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Home My WebLink About1997-009234 - sewer connect PERMIT !ZY OF ORONO PERMIT TYPE: ;,.:�;:,=;,, ._ . � �750 Kel ley Parkway- P.O. Box 66 " ' �� " � � �}}" �-�` Permit Number: •:'�-`��-�r��. Crystal Bay, Minnesota 55323 ;_r�;�.�;; ;�:_;- (612)473-7357 Date Issued: SITE ADDRESS: - �� _i i:�i:"� _I[�►.:3ti . . . .._ i:�-i �- .. _ . _�—i ^—t�)i:E-� � DESCRIPTION: � " _. ..._. _.�1'_,�jrj,��:''j—:�.._,�::f�.� ' " y,`:�E?�I�: �...�_�3�1{`d`��..• I�1 S�i�i ^�._...',._. °, T i -;tiai��_:i' �y �;yl�;,';.s.;i' iUF�EI��:: � YC�t:, �;`�•:�d�)!=�'y(.�. REMARKS a,t .- r ,. ..'`: �?��t.,,'=�v '..".. , ''. .. . i-f�_fi.`T T's` }�:;- . ....__ . .._ � .. _.. ._ FEE SUMMARY: ��n_� ;��=��=a ��::�:, . ;.:� =,a��_3;��,=a� ___—___ � �:�, ?'�_�t,a 3 {==� —�-�,3.�t^� CONTRACTOR: � � � - - = =��}� OVILNER _;� . _ . ..... ...'_�'•4?'f^{�I ��ua� #,<�?�.r _ . _ .._._ . ._ . . .E_�. ..__ �. _ _ i�,;'t:i(�'�� -i�t _ _-. f.!_il l['�� J �i�: !�. :I=._ — — — — 4��su �`==°=°; . .�i=`��.... ,=�i._.��;�� r;�•� _='_"� t._.._ ._�._ _ _. . _ _ _ _ _ �.. _ _,� . - _ r _ , _�_ _ , �a �-� r _. : ..__ �!��is...�1-.« 1��° E'� �' t 4 t .r f _ _`�� i $_} E"i�-li � __ . _ � �� , :—� �i�t::`�� e��!�.' �`_:�_.._.._. . _ .. _. ,,.._. � _� . . �'�� _ ; s;:t_:��' [:tw�# :. ?._:., ...�: '.. �. . . . _.�. � _ . . ,-fr. ��4�''.}�3�1lw= ;ltc'—�4.�.}��i�'�t�.:a_`=� ;a��:.t ... . . . . _. � r�...._ _�:;i t��}✓t��...Cl}. i i�� '^;_,'�' i`''.�_�' _ .._. ... , , .. . � � � � � � � � (��-� Q� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE e!�� ' �W�� CITY OF ORONO APPLICATION FOR UTILITY PERMITS ' � > � '� Z A f�3 ,.Box 66 (2750 Kelley Parkway) SEWER/WATER ��i�� a r' � � " Crystal Bay, MN 55323 � , � ,� ,: � � �. , . r�:�� } �:':*-��" ;�,� ` : s_;; GENERAL INFORMATION " t � �X�� '< 1. You may apply for utility permits by mail or in person at the City offices. '`'� i.�� 2. Mailed in applications are subject to the postage and handling fees shown below. Permit cazds will be sent by z- 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. - 4`i� '� 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 �y` � �� IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works . ° , l,�� Department. Issuance of a permit does not grant this approval. � � 7. All work must be done in accordance with State Code requirements. t °�:r 8. All work must be inspected before it is covered. Ca11473-7357. ° � ` , . N �r 24 hour notice required. � � � ' *` �� ` � �` �' a � ..� '� �`� > �, �. r ' ^r " ¢_ � � � � JOBSITEADDRESS• �9°a�Y��-� `�--�-�� ``� =�� Occupancy Type: x Residential Commercial �A �w Owner's Name: ,falc�C� �� 9��'� ��-� =' Phone Number: ; �, � � r � 1�: Mailing Address: � q� y-,�, � Q��— City: /�%_� "� �� 7ip: �', ' ; Contractor's Name: ��',�zC.c_e-ti=� �-�-f�-�t--�—��*-�_� PhoneNumber: �,� �r'-Y�� ' t � } �-. ;� Mailing Address: �F'�� -�� f�z� City:r.��-��'--z_�.��_ 7�; sS;�� i = " �; �:� , ' £x' v� PERMIT TYPE �� . i.- Municipal Sewer Connection ($35.00 per stub) $ � ` � pipe size � '� inches; material `� PVC (on sand fill); cast iron .�� SAC Charge($900.00)must accompany all sewer permit applications unless prepaid. If not prepaid, r '�, ��:� ;' � �7' a sewer connection permit will not be issued. : � ; f , , � ; 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= $139.00; 3/4" meters= $191.00; 1" meters= $247.00) ` � �' . R�� Separate Plumbing Permit issued for water meter. '�'� � Water meters must be set and sealed by Orono Water Department(473-735'n upon completion '� ,� � f� 4 ` �'` of ineter installation. $ � �* � = REQUIRED minimum setbacks from drainfield and septic tanks=75' ' ��.' � � REQUIRED setback from sewer line=20' ` `' r�� , .� ��;-. . �� . � 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. ` � c �' 4 3. Postage & Handline (Only mail-in applications) $ 1.50 ` � �}> r. 4. TOTAL PERMIT FEE (add lines 1-3 above) $ �: r r � k ; �� 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 � tiF ` '� ��,_ Minnesota, and certifies that all statements made on this application are complete,true and correct. �; ,; � ; • ��`; � F . � , t�_ � - - , � , j U� ,� Signature of Applicant: ��'�r�� -�� Date: , �/- y� ;�` , �� <:= , _ .. . ° < , ..�.�.,_� ,; .___� .,� .. _,�, -� ��:�:��_,.�3.,.�.n.�, ,._- �. �._.�. r ,..._ . ��.:W �W_�_.=-�,a .x� ,--. DA /�fIM�l\ CITY OF ORONO CALLED IN v � INSPECTION NO IC SCHEDULED - � : � PERMIT N0. � COMPLETED ADDRESS C.._ OWNER / CONTR. C.S � � TELEPHONE N0. — � �� DESCRiPT10N � 01 FOOTINCi 71 MECHANICAL RI 18 IXCAV/(3RADIN�/FILLINO y 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORENVETL4NDS Q 03 INSULATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � p5 FlNAL 14 SEWE9J�O0K-UP O6 PROGRESS � J 07 DEM�SITE 27 SEPTIC MAINT. 27 COMPLAINT � 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FlNAL 28 CEDAR SHINGLES , 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O !�[ � W Q �d i z G �a l � W � W � � � WORK SATISFACTORY:PROCEED = PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR =CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContract on ' e: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT N0. `� 3� S COMPLETED ADDRESS �"�'�`11I�� ,.. � % OWNER � J CONTR. ��0..��%�e��J�• TELEPHONE NO. "7'�'�- ��C� � DESCRIPTION �?�,��L,� --,llli.rsi rr>f+'� � 01 FOOT1NCa 11 MECHANICAL RI 18 EXCAWORADINQ/FIWNO �Q 02 FRAMiNO 13 MECHANICAL FINAL 19 LAI�SHORENVETLANDS Q 03 INSULATiON 24/25 WOpD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UP O6 PRO(iRESS E` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL v 10 PLUMBINQ FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR T�ET YQU�YES_NO � /'L�� „ COMMENTS: t�v � W 4 � � O a � O � ti � Q � 4Zi " � W � � � C WORK SATISFACTORY:PROCEED - PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR �'CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance.473-7557 OwnedContra sit : Inspector. White Copy/inspector's File Canary CopyfSite Notice