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Home My WebLink About1997-009694 - sewer/water con �- PERMIT . `� 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: ,� ... � .�::. ��. DESCRIPTION: ..,�.., , , . .. .: . . .. .... ..:�. ,,�;:; !:�;'_-.4� �y,-�- iz. .. ,,, . r. : , : + - ;-., r::: _ _._ _ . _. .:_. . .. .. . . _. . . _ . . , , _ _ - �- -- '�- '�.� REMARKS: FEE SUMMARY: ��s��-� _. ._.. - .__.-----_.__ — i..F i_•'.., . . .. . _ . ..,�_f CONTRACTOR: �,.- _ . _. : _ OWNER: . , _ . . _ � .. . _..,.__. . —F _ — _ ... . . . . ... . .�_.i . . . .. ... . .. ... _,.. , f.�.w ,"_'^ ..�r.. ' ..� .,i ,� { "K k�.. '� . ,: . .. .. . ;, . �� ..�, �', e.�; .. .. .. . . _. _. _. . ._. . .. , . , ... a��. ; y� �•. 1 z"E t��. . :,�� ' r .I��. �,' , , 'A4.. r.:.. R S� {� , _ �{c. � . .._...... . �. � S� .. a ; .; . ._ `. .`r ..., ._5... - . _ . .. . . . :. � ... . . . . ... . .. __ , : . �. ' . _.. .. . �,» ��, i - . u _ , :' : .,. , ,•. r ' � . . �. , � ,. , ,.,� . _ ,.. . _ : , . � m__ . � . . .. _ .. � L � � APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE � ��l� CITY OF ORONO APPLICATION FOR UTILITY PERMITS ' Box 66 (2750 Kelley Parkway) SEWER/WATER ��' Crystal Bay, MN 55323 � �� GENERAL INFORMATION i. 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 EXCAVAT`E 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. Ca11473-7357. 24 hour notice required. JOB SITE ADDRESS: '��'� l��-r� �_��-c� cJ�S Occupancy Type: %`�! Residential Commercial Owner's Name• <v r, 1 t��;ti.% Phone Number: Mailing Address: City: 7ip: Contractor's Name: )3z:s�,Sb �r,1�::,>. ,. � Phone Number: �� ( s� ) �33• �� Mailing Address: 3Ns�l �%�� /�:� IL City: �:y��;�_ Zip; SL�i;�-� 'VIIT TYPE , _—._ ,.------ _ _ . `�____,Municipal Sewer Conng��$35.00 per stub) $ _ pipe size inches; material Schedule 40 air tested; cast iron SAC Charge($950.00)must accompany all sewer permit applications unless prepaid. If not prepaid, a sewer connection permit will not be issued. �� _-- - ----------_ __--_ ��__Municipal Water ConnQ��i�$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' � F 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. Postage & 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 ` F all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all � ments made on this application are complete, true and correct. � % � ,�!i�� -�- Signature of Applicant:� � Date: �� , DATE TIME CITY OF ORONO CALLED IN / ��l" '7 INSPECTION NOTICE SCHEDULED /�/i�/9 �� C� PERMIT NO. `L COMPLETED F� '� ADDRESS �=� � '� � �° �� ,��. OWNER CONTR. � �' ��-��- � ' i TELEPHONE NO. ��-,�- (�.�� i � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING y 02 FRAMING 13 MECHANICAL FINAL 19 LAF�SHORE/WETLANDS Q 03 INSULATION 24/25 RNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. C12 WATER HQOK-l1�– 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT � � 07 DEM�-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL 28 CEDAR SHINGLES 3C FOUNOATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � � ,I�r� j 1 o � � � ° o �, � � W � 2 Q � 2 W t � � � j � d �RK SATISFACTORY:PROCEED � PROJECT COMPLETE WL' CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSP�CTION TEMPORARY � BEFORECOVERING PERMANENT C7 CORRECT UNSAFE CONDITION WITHIN HOURS. -- pHOTO TAKEN INSPECTOR WILL RETURN O 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 OwnerlContract 't : Inspector. White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN j� ��y � INSPECTION NOTICF� ; �- � SCHEDULED i/-�/ 'i 7 :� � 3� PERMIT N0. �'� � COMPLETED � � ADDRESS �� S �/�C.c-zu.clt'Y'-�- OWNER ��C(,��.�-� CONTR.� _�'-� z�c..;L� L��-r�� TELEPHONE NO. �C � - �� "� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORElWET►ANDS Q 03 INSULATION 24/25 W ER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP � 17 SITE INSPECTION Q - = OS FINAL i ER -UP 06 PROGRESS �^ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINCa FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � � �� L- `�it-�) — ��r'S�i � d CI WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OfiDER POSTED.CALL INSPECTOR CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in ction 24 hours in advance.473-7357 OwnedContract sit Inspector. White Copylinspector's File Canary CopylSite Notice DA E TIME CITY OF ORONO CALLED IN /-� �', INSPECTION NQTICE �/ SCHEDULED /i �> �3��Z PERMIT N0. �/ �G i �I COMPLETED � _� ADDRESS :� ' OJ � OWNER CONTR. � t<.�f" TELEPHONE NO. �'(J,?- �- 3�> � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. TER H�K-UP�` 17 SITE INSPECTION ZO5 FINAL EWER yQ_OKUcP y'` 06 PROGRESS ~ 07 DEMO�ITE 27 SEPTIC MAINT. 21 COMPLAINT J �Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 2 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W � /')� � � � J O � � O � W � Q z �L �/� ow� ►�,a,�, o W �— � - W � � � WORK SATISFACTORY:PROC W� � f �(PROJECT COMPLETE C CORRECT WORK OCEED ��v �_�ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN MOURS. , pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR "_ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance.473-7357 OwnerlContractor o i e: Inspector. White Copyllnspector's File Canary CopylSite Notice