HomeMy WebLinkAbout1993-005539 - sewer connect �'F,I�MIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: �-������'� �'• ������`
Orono, Minnesota 55356-0815 Date Issued: `-'�'���=°�
(612) 473-7357 t 7'=1/'_;r'''�:r;
SITE ADDRESS:
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DESCRIPTION:
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APPLICA /PERMITEE SIGNATUAE ISSUED BY:SIGNATURE
CITY OF ORONO � _ - APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWERJWATER
Crystal Bay, MN 55323 �����
GENERAL INFORI�IATION
1. You may apply for utility permits by mail or in person at the City o�ces.
2. Mailed in applications are subject to the postage and handling fees shown below. Permit cards will be sent
by retum mail the same day the application is :eceived.
3. Percnits are not valid until you receive a per�it card.
4. Work must not begin unless the permit cazd 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 ezpress 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 SI'TE ADDRESS. l✓O �p r�� `,I � XJ�
Occupancy Type: � Residential Commercial
Owner's Na.-ne• r I PhoneNtnnber:
Mailing Address: � Le � P City: ,)�,��;r� 71p: ; 3 �"
Contractor's Name: �,' � � ' � PhoneNumber: 1 73-5�`'�
Mailing Address: �� x ,l S c� City: L�,��L� .P 71p: -�< ,
PERMIT TYPE
Municipal Sewer Connectio❑ ($35.00 per stub) $
pipe size �_ inches; material.S�.l�yC PVC (on sand fill); cast iron
SAC Charge ($750.00) 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; oti�'
VVATER 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
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 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.
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Signature of Applicant: 1 "� �� � a7 ��
DATE ^ TIME
CITY OF ORONO CALLED IN " •-� �� �.` � C1
INSPECTION NOTICE SCHEDULED � S ��' '�
PERMIT NO. cOMPLETED '-3 ��
ADDRESS ��� ��-�-{_ �"�:
OWNER S�+i�f� CONTR.
TELEPHONE NO. ��� ".� �� �
� DESCRIPTION _����Y'�.IF`f �/''✓19�u�1E.Z.� �'�.��-- ��= �E�7�
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34
Q 05 FINAL 13 METER SET/TURN QN 17 SITE INSPECTI
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC AL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. J, pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR !- CITATION ISSUED
❑ INSPECTIOIV REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor o s' :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE �7J TIME �7:� � .M.
V�lHIl.E OU WERE T
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Area Code �;/� 3 , S�� �'�-
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TELEPHONSD PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIfJ
WANTS TO SEE YOD URGENT
RETURNED YOUR CALL
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DATE TIME
CITY OF ORONO CALIED IN
INSPECTION NOTICE SCHEDULED /d'' ` 3�
PERMIT NO. S�S3�1 COMPLETED � � �
ADDRESS �� ,,��-/ ��
OWNER �/'�'�'� CONTR. � �-��
TELEPHONE NO. ��3 r �3�O�
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� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI i6 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q �INAL 13 ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-U O6 PROGFiESS
� 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLL0IN-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL�
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� `�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL REiURN r; CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra r site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice