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Home My WebLink About2008-P11858 - sewer connection , �* PERMIT C�ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11858 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 2/6/2008 SITE ADDRESS: 1350 Rest Pt Cir Unit# Mound,MN 55364 P�� 07-117-23-31-0024 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut 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 1350 Rest Pt 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. `�� L� Q ��,�� °`-'X� APPLICANT PERMITEE SIGNATU UED BY SIGNATURE Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 FC312 CITI'I7SE QNLY � City of Orono �'DateRece�v�d: � ° l�errrrit#�� ' O�" '�O P•O.Box 66 ' a�. 2750 Kelley Parkway 0 In-HoUse SAC DeEsrtnit�atian Form Compieted � `� ' Crystal Bay,MN 55323 roved B If Re uired �� (952)249-4600 kPP Y f Q }�= CITY OF ORONO-SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Depaztment') (ALL PERMITS- Mav be subiect to furt6er review and mav not be issued when the aanlication is receivedl GENERAL �NFO ATrt}N 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 fee shown below. Permit cards will be sent by return mail 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. 'I'�'PE OF FERIW�I�' ' ��' ��Ch��k All Thati�1 ��1 � �Residential(May Require Approval) ❑Commercial(Approval Required) �1ew Connection ❑Additional Connection �Re-Connection �Repairs ❑Disconnect Job Site/Qwnez��fornaation; Site Address: ��i S� ��5�- ��u r Cl(Z � � IATT' LW ti.l� M�C: Owner: CLiSIZ�M STJ2lifGTLtf?��5 Mailing Address: /Gb/ /Z D!9/LS t`�/U�'!#/L�3UN� City: ��b"IUa Zip: lj1>XI�Z'�� ///�.� .S.Sc�GI� Home Phone: �9.5Z� L�7� -'�Y.�� Alternate Phone: ��D�Z j Z`'Ije ��d�y'�� Con#ractor Infb�ml�tion: ' Contractor: ��/US �'14V19 T1/� Contact Person: Sl�VL-= �l.�L�'15 Address: ,3`l7(� CD� /2Cl- Z/ State License#: �g�� City: ' Zip:553�0(> Expiration Date: _��Z�� Phone: �GIS Z 95S�//Z Alternate Phone: C G�z,L U�� y3��. r � �5�x��:��: �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 wilt not be issued) w �Sewer Conn tion/Disconnect/Repair($35.00/Per Stub) $ S� � Pipe size � inches;materiai�Schd 40 air tested; 0 cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub� $ Pipe size inches;material Schd 40 air tested; copper 1. SUBTOTAL of Permit Requested: $ .�`� 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 w 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �J� 7 ' ' DITI(aNAL INF�RMAT'TfJN-WAT��i METERS ■ WATER METER$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 certifi�s that all statements made on this application are,true and correct. .,,�'-� /.��.+t,,._-�....._.�--.---_ Applicant: Date: � �S ': W ' �� . �� `��. , i.�t�m.,�.< .� �°�,.�.� ��'. T t �� DATE TIME CITY OF ORONO CALLED IN � ' ZG'�L. INSPECTION N TICE �//$58 SCHEDULED �a-Z1 � PERMIT NO. � COMPLETED �_ ��• �� ADDRESS I3.�L� � �f �Pti OWNER��"�� C�� CONTR.1��:vx8��- TELEPHONE NO. AS�� ys � � 3�� DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. � WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL �SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUM8ING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � S � b �-Tr�--7- I S `�.�� o�c_ 0 � � 0 � W � \ Q ti y � W '� � W � � d W� WORKSATISFA ORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WOR 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WOR ,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR !�CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 24J-4600 OwnerlContractor on site: Inspector. � �""i l�✓ -S White Copyllnspector's File Canary CopylSite Notice