HomeMy WebLinkAbout1996-008128 - sewer connect �
� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 :_��.��-`` :i �`����`�
Permit Number: :xi ii=;�.i�=;
Crystal Bay, Minnesota 55323 _ _ _
(612) 473-7357 Date Issued: ;_;1 j��::;;-��;..,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT'PERMITEE SIGNATURE ISSUEO BY:SIGNATURE
- � C1T'Y OF ORONO APPLICATION FOR U'TILITY F�RMiTS
l�ox GG (2750 Kclley Parkway) S�WEIZ'�dA'I'ER
Crystal 13ay, MN 55323
GGNI;I2AL IN�ORMATION
I. You n�ay apply I'or ulilily permits by m�il or in person at lhe City otliccs.
2. Mailed in applications are subject to the pustage and handling fees shown below. Pennit cards will be sent by
relurn mail the same day the application is received.
3. Permits are not v�lid until you receive a permit c1rd.
4. Work must not begin unless the permit card is availabfe on the job site.
5. Utility connection pennits may be issued to licensed contractors only.
6. Contact the Public Works Department(473-7357)Sor utility stub as-built locations. DO NOT'EXCAVATE
IN ANY S'i'REET 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 witl� State Cade requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 hour noticc required.
JOI3SITEADDRESS:�4� j'1��,���1-J�/�/1---� �
Occupancy Typc: � Residential Commercial
Owiicr's Nainc: � � � �2«�-� YhoiicNuinber:
Mailing Addre 3 � -��,�-• /�..�-r- City: �:
Contractor's Na�ne: , _ Phone Numbe.r: ��y�y -i�� ys —
Mailing Address: .�/�i City:-«��tiL-- 7�p. ���75 —
Y�RMIT TYI'F
li�lunicipal Se�ver Connection ($35.00 per stub) $
pipe size_�__ir�cl�ies; material � PVC (on sand fill); cast iron
SAC Cliarge($85U.00)inust accornpany all se��er permit applications tulless prepaid. lf not prepaid,
a sewer connection perinit will not be issued.
l�'Iuiiicipal �V�ter �(:onnection ($35.00 per stub) $
pipe size__inches; material copper; other_
WA"1'ER Ml-;"1'LRS must be picked up and paid for at City I-�all.
(5/8" meters = $139.OU; 3/4" meters = $191.00; 1" meters= $247.00)
Separatc Plumbing Pertnit issued for water meter.
V1'atci-meters must be set and sealcd by Orono�Vater 1)eparha��nt(473-7357) upon coanpletion
of mctcr installation.
R�(�UIR1;D minimum setbacks from drainCield and septic tanks = 75'
RLQUIRLD setback fro�n sewer ]ine = 20'
PF.RMIT FEI�, CALCULATION
1. Subtolal of above permit requesled $
2. State 5urchar�e $ .50
The State Building Code Division Surcharge of$.50 per permit must be
included for each well, sewer and water connection pern�it requested.
3. PostaQe & I-Iandling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT F�� (add lines 1-3 above) $
The undersigned hereby 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
Minnesota, and certifies that all statements made on this application are complete, true and correct.
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Signalure oCApplic�u�l:_ _���/ ��„y�'�_ Date: �—3 - j�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �/-2� COMPLETED �
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ADDRESS <�'.� !�Y?�,�ii-����7 - f",�f
OWNER CONTR. /�✓/„��r%'� ��ir''.3.%-
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18IXCAV/GRADINCi(FIWNQ
y 02 FRAMINd 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE FIEMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� 05 FINAL � i�SEWER HOOK- 06 PROGRESS
J 07 DEMQ�ITE 27 SEPTIC MIUFIT.— 21 COMPLAINT
W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
J 10 PLUMBIN�FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU` YES O �
� COMMENTS: ' � ��
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WL CORRECT WORK 8 PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY
� G CORRECT WOAK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
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.473-73�J7
OwnerlContractQr e-
tnspector. � _ 'G-` O./' .%1''i�1i"g—�� .
White Copyllnspector's File Canary CopylSite Notiee
DATE TIME
CITY OF ORONO CALLED IN '�y�-
INSPECTION NOTIC� SCHEDULED �-� / �S
PERMIT N0.�'/.�A COMPLETED
ADDRESS �2S ��Lc,,,�z:_����; ��;_z_
OWNER ,�c�_L C �-a-��� CONTR. L.i ��,r.� �,
TELEPHONE NO. y�f�' "- /��%J
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18IXCAV/ORADINCi/FIWNO
y 02 FRAMINO 13 MECHANICAL FINAL 19 LAf�SHORE/WETLANDS
� 03 INSUlAT10N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP_ 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO �, 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MA—fR'C-- 21 COMPLAINT
J
'Q 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEP11C FINAL 35 HARD COVER REMOVAL
v 10 PLUMBIN�FINAL 36 FOUNDATION HEMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
� COMMENTS: ""�
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
=CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspec ion 24 hours in advance.473-7357
OwnerlContractor o
Inspector. � ��
Whlte Copyllnspector's File Canary Copy/Site Notice