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Home My WebLink About2005-P09478 - sewer/water connect PERMIT CI��Y O,'� ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09478 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952)249-4600 Date Issued: 12/12/2005 SITE ADDRESS: 665 Sandstone Cr Unit# Long Lake,MN 55356 P�� 33-118-23-11-0036 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Sewer and Water Pernut Pernvt Sub-type(s): Sewer&Water Connecrions DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: SAC collected with building pemut FEE SUMMARY: Permit Fee: $ 70.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: Groth Water&Sewer OWNER: O.T.Development,LLC 775 Tower Drive 10300 lOth Avenue N#101 Hamel,MN 55340 Plymouth,MN 55441 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. APPLICANT PERMITEE SIGNATURE D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r ; . FOR CITY USE ONLY ,�� Clty Of OCOnO Date Received: Permit# ' P.O.Box 66 ��;,,,.,,,, � 27j0 Kelley Parkway ❑Tn-House SAC Determination Form Completed a ��'� �'' �. Crystal Bay,MN 55323 ��t��-s,��o� (952)249-4600 Approved By(If Required): '��axo$ CITY OF ORONO—SEWER & WATER/ GENERAL PERMIT (*Note:Some permits may require approval by the Building Ofticial and/or Public Works Department*) (ALL PERMITS- Mav be subiect to further review and mav not be issued when the annlication is received) GENERAL 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. Permit 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 peinut card is available on the job site. 5. Utility connection permits may be issued to licensed conh•actors 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. TYPE OF PERMIT (Check All That Apply) esidential(May Require Approval) ❑ Commercial(Approval Required) �w Connection ❑Additional Comiection ❑ Re-Connection ❑ Repairs ❑ Discomlect Job Site/ Owner Information: Site Address: C� ��/� � � �/ _ � i2 Owner: Mailing Address: City: Zip: Home Phone: Altemate Phone: Contractor Information: . Contracto � G�_,�� W Contact Person: / Address� � � / f� �� U� State License #: � City: �/�'+� Zip��xpiration Date: / � ?j� � �� -+�— Phone: � �� /y d Z �7 Alternate Phone: �G�y�� 'Z� _ . � �: �.. . �. _ , . , � _ 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) �Sewer Con ction/Disconnect/Repair($35.00/Per Stub) $ Pipe size �' inches;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 Permit Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ADDITIONAL INFORMATION—WATER METERS ■ 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: Date: / �i / G 0 � : � ' � LL/ G�� / � �AT�� TIME CITY OF ORONO pCALLED IN INSPECTION O I E� 9��0 SCHEDULED � � PERMIT NO. COMPLETED (.,2_13-�,,"" :L-� ADDRESS �G��7 SQ��Q LhJ � OWNER CONTR. �r��-J � TELEPHONE NO. LU�� l� � Da 'C 7 � DESCRIPTION �'" � a l 'vd� t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI G/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 � 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 c�., COMMENTS: � � ,� ; � ��c�."�"� fx� � � 0 a � 0 � W � Q � 2 W � W � � W �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8.PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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. (952) 249-4600 OwnerlContractor on s�te: � � Inspector. White Copyllnspector's File Canary CopylSite Notice