HomeMy WebLinkAbout1993-005295 - sewer connect PERMIT
CI4Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815SEWER b WATER
Orono, Minnesota 55356-0815 Permit Number 0052��
(612) 473-7357 Date Issued:
SITE ADDRESS:
770 OI D CRYSTAL BAY RD N
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P. I . N. : 28-118-23-4 3-0005
DESCRIPTION:
Sewer
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FEE SUMMARY:
Gose Fee $35.00
Surcharge15.
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Total Fee $35 .50
CONTRACTOR: - Applicant_- OWNER:
UNITED WATER t: '=EWER 54' c5:3 3 1i ji 3;•#f f °1E HO L G I =:T #'�78
11666 WAYZATA BLVD 77 i i+LDCRYSTAL BAY RD N
M I NNETONKA 1N 55:3x:;5 LONG LAF=:E MN 55355
(612) 542-8268
NDER GNED *Y EQ E TS I RI#ISS ON TO TAKE Tl- IMPROVEMENTS
SPECIFIED ANEW*AGR TO ALL. K IN STRICT COMPLIANCE CI`Y OF
ORONO D I NA S .:. sSTATE 'O SOT'A , U I#. I N , RE I NT .
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APPLICANT/P RMITEE .: URE , ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
'IL Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323 3-,2
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 cards 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: 7 7() . (-4 n)
Occupancy Type: Residential X Commercial
Owner's Name: p,Kyvie r ,e . Phone Number:
Mailing Address: '77o -61 ,
Contractor's Name:eari ee L/ Phone Number: ,
Mailing Address: City: 4 4.> j BP:,S-".€
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size el" inches; material IsVeZon 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; 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 must be set and sealed by Orono Water Department (473-7357) upon
completion of meter 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 Surcharge $ .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 & Handling (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:/, - ! _ Date:b T
DATE TIME
CITY OF ORONO CALLED IN 2 c$ 93 a2
INSPECTION NOTICE SCHEDULED oZ - 9.1
PERMIT NO. 5aq 5 COMPLETED 2 of
ADDRESS ) —10 U iL �-O b ts el N
OWNER(>h4 ONTR.
TELEPHONE NO. 6 471c . — .102-4g
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
04 L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
'
alp 13 _ • : ON 17 SITE INSPECTION
I MO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SE• • • • . 21 COMPLAINT
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z 'OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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WORK SATISFACTORY:PROCEED
� PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. Ef PHOTO TAKEN
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.473-7357
Owner!Contrac r on ite-
Inspector.
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