HomeMy WebLinkAbout1998-011088 - sewer connect � PERMIT
`� CI�Y OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: -"��"'`-;=;�-:'��` '�'-' ` � `
Crystal Bay, Minnesota 55323 '-`� �;-}�='_'_ _
(612) 473-7357 Date Issued: ; �_;��:,:;::;_;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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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. I�lailed in applicarions are subject to the postage and handlin�fees shown below. Permit cards will be sent by
retum mail the same day the application is received.
;. 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
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.
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JOB SITE ADDRESS: I � � U ���- � �`'� C'`-' � � � �,'� �_�'
Occupancy Type• v� dential Commercial
Owner's Name: � �-�- `- ��- v�=�"' Phone Number:
Mailing Address: S cn �2 City: 7ap:
Contractor's Name: PC�1 N V� (� �tis„-, Phone Number: +—�7 Z-�-3 �� b
Mailing Address: a��t " �-�.t� � City: �:., —� Zip:-���.�� �G
PERMIT TYPE
Municipal Sewer.Cpnnection ($35.00 per stub) � $
pipe size ''"r inches; material %/ Schedule 40 air tested; cast iron
SAC Charge ($1,000.00) must accompany all sewer permit applications unless prepaid. If not
prepaid, a sewer connection permit will not be issued.
Nlunicipal 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�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 Buildin�Code Division Surcharae of$.50 per permit must be
included for each well,sewer and water connection permit requested.
3. Postase & 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 1 statements made on this application are complete, true and correct.
Si nature of A lica . �� Date: � � ' I b `�'�
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DAT TIME
CITY OF ORONO CALLED IN � ���5,�
INSPECTION NOTICE SCHEDULED �� ��' y� //� 3z�
PERMIT NO. �a �� COMPLETED << y
ADDRESS ���0 �
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OWNER CONTR. �
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TELEPHONE NO. ��7z - .�3/(-�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL O6 PROGRESS
� 07 DEMO-SITE --�-�??L�.o-,.",,,..�r��� 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC IN 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL HARD COVER REMOVAL
J10 PLUMBING FINAL s� MOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED i� PROJECT COMPLETE
CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor it
Inspector:
White Copyllnspector's File Canary CopylSite Notice