HomeMy WebLinkAbout1995-007258 - sewer connect ���zMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ..
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Permit Number: `- "
Crystal Bay, Minnesota 55323 - � - �
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: �'-.-
FEE SUMMARY:
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CONTRACTOR: - .::: ': _ _ _. - . OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY Or ORONO .' � APYLICATION rOR UTILITY PEItMITS
Box G6 (2750 Kelley Parkway) � }� SEWER/WA�r�u
Crystal Bay, MN 55323 -�� �
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GLNI;RAL INrORMATION
1. You may apply for utility permits by mail or in person at the City offices.
2. Mailed in applications are subject to dic postage and handling fees shown below. Permit cards will Ue sent
by return mail the same day the application is received.
3. Permits are not valid until you receive a permit card.
4. Work �nust not bcgin unless the permi[ card is available on the job sitc.
5. Utility conncction 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.
S. All work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
JOB SITE ADDRESS: �
Occupancy Type: - Resi ential ,. , Commercial
Owner's Name: PhoneNumber:
Mailing Address: h — ' , City: 7�p:
Contractor's Naine: _; PhoneNumber:�< - / �' �
Mailing Address: � � City:� - ' �p:. �'��'i� —
PERMIT TYPE
Municipal Sewer Connection ($35.00 per slub) �
pipe size � inches; materia�'. yG� PVC (on sand fill); cast iron
SAC Charge ($850.00) 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; otlier
WA'1 ER 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
completion of ineter installation.
REQUIRED minimum setbacks from drainfield and septic tanks = 75'
REQUIR�D setback from sewer line = 20'
PCRMIT FEE CALCULATION
1. Subtotal of above I�ermit requested �
2. State Surchar�e $ .SU
The State Building Code Division Surcharge of$.50 per permit must be
included for each well, sewer and water connec[ion 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: �> I �.�����1�. Date: �' /� �,5
l',��En / TIME
CITY OF ORONO CALLED IN js z5
INSPECTION NOT CE SCHEDULED �.,�' ��l _ /G= �0
PERMIT NO. ��� � COMPLETED
ADDRESS Y� q L �
OWNER CONTR. �f1/���L>�z
TELEPHONE NO. `���' — � ���
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK�JD 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� Ci WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W G CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR ` ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract 't :
inspector. `
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