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Home My WebLink About1999-012278 - sewer/water connect PERMIT � C1TY OF ORONO 2750 Kelley Parkway - P.O. Box 66 PERMIT TYPE: Crystal Bay, Minnesota 55323 Permit Number: _ (612) 249-4600 Date Issued: _�:� r;�, i,,:� l�:i f SITE ADDRESS: _ ._ _ _ - ��- -° ; � v`� , , :�._ DESCRIP71bN:` - � '� � - �� "� � .`.�;`:t:;`r�.j i i-,:;` !_.l�i:`.iii;=,:�. i — -.•�lis� � j-#'� r- ^ � —'� }��=- iti �'Fi _ ._ _. ::�_ _'l" i`_i'Fi:'_ _ Y;i t=-' _�i=:§a=.' _. ' '� 1 .._ . 't':'�rir}:,i' {•i �4ri�._F.S� ..'..E!�. . i � _.. ...... _�.._ �"t_..�.. REMARKS: FEE SUMMARY: __...,_ i=:;.� i�t i:�;, ' '}��. .'rk� .. , i+i+..~i.!. . _n_= ._._.^.�.�._.._ j•;" t..' _ CONTRACTOR: . , _ OWNER: - . .---�.�. .� .__... .. -- ..: �. - . T - - :_ ;_.:; . ;_ . _ . _. _ _.:: .. : . ,. , ; W. ; -�_ �=i _.... � ., � .... . - -. _ . _ . . ... _ . ._ _ _._ <<t_'ii ._..., ..._ _,�i�; . .... . _ _ ....� vl?1%�_ . 5�1?� . . __ '.'..4�_.�.L`...k�'._. . .. . — _"« . . . .. : .—� .�,.. s�-� , .. . , .. .. .. .. 3. � ___. �t i . _. _ _ ._ �f��', ��i�?�x�.�i'��I��'�� i��'��.`� `�;�`�;�i��`.,T'w� �`��if�'_ _�: _��Y� �'�:� �� :r �'�,� � , r 3� - .,� .�_ ,� . �. � ,.. w.� � . . :�:_. _._ . . _.. ��_. F�. . � -, ��'��.:��=I�G �f��r ��a�`��=� `��µ� ��=i t��,: '��_�i��: i€� >:f��?'�;�?' ��i°��i_��';!`_�:: t��""r 3 ��i.�t... �.. E ; r =��= L i�4�i��t�'.}%� i_ �`�)i�'k.��!:�,,� F-;�''.rt_7 ._;1:�`;��- E.f1- ta��7�a�. �,'".!"t'�' `' `�'° 3 ; •i��`,lfi : �11 s: .. _,t�''.1!,'�.�:5�'�_�'ti�".�•. �..! � �a�` � �� APPLICANT%PERMITEE NATURE ISSUED BY SIGNATURE .Y — �� . _ CITY OF ORONO APPLICATION FOR UTILITY PERMITS � ��7�� Boz 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 55323 GENERAL INFORMATION i. You may apply for utility pemuts by mail or in person at the City offices. 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 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 pernlits may be issued to licensed contractors only. 6. Contact the Public Works Departrnent(249-4600) 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 249-4600. 24 hour notice required. JOB SITE ADDRESS: � ��-� -3 C.�—vt�� ..� v Occupancy Type: Residential Commercial Owner's Name• <� vL Phone Number: Mailing Address: _ City: 7�p: Contractor's Name: � �-,.-� � Phone�umber: �77- /„ ;-��' Mailing Address: �. City: C�� 7.�p: 5 S� �3 PERMIT TYPE � Municipal Sewer Connection ($35.00 per stubJ ,,. $ �`� �""� pipe size inches; material ��L—Schedule 40 air tested; cast iron SAC Charge ($1,050.00) must accompany a11 sewer permit applications unless prepaid. If not � prepaid, a sewer connection permit will not be issued. Municipal Water Connection ($35.00 per stub) ,h $ �,� Lcl pipe size inches; material j r' copper; other - WATER METERS must be picked up and paid for at City Ha11. (5/8" meters= $130.00; 3/4" meters= $180.00; 1" meters= $240.00) Separate Plumbing Permit issued for water meter. Water meters must be set and sealed by Orono Water Department(249-4600) 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 $ 'Q.� L't; 2. State Surchar�e $ .50 'The State Building Code Division Surcharge of$.50 per pennit must be included for each well,sewer and water connection pemut requested. 3. Posta�e&Handlin�(Only mail-in applications) $ �-59 4. TOTAL PERMIT FEE (add lines ]-3 above) $ `7C'��SU 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 conect. ., j _ Signature of Applicant: Date: �� - % i��1l� CITY OF ORONO APPLICATION FOR UTILITY PERNIITS Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 55323 �� - � - ��-�- GENERAL INFORMATION � y�7 �j � �J�..�— 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 cards will be sent by retum mail the same day the application is received. 3. Permits are not valid until you receive a permit card. �� ( ( r_ D � ! q�� 4. Work must not begin unless the permit card is available on the job site. �G' � O 5. Utility connection permits may be issued to licensed contractors oniy. 6. Contact the Public Works Department(249-4600)for utiliry stub as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works Departrnent. 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. Ca11249-4600. 24 hour notice required. JOB SITE ADDRESS: � ��^ ST� � Occupancy Type: Residential Commercial Owner's Name: y��Q �S'TI''UG�/S/�i� Phone Number: �L�/— 04 Mailing Address:_ ,SS 7l �Q'� �� City: fi' 7ap: ,S"'S'��O Contractor's Name: Phone Number: Mailing Address: City: 7ap; PERMIT TYPE Municipal Sewer Connection ($35.00 per stub) $ 1� pipe size�s�inches; material Schedule 40 air tested; cast iron SAC Charge ($1,050.00) 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= $130.00; 3/4" meters= $180.00; 1" meters= $240.00) Separate Plumbing Permit issued for water meter. Water meters must be set and sealed by Orono Water Department(249-4600) upon completion of ineter installation. REQIJIRED minimum setbacks from drainfield and septic tanks= 75' REQUIItED setback from sewer line=20' PERMIT FEE CALCULATION /��. dO 1. Subtotal of above permit requested $ 2. State Surchar�e $ �8-� The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection permit requested. 3. Postage&Handling(Only mail-in applications) $ _�.,.5.0— 4. TOTAL PERNIIT FEE (add lines 1-3 above) $ /.�O. Ol� The undersigned hereby applies to the City of Orono for issuance of a Utility Pernut, 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: Date: ��G `� � DATE � TIME CITY OF ORONO CALLED IN /�_�.�"1y l�- �;5� INSPECTION NOTICE SCHEDULED � -r --` �`� �' PERMIT NO. %� � �� COMPLETED �� A D D R ESS 4%� E 3 � -�-v`�-1-�',�-�.-��72; OWNER _�'�-��.�_E� `CONTR. TELEPHONE NO. �J'��-- � �� 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. ATER HOOK-U�\ 17 SITE INSPECTfON Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE TIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALI. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � 1'7a� � �� 0 t� 5 �e✓ �- c�'�/ Se:,.P✓ W � � Q � _ Z W - - � =l- ' W � � d �ORK SATISFACTORY:PROCEED ��PROJECT COMPLETE W . � ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVER�NG PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �1 CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor on site: inspector. �� c-�� White Copyll�spector's File Canary Copy/Site Notice