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Home My WebLink About2004-P07411 - sewer/water conect ''� " PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P07411 Crystal Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 4/22/2004 SITE ADDRESS: 657 Sandstone Cr - Long Lake,MN 55356 PID: 33-118-23-11-0033 DESCRIPTION: � Proposed Use: Residential Permit Class: General Pernut Type: Sewer and Water Pernut Permit Sub-type(s): Sewer&Water Connecrions DETAILS: Approved per resolurion#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 70.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: Westonka 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 IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � ��C�!��- APPLICANT PERMITEE SIGNATURE ISSUED BY GNATURE • Covies: 1-File(SiQnitures Required), 1-Apvlicant, 1-Monthlv Reuorts, 1-AssessinQ, 1-Finance Page 1 (LTpdated 1/5/04) r�TY OF ORONO APPLICATION FOR UTILITY PERVIITS Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC Crystal Bay, MN 55323 GENERAL INFORNIATION 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 retum mail the same dati� the applicarion 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(952-249-4600)for utility stub as-built locations. DO\OT EXCAVATE IN A.VY STREET AI`� DO NOT TAP ANY MAIN without express approval of the Public Works Department. Issuance of a permit does not grant this approva� 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: .�'�� ' �� Occupancy Type: Residential Commercial Owner's Name:_�_ �vi j'r�ff��<<? /�'��'S Phone Number: Mailing Address: City: Zip: Contractor's Name: c•O � Sr Phone Number: � - � Mailing Address: (�SCf fc,^ �� ,S City:��G„1 ip:�,�� PERMIT TYPE �Connections ❑Repairs ❑Disconnect (Check One) SAC Charge (2003 rate $1,350.00) $ (Set Rate) Sac Charge must accompany all sewer permit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer yj�ection/Disconnect/R air ($35.00 per stub) � pipe size��__ `nches; material�chd 40 air tested; cast iron Municipal Water n ction/Disconnect/R r($35.00 per stub) $ pipe size mches; material = copper; other WATER METERS must be picked up and paid for at City Hall. �Vater 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= 7�' REQUIRED setback from sewer line=20' PERMIT FEE CALCULATION 1. Subtotal of above permit requested S 2. State Surchar�e $ .50 (Minimum) The State Building Code Division Surcharge of$.50 per pernut must be included for each well,sewer and water connection permit 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�he regulations of the State of Minnesota, and certifies that all statementt made on this application are complete, t �,correct. - r, Signature of Applicant: Date: �� DAT TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED �, - �-c��! �(,1 PERMIT NO. ��( I ( COMPLETED `�-��'� -`� ADDRESS ' �//�- OWNER CONTR. � � � TELEPHONE N0. �_-C� � �� t`� 9 ��-�f � DESCRIPTION Sc�c,� ��1` �� 07 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 Z 04 WALL BD. ��lNAFEI}•F�pp1�UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS Z �_...__..:�_ � 07 DEMO-SITE 2 AINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:_ � � �� L ' � � a -' �� )�ti C�� 0 — �t�~'r. Gv� Z�11� �/ � « � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContr tor on site: Inspector. � '2-`W-n.� White Copyllnspector's File Canary CopylSite Notice