The URL can be used to link to this page

Home My WebLink About2004-P07413 - sewer/water connect � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P07413 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernvt (952) 249-4600 Date Issued: ai22�2ooa SITE ADDRESS: 655 Sandstone Cr I.ong Lake,MN 55356 PID: 33-118-23-11-0032 DESCRIPTION: Proposed Use: Residenrial Permit Class: General Pernut Type: Sewer and Water Permit Pernut Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: �'estonka Water&Sewer OWNER: Dahlstrom Development LLC 6501 County Rd 15 7745 Polaris Lane Mound,MN 55364 Maple Grove,MN 55311 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK 1N STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. Qc�� APPLICANT PERMITEE S[GNATURE , ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Aunlicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 (Updated 1/5/04) yL'IT�'-flF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC Crystal Bay,MN 55323 GENERAL INFORI�IATION 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 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 pernuts 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 pernut 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. � JOB SITE ADDRESS• ��S � �•'?� . ��' ' �T• Occupancy Type: Residential Commercial Owner's Name: n y�l,^y�y - ilvr� �' Phone Number: Mailing Address: City: Zip: Contractor's Name: �,, ;� �,i� S• � Phone Number: (�s'�� 7,� -S/S�`j Mailing Address: �� J/ C�. ��c�_ /,.�`°`�, City: �,.�.�� Zip: 5�3��/� PERMIT TYPE �onnections ❑Repairs ❑Disconnect (Check One) SAC Charge (2003 rate $1,350.00) $ (Set Rate) Sac Charge must accompany all se�ti�er permit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewe . o ection/Disco�q��e,,e�{Repair($35.00 per stub) $ pipe size inches; mate �- Schd 40 air tested; cast iron Municipal Water ection/Disco ec epair ($35.00 per stub) $ pipe size inches; material copper; other l WATER METERS must be picked up and paid for at City Hall. Water meters must be set and sealed by Orono Water Department (952-249-4600) upon completion of ineter installation. REQUIRED minimum setbacks from drain field and septic tanks = 75' REQUIRED setback from sewer line=20' PERMIT FEE CALCULATION 1. Subtotal of above permit requested $ 2. State Surchar�e $ .50 (Minimum) The State Building Code Division Surcharge of$.50 per permit must be included for each well, sewer and„�ater connection pernut requested. 3. Postage & Handling(Only mail-in applications) $ 1.50 (Mail In Only) 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 regul ' ns of the State of Minnesota, and certifies that all statements made on this application are complete, true and co Signature of Applicant: Date: ��/� DI�TEoy TIME CITY OF ORONO CALLED IN '� � INSPECTION NOTIC SCHEDULED PERMIT NO. � COMPIETED y'�I-c`i �=�'J ADDRESS (DSS SC� G1C��/�— C��'� OWNER CONTR. G(.'CS�cS�._/C�_ S� � TELEPHONE N0. ___.C��C..-� �` �v /� ��/� 9 / �� DESCRIPTION S`�"�� `' ``^�` "— � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER_HOOK-UP 17 SITE INSPECTION Q OS FINAL ��Y'd�SEWER OK-UP O6 PROGRESS � 07 DEMO-SITE � MAINT. 21 COMPLAINT � 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 � OWNERICONTRACTORTOMEETYOU:�YES_NO � COMMENTS: — S �J��V � C °� 1"��y��•1 q �� L J ;.,.z v,-��_i•�vl' -��.S �-U �'�� S �3 � � � � r�r�c�-'�� lo�\� �1�� \t cn,r � � �,S 0 � W � ".. M�/��C' C �C�nC��"� ��S Q � 2 W � W � � � a W� �\IGORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W�❑CDRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. �'� White Copy/inspector's File Canary Copy/Site Notice