HomeMy WebLinkAbout1997-009563 - sewer connect � PERMIT
E CITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: .
Crystal Bay, Minnesota 55323 Permit Number.
(612) 473-7357 Date Issued:
SITE ADDRESS:
;'i�;:`�;.:.�f :�'�_
DESCRIPTION:
�4:'-�,.. . _. . . .. .._ _. . _�. . .
�. _ , S ��-'1'f�llt. I y'�:+ '-!�1:�:��, i f_!3'{i`dj:S_.i�1j_�I`•�
-r• —
,-�t;iA?r�;'i' .„�: ;a'�t%_.. . :x:;_:1'�C � ::�;�..s ... ;,.`='=�.i W__. ._�C".
REMARKS:
FEE SUMMARY:
_. _;�+��. .-..: W;�-_, -
_- _______.___}.� -
k f�1 T.":�..�. :.`E'.: _. » . _ _
CONTRACTOR: _ - OWNER:
�=: . _, _ � _ _:;...
" .,1 � .. '
, _ .
..
.
e ,
_ , u ,.—, � ; . „ ., ;; ,
�.
. . .. _ . .« _ _ . ._._ _... . . i , ._... . _. � . .. _ _. .. . . _ .. ,.. .. ... ..�t . ....t�i . ...
�s�' :.t�'� � .....,.�' �.t�� .e' _` F ��`� E S t� ( . . . . �-7•-•, � t F.; {
_ : . ; ;F: .w .
:i `.
.. _.�._ . ... ....._.. ..... . .. :•.. . . i . �:.:;. .. _.i .... "'F. .... T . .. . . . . _ .
L 'i_ r ' f ` ,1l_•�— .. }:ix „ Ex.. 1 r�.:.x W... _ _ _ ? .._ . ., _4s.`� } w. i.. ..» , . , .. . �
� . .
1
��,� �'� e�
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
�' CITY OF ORONO APPLICATION FOR UTILITY PERMITS `
- Box 66 (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
Deparhnent. 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. Ca11473-7357.
24 hour notice required.
JOBSITEADDRESS: -�: ��� C� �YI e � �r� ��- >
Occupancy Type: X' Residential Commercial
Owner's Name: c�,.�c r�� Phone Number:
Mailing Address: 2-`L�7 � � la�.,t. City: Zip: �
Contractor's Name: (° j��-ew !r1-��Z i C� I�t,..t Phone Number: 7 2 3 - ?/SS
Mailing Address: �v �'�� 3 s �( City: L��re �'� Zip: 5 S 3�'7
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size � inches; material ����C�VC (on sand fill); cast iron
SAC Charge($900.00)must accompany all sewer permit applications unless prepaid. If not prepaid,
a sewer connection permit will not be issued. `
a
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= $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(473-735'n 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 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: (' �����'�1 ����-�-- " Date: ,�G) -Z `� " cl � `
DATE TIME
CITY OF ORONO CALLED IN iL '`�"-%7
INSPECTION NOTICE SCHEDULED i�� �` `l � ' C�
PERMIT N0. ��Sl�� COMPLETED
ADDRESS ,��f C� �-<<.-�L'�t v.�
;T � ,
OWNER -.�-�Z- -`z-��.2< CONTR. �Ct�� ���-*'�'�-
TELEPHONE NO. � � -� ' 7/S 5
� DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
�
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALI BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
� 05 FINAL 4 SEWER H00� O6 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
-� 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: �
�
W
�
�
�
O
a ,p n _,
� l.t.1/�A
O
�
`� � b
�
Q
�
z
W
�
W
�
j
d �WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� � CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O � COFRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract s' •
Inspector.
White Copyllnspector's File Canary CopylSite Notice