'s T :H tj�._'s._ �:I�;r� =."i� :_i�il�l�li:l E�I�;'[i T��.l�;t:�S_;:t�;°=; ¢='i;':;f� :���T'�- 3"'t� ;��;t:,t.�`�r'=.i_E'}"� r�i_:]'�i;T�u�; i;i�3[)i=-. �;i-;i;F3 i i�'�;:`i�:i•�!•_ � � ����sGZ�L[<L���a(�'Z���� (/i��Y�i/ J�/ APPLICANT%PEFMITEE SIGNATURE ISSUED BY:SIGNATURE t CITY OF ORONO APYLICATION FOR UTILIT�' PERM1'TS " I3ox GG (2750 Kelley Parkway) SEWER/WATER Cryst�l 13ay, MN 55323 GGNCRAL INFORMATION 1. You may apply for utility pennits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fces shown below. Permit cards will be sent by return mail the same day the application is received. 3. Permits�re 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 STRGET AND DO NOT TAP ANY MA1N without express approval of the Public Works Department. Issuance of a permit does not grant this approval. 7. All wo►•k must be done in accordance witli State Code requirements. 8. All work must be inspected before it is covered. Ca11473-7357. 24 I�our notice required. JOBSITEADDItCSS: �.. .1�- S � Occupancy Type: � Residenti�l Commercial Owncr's Namc: �� `. �.�. = �-� Phone Numbcr: y � 7� � �'(�' ; M�iling Address — City; 7�p. Contractor's Name: _ - PhoneNumbei•: yhrrl _��,� ���;— Mailing Address: � Clty' ��,� :2�: Zp• S,S��.�s — PERMIT TYPL Municipal Sewer Connection ($35.00 per stub) � $ pipe size�inches; material ��/ PVC (on sand fill); cast iron SAC Cl�arge($850.00)must accompany all sewer perinit applications unless prepaid. If not prepaid, a sewer connection permit will not be issued. Municipal W�tcr Connectiou ($35.00 per stub) $ �,�� pipe size inclies; material copper; otller WATLR ME"I'LRS 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. Water meters must be set and sealed by Orono Water Department(473-7357)upon completion of mctcr installation. REQUIRED minimucn setbacks froin draiiifield and septic tanks = 75' REQUIRED setback from sewer line = 20' PI;IZM[T FEC CALCULAT[ON 1. Subtotal of above permit requested $ 2. State Surchar�e $ .Sp 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 & Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (add lines 1-3 above) $ The undersigned liereby applies to the City of Orono for issuance of a Utility Pennit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Mituiesota, and certifies that all statements made on this application are complete, true and correct. `, � � Si�nat��re of Applicanl: -��/.��%�����(/ Date: j '� ' ?�� D�E TIME CITY OF ORONO CALLED IN �'J � •^/L� INSPECTION NOTICE SCHEDULED ? -� PERMIT N0. �/�� COMPLETED ADDRESS ��5 ���r�.l���<E��; C. ��� A � j OWNER��i�������; �'�'����%���ONTR. �/�,_,�—</1��'",r � '���� ; � TELEPHONE N0. 7��' =���-�' � DESCRIPTION � Ot FOOTINC3 11 MECHANICAL RI 18IXCAV/GRADINCi/FIWNd y 02 FHAMING 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34�ffERApV,4�� Qp4 WALL BD. 12 WATER HOOK-� (_i7 SITE INSPECTION = OS FINAL , 14 SEWER HOOK•UO p6 PROGRESS � 07 DEMQ—SITE 2�T�C MAINT. 21 COMPLAINT J Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINO FINAL 36 FOUNOATION REMOVAL Q OWNER/CONTRACTOR TO MEET YO •_YES NO � c�„ COMMENTS: ! � � �� ' / ��N � �� , - , �' ' .i��' � �'y� _ } � ,- O �� :E�L.L,����!�Y�\ _'9��i�X��f���� � � j � � � W � Q � Z W � W � � d ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W � L CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONW�THIN HOURS. r- pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-�'CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContractor n ite<' Inspector. �"���� � i� . %;`'� _- f� � White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN - ���' INSPECTION NOTICE�, scHe�u�Eo 7 � � � < <� PERMIT NO. •'Y�� ? COMPLETED �— ADDRESS �1���� �ze�i��-�u' <<,' �,..��_. � OWNER ����-�-�I'� CONTR. c L����iju_ c TELEPHONE NO. �� '`� � �'��� � DESCRIPTION � Ot FOOTINO 11 MECHANICALRI 18EXCAV/ORADIN�/FIWNO y 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORE/WETIANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z p4 WAL1 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q ---=-� = p5 FINqL �14 SEWER HOOK-UO i 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTiC MAINT. 21 COMPLAINT J W 07 DEMQ—FINAL 15 SEPTiC INSTALL 22 FOLLOW-UP = 09 PLUMBINO RI 23 SEP71C FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO M U: YES_NO � COMMENTS: —' W -� t � � .— a �� j � � � O � � O � W � Q � 2 W � W � � d �WORK SATISFACTORY:PROCEED = PROJECT COMPLETE W � 0 CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONOITION WITHIN HOURS. C pHOTOTAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next ins ction 24 hours i advance.473-7357 OwnerlContracto � Inspector. � White Copyllnspector's File Canary Copy/Site Notics