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Home My WebLink About1993-005148 - sewer connect � � PEI�MIT CITY OF ORONO PE�RMIT TYPE: ,_.�� .{ ��.�� 2750 Kelley Parkway • P.O. Box 815 Permit Number: ;-; Orono, Minnesota 55356-0815 '-"-'��'�- (612) 473-7357 Datelssued: ;_��;;i fj��; SITE ADDRESS: 1:��? L�t�� °�:T C:H �� . � .r�. � E}�.-� j:�-��:;-�_��-c��.��_3�:, DESCRIPTION: :��t�EF. ��+��P�t��,�:T T i�ih� '_��:��t� �� t-�y, r�,y,t•rr�it. �',�� °_,E+:�l�� i:i�ii��t�!�GTi��+! '=��;��t' t� W_cfi•t�iz i��s�'k: Ty��f� F'��:=�IDE�(C�� ,�I;�,��'G'�'�;� n n (f+� VL� �JaYV� REMARKS: ;:'�':':`r'��'"''� 1LLtiV1 VVV 1`/ V'1 Vt.!'f :� FEE SUMMARY: ��5� �*�� _:�_r._;i) •_��i"C�'ic't i'`'�� -----�'.Lm.t) Ts��•EcJ. �� ----- ;,:��,, �,t� CONTRACTOR: — ��1 i c��7 t. — OWNER: :1'CtiHP�:_;i:i� .t'Efi�iY F:��:.: �;�.:7_:�.:�,r�.f EHi�L� ��Rl�itii ��'�.1.� f''1�=�ht�!I�d��'=�I C�� iC3 i 4i_� i.�fitl� ';�T LR_�h�� L€��::E h�it-� cc�=:�;�� a:��i i��i_; t'(P� c�,:f�W. }:a=�l�:�. . . � -%� _. _ �.�; — �.-- � �;:��; -�,_..: _ . ..... . ; - . _ .. _ _ ., _. , i�-e`. i_::`�+'�i',.�>��i}"�.�,;,i` �.:-F•��t-.`� s-i��i;;(j�'= f '- �'1-r-;�`•'i','- �:�,i ;�`:i . :_E �*`r�-'?;r�:.� i I�-it�. ��=;;_ T Er?-`�ti_i'a F.�.E';�.�•.t�'`.�� , .. .�.. .._. ...--- - ... . .-.•---:- 7 � r ---. .�. .; - .-. • - T _=�'�L.14'" .L��..�F r��lE_i Ni:31,:'{_i-:�, �;s.l �tii! ..t-�1��.._ 'dr�_%.'.��. i�'�� -;j��i_'�T� !_f_j�`j}'��__�.�'�y•+-.� �rt�� i'� �1��_ �_i��fr i_;� ��;'�`f it'!t�( i�i�s;!�) ' E'�t !''��L:f-'.-; �r'�':'t � i��`;,�� :! �' �! uT^'- ' : "i —:i f�,! i s'vt4 t:!4{�1 �F�� -f v f .- .: _.i�:_ �••. . i�i.�i . ._ .. _ _. . . . . �_ _.F� .�4;�' t .__. .. . t _ _��I � _. .. .c. �;__ _ 3 F�_.�4E T'°`:'=� . � I_ �. � � APPLICANT/PE ITEE IGNATURE ISSUED BY:SIGNATURE: �� . _ _ _..:�> , _ . .� . _ . _ _ CITY OF ORONO APPLICATION FOR IITILITY PERMITS ' Box 66 (1335 So Brown Rd) SEWER WATER Crystal Bay, MN 55323 • ********************************************************�******************* i: You ma�pply�or 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. Pezmit cards will be sent by return mail the same day the application is received. 3. Pe�its are nat valid imtil you reoeive a permit card. 4. Work must not begin unless the pernlit card is available on the job site. 5. Utility connection ��;ts may be issued to licensed contractors only. 6. Contact the Public Works Department (473-7357) for utility stub as-bu.ilt locations. DO NOT EXCAVATE IN ANY S'IRE�I' AND DO N(7r TAP ANY MAIN without express approval of the ': Public Works Department. Issuanoe 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 inspec�ed before it is oovered. Cal 1 473-7357. 24 htxir native i��i r�. *************************************************************************�* JOB SIT$ ADDRESS: ��C� L�,�" � / Occupancy Type: _��Residential Commercial � OWNER'S NAME: %; �- ,-, �� ` Phone No. : Mailing Address: City: CONTRACTOR'S NAI�II;:f./_�,-,-� l„�� ;�- � c B u s. P h o n e: Mailing Address: ; � � ,, ;,�;^.��< <�i City:� � , Zip: ��1. ****************************** ************************ *****`************** �3-� .c,2, PBItMIT TYPE AND F$E CULATION MIINICIPAI, SEWSR CONNECTION ( $�:8�6 per stub) $ "� !� %' pipe size inches; material PVC (on sand fill ) ; cast iron SAC Charge ( $700.00) must accompany all sewer permit applications unless prepaid. If not prepaid, a sewer �onnection permit will not be issued. 3�� s MIINICIPAL WATER CONNECTION ($3�A-:�-0 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 ) Water meters must be set and sealed by Orono Water Department (473-7357) upon co�pletion of ineter installation. REQUIRED minimum setbacks f rom drainfield and septic tanks = 75 ' REQUIRED setback from sewer line = 20 ' *****************�********************************************************* l. Subtotal of above permit requested $ ='�l�' 2. State Surcharge . 50 The State Building Code Division Surcharge of .50 per permit must e included for each well, sewer and water connection permit requested. 3 . Postage � Handling (Only mail-in applications) $ 1.50 4. TOTAL PERIKIT FEE (add Iines 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 Minnesgta, and certifies that all statements made on this application are co�lete, true an correct. � ,� ( l Signature of Applicant: Date: != /�� - j�� _ . . : � ' r Y DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE � SCHEDULED � � PERMIT NO. conn ED N U ADDRESS � �� OWNER CONTR. � c1�—� TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS `� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z c�„ COMMENT : � . a �S U SS p,/' � � � � r' 1� < <� � �,! n s o s� W j � 'e �GT�K Q � 2 W � ti � � d 0 WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY 0 BEFORECOVERiNG PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN iNSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance.473-7357 Owner/Corrtractor site: Inspector: � White CopyAnspector's File Canary CopY/SMs Notice � DATE TIME CITY OF ORONO CALLED IN S.ZO 9 INSPECTION NOT�IC/pE SCHEDULED -5�.2a/�3 .' o PERMIT NO. S�"7`O COMPLETED � � ADDRESS OWNER �/�./�� CONTR. TELEPHONE NO. � DESCRIPTION � Ot FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 RN ON 17 SITE INSPECTION � 07 DEMO—SITE 4 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SE . 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z y COMMENTS: a tJ�f t � � 0 � � `r S 0 � W c2 n �•�n. �l 1 y/'�i�, o cJP�' � Q � z W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE COPIDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR C CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next spection 24 hours in advance.473-7357 OwnerlContr r n s' Inspector: White CopyAnspector's File Canary CopylSite Notke �i ATE TIME CITY OF ORONO CALLED IN / ��S.j INSPECTION NOTICE j`��j SCHEDULED � � S3 � PERMIT NO. COMPLETED � ►'l ADDRESS ° OWN ER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI i6 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINA� 18 EXCAV/GRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL � 05 FINAL 13 MET.ER�SESLIURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HQ91�-�18-% O6 PROGRESS J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTA�L. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:�ES�O � COMMENTS: � r � � � a � j � O � � �r t_..F. 0 � W ��5� � Q � Z W � W � � d W� �WORKSATISFACTORY:PROCEED C PROJECT COMPLETE W CORRECT WORK 8 PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContr torp�i site: Inspector. v White Copyllnspector's File Canary CopylSite Notice