HomeMy WebLinkAbout1994-006520 - sewer connect PER�IT
CITY OF ORONO '� �-
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: ="��`�-�_`� ``!`�;���-':
Crystal Bay, Minnesota 55323 �''�-'='°�=��``-'
(612) 473-7357 Date Issued: � �:�, :4;:;,_,,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PE MITEE 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 pernut 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: �.l-I C -�� I� �'�
Occupancy Type: ;� Resi tial Commercial
Owner's Name: ' PhoneNumber•
Mailing Address: �. C,. � � � City: ����� 71p: 553�
Contractor's Name:C; I PhoneNumber: � �7�
Mai l i n g A d d r e s s• - City: (,���c,(� 2 ��� 53.��
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PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) �
pipe size inches; material PVC (on sand fill); cast iron
SAC Charge ($800.00) must accompany all sewer permit applications unless prepaid. If not
prepaid, a sewer connection permit will not be issued.
Muz�icipal 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 (473-735'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.�0
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 Ciry 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
INSPECTION NOTICE ` SCHEDULED !e ���-`� �
PERMIT NO. C�s �-� COMPLETED G�� �
ADDRESS Z`rf� GYENc�T- P�ACt
OWNER �e�41� E'i'1�-`�-�►� CONTR. ��`r�
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 18EXCAV/GRADING/FIWNG
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 W�OD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEMQ�ITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d WORKSATISFACTORY:PROCEED PROJE PLETE
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�; l' CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORAFY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS.
INSPECTOR WILL RETURN =l PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor sit .
Inspector.
White Copylinspector's File Canary Copy/Site Notice