HomeMy WebLinkAbout1994-006151 - sewer connect PERMIT
CITY OF ORONO • �r PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: '='`���' `` �`�iT���`'
Orono, Minnesota 55356-0815 i ii ir,i��,
(612) 473-7357 Date Issued: ���,�t,�,�f,-j�
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APPL�CANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
1,11 Y Ul� U1Zl�riU t11'1'Lll,Al1l11V L�Ult U11L11 Y 1"Ll�l�llt,
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 cazds 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
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: � ��
Occupancy Type: esidential Commercial
Owner's Name: PhoneNumber: '�7/— `>F�— 3�' .
Mailing Address: � ii _ � City: G����; � 7ip: ��3�(� •
Contractor's Name• PhoneNumber: �/7� —��c�c�_
Mailing Address: 3 �, - City: �� 7ip: h 5��
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.
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 = $133.00; 3/4" meters = $181.00; 1" meters = $235.00)
Separate Plumbing Permit issued for water meter.
Water meters inust be set and sealed by Orono Water Department (473-7357) 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:�� ��-� ' �� �'����`-
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DATE TIME
CITY OF ORONO CALLED IN � � '�
INSPECTION NOTICE � SCHEDULED a � ' 34�
PERMIT NO. ��S � COMPIETED '7- 2 �' ��f /v 13
ADDRESS S
OWNER ��X�- CONTR
TELEPHONE NO. �� `�'- `�3 60 '
� DESCRIPTION
� 01 FOOTING 11 MECHAN�CALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24I25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALI BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 MET ON 17 SITE INSPECTION
� 07 DEMO—SITE 4 SEWER HOOK-UP O6 PROGRESS
`� 07 DEMO—FINAL 27 SEPTIC M . 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERlCONTRACTOR TO MEEf YOU:_YES_NO
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d ❑WORK SATISFACTORY:`PR EED r ❑ PROJECT COMPLETE
WO CORRECT WORK 8 PROC �C� ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK CALL �CTION' TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDI IONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL R RN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract�n s't •
Inspector.
WhNe CopyAnspector'a File Canary Copy/Site Notice
/� DATE C(� TIME
CITY OF ORONO CALLED IN ✓ �`��-/ T /Q' �a/�l
INSPECTION NOTICE SCHEDULED 7 �a� ` � d
PERMIT NO._ COMPLETED 'Z'�' � L�
ADDRESS �
OWNER CONT ���
TELEPHONE NO. �7�`����c�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Q 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE R HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL T. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �/�/r'l/}'L
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d ❑WORK SATISFACTORY: ROCEED b � PROJECT COMPLETE
� ❑ CORRECT WORK R PRO ED � ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL F REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITIO WITHIN HOURS. _� pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSP TOR -' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOAR NGEACCESS.
Call for the next inspectio hours in advance.473-7357
OwnerlContrac r on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice