HomeMy WebLinkAbout1994-006062 - sewer connect � Li�l�il�
: CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 _��.�=:xE-.�_`: ;��r'���G.:.�° .,
Orono, Minnesota 55356-0815 Permit Number: _ -
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(612) 473-7357 Date Issued: ",�;.;;A,'.:' ,_.
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE -��'�
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Cl'1'Y Ul� UIZUNU AYYLICATION NUR U'1'1L1T'Y YEKMI'1S �'' n� L
. Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
G�N�RAL 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 cazds 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 connec[ion permits may be issued to licensed contractors only.
6. Contact the Public Works Department (473-7357)for utility stub as-buil[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.
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JOB SITE ADDRESS: ! �����°
Occupancy Type: � Resi ial Commercial
Owner's Name: � ' PhoneNumber:
Mailing Address: City: tip:
Contractor's Name: PhoneNumber: �y� -/���—
Mailing Address: City: 7ip:��.5 ��
PERMIT TYP�
Municipal Sewer Connection ($35.00 per stub) $
pipe size inches; material �� PVC (on sand fill); cast iron
5AC Charge ($80 .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 meters must be set and sealed by Orono Water Department (473-7357) upon
coinpletion of ineter installation.
REQUIRED minimum setbacks from drainfield and septic tanks = 75'
REQUIRED setback from sewer line = 20'
PERMIT FEE CALCULATION
l. 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 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
correct.
Signature of Applicant:_�� �� �'� '��
DATE TIME
CITY OF ORONO CALLED IN -�'� 5�
INSPECTION NOTICE • �1 SCHEDULED � , �
PERMIT NO. `��— COMPLETED
ADDRESS �� � � �
OWNER Z% CONTR.�-��irz.e-�-�
TELEPHONENO. '��� _ /���J
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
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031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER N ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-U� 06 PROGRESS
J 07 DEMO—FINAL 27 SE T. 21 COMPLAINT
Q
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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W ,ZCWORKSATISFACTORY:PROCEED ������PROJECTCOMPLETE
� �C: CORRECT WORK&PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY
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� Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECTUNSAFECONDITIONWITHIN HOURS. .-, pHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
I� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next in�pection 24 hours in advance.473-7357
OwnerlContracto sit :�
Inspector.
White Copyllnspector's File Canary CopylSite Notice