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Home My WebLink About2005-P09425 - sewer connection PERMIT �, CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09425 � Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952) 249-4600 Date Issued: 11/16/2005 SITE ADDRESS: 1345 Rest Pt La Unit# Mound,MN 55364 PID: 07-117-23-32-0054 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: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Oak Grove Sewer&Water Co. OWNER: Ascent Investment Inc. P.O.Box 459 29685 N. 77th. Place St. Francis,MN 55070 Scottsdale,AK 85262 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLfANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �-. .,, � ��,,�.� C.�i�� C�� APPLICANT PERMITEE SIGN � ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � . � � ' FOR CITY U�SE ONLY ,��,�` City of Orono Date Received: ��Permit# �Dq42 ' `r P.O.Box 66 ��:�..,,, O 27�0 Kelley Parkway ❑In-House SAC Determination Form Completed p� �;'' F Crystal Bay,MN 55323 ��t��,�.�o~ (952)249-4600 Approved By(If Required): '��sxo$ CITY OF ORONO— SEWER& WATER/ GENERAL PERMIT (*Notc:Some pennits tnay 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 annlication is received) GENER.AL 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 fee shown below. Pernut cards will be sent by return mail within 2 business days. 3. Permits are not valid until you receive a pernut card. 4. Work must not begin unless the pernut card is available on the job site. 5. Utility connection perinits may be issued to licensed contractars only. 6. Contact the Public Works Department(952-249-4600)for utility stub as-built locatious. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works Department. Issuance of a peimit does not grant this approval. 7. All work must be done in accordance with State Code requu�ements. 8. All work must be inspected before it is covered. Call(952)249-4600, 24+hour notice required. TYPE OF PERMIT (Check All That Apply) � Residential(May Require Approval) ❑ Commercial(Approval Required) ❑ New Connection ❑Additional Connection �Re-Connection ❑ Repairs ❑ Disconnect Job Site/ Owner Information: Site Address: � � y S ��J�-( I D 1 M� I�prr1 I�i Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: oA�G C��.av�i �� •�t- Contractor: i�A'-�d£. ('�e� �Nl�, ContactPerson: �� Address: f:�,��. � �� State License #: � 3 3 0 City: �r:��N�� Zip:��`�7P Expiration Date: Phone: �b 3 ��3 '��'p�- Alternate Phone: b ��'` � �'��"�7 3l0(� ._ _. � ._ _ r a J DETERMINING PERMIT FEES ❑ SAC Charge(2005 Rate=$1,450.00) $ (SAC Charge must accompany all sewer pernut applications unless prepaid) (Orono City Staff can deternune if applicable) (If not prepaid,a sewer connection permit will not be issued) � Sewe�.,�onnection'/Disconnect/Repair($35.00/Per Stub) $ � Pipe size ` --�ches;material Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper 1. SUBTOTAL of Pennit Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applicatious) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ADDITIONAL 1NFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate pernut. ■ 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 accardance 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: Date: ��ll, �� a'�l Q � �� / �-L /� V ��AT,Ft/ TIME CITY OF ORONO CALLED IN �� INSPECTION N TICE// SCHEDULED �/�'�� PERMIT NO. ��T� COMPLETED � 1 _,.�3-�`' �r'7�[�, ADDRESS ��7`S � �� .� �� OWNER CONTR. G�� -°�..�� TELEPHONE NO. ��- z8 �' 7'3(�� DESCRIPTION d�� — �� `s� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADiNG/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o C � A,� � z�s-r J I�� I J �, :,, � f�' � �t�� i...� � .-�-� o �J�� W �+ ., Q �� il('�_� l�'r, �N C ,� � l Z"', ' (�•, z l��v t3((�' �� i �1 � � W � W � � � ��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W Y�O DORRECT WORK S PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: " Inspector. �� White Copyllnspector's File Canary Copy/Site Notice