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Home My WebLink About2008-P11860 - sewer connection PERMIT CITY•OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11860 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 2/6/2008 SITE ADDRESS: 1348 Rest Point Cir Unit# Mound,MN 55364 P I D: 07-117-23-31-0023 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Sewer and Water Pernut Permit Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: Burns Excavating,Inc. OWNER: Louis B Baldwin 3470 Co.Rd 21 1348 Rest Point Cir Mayer,MN 55360 Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �/YlNtit �- `/�-� APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 EQR CTTY USE ONLY � City of Orono Data Received; Permit# O� '�O P.O.Box 66 ��„rry 2750 Kelley Parkway ❑In-Hocue SAC Determination Form Completed +� s. ,,. Crystal Bay,MN 55323 ?�� (952)249-4600 �PPxov�d F�y(If 12equired): CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoolication is received) NERAL �NFC)�MATI�N ' ':, 1. You may apply for utility permits by mail or in person at the City offices. 2. Mailed in applications aze subject to the postage and handling fee shown below. Permit cards will be sent by return maii within 2 business days. 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(952-249-4600)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(952)249-4600,24+hour notice required. ` ' TXPE�F PER.IUIIT' �'� Glieek Al��'hat A �� 1 � ��Residential(May Require Approval) ❑Commercial(Approval Required) �New Connection ❑Additional Connection a Re-Connection �Repairs ❑Disconnect b Site!Ovune�r I�c�rtnatic�n: '' Site Address: j�� K�SST �D/ti.11� Ii2GLL1 �n' L�W JV t. lVlG�.'L" _I Owner:(.��IvI SITLLCG1ZClZ.�:,� MailingAddress: /��/ /Z �lLS b�/ULJ� ��d`3o�' Ciry: �IZGI�U zip: (�,�i�Z4rZa-,�, M{'L� 5�.��'// Home Phone: �GISz� �/�.� "90L/v Alternate Phone: �lD/Z ) ��''J(o � ��1�� antracto��nfcirmatiari: ' { Contractor: bLe,2/lJS �XC/4VG�YTIKl� Contact Person: ��%1/L /211.'S Address: ��17D �d• /ZGl• Z� State License#: ��S�Sg � City: 2ip:� Expiration Date: .3 l Z��1�� Phone: ��S Z� 9SS ��//Z Alternate Phone: � IZ� �05 -L�.36-� �N: �:; �SAC Charge(2007 Rate=$1,675.00) $ (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can determine if applicable) (If not prepaid,a sewer connection permit will not be issued) �Sewer Connection/Disconnect/Re air($35.00/Per Stub) $ ��- � Pipe size�_inches;material � Schd 40 air tested; 0 cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub� $ Pipe size inches;material Schd 40 air tested; copper l!b I. SUBTOTAL of Permit Requested: $ .35� 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ .3 7� � �v�T�ar�Az�in��r�o�r--w��r�x��T�Rs ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. • WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter installation. 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,true and correct. Applicant: '�d��"""'_"'"� �� Date: ��r; ' a� a.. �. >�w�.�F, ,� .,�....�, _ �i1 ��\•� � � DATE TIME CITY OF ORONO Q CALLED IN I Z'�" `� INSPECTION NOTICE r��(p6O SCHEDULED /2- Zl � PERMIT NO.�'� COMPLETED �.�•�� ADDRESS � " `i� �� f ��li OWNER � CONTR. ,�C� � � TELEPHONE NO. J'S�" �S.� � .3/f Z � DESCRIPTION � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL �SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � C011�M ENTS: / � Tr�Z��. f/ I C�.l�G�� G t'.v�i (,.Q�.� "_. O /yliCJ � /.�'�'r-G� �/�.��i(i✓L�r- Gyl L�� >. -� _ � � J � .7� j.� �� j� W � Q � � foro� 'b W � � � � W � � d W� WORK SATISFACT RY:PROCEED Cl PROJECT COMPLEfE W ❑C RRECT WORK PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑ CORRECT WORK, ALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR Ci INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor o site: ' Inspector. �� White Copy/lnspector's File Canary Copy/Site Notice