HomeMy WebLinkAbout2005-P09477 - sewer/water connect C�T�r'�F ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: po9477
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut
(952) 249-4600 Date Issued:
12/12/2005
SITE ADDRESS: 667 Sandstone Cir unit#
Long Lake,MN 55356
P��� 33-118-23-11-0037
DESCRIPTION:
Proposed Use: Residential
Pemvt Class: General
Permit Type: Sewer and Water Permit Pernvt Sub-type(s): Sewer&Water Connections
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
SAC collected with building permit
FEE SUMMARY: Pemut 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.
♦
APPLI T PE E� 16�NATURE IS D BY SIGNATURE /�%���
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
1 _
FOR CITY USE ONLY
,��A, City of Orono Date Received: Permit#
`w P.O.Box 66
��:;.,.,,,,, � 27�0 Kelley Parkway ❑Tn-House SAC Determination Form Completed
��`` ��!' Crystal Bay,MN 55323
a
��^ �T����;;�,4.�0` (952)249-4600 Approved By(If Required):
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CITY OF ORONO—SEWER& WATER/ GENERAL PERMIT
(*Note:Some pennits may require approval by the Building Official and/or Public Works Department*)
(ALL PERMITS- b�iav be subiect to further review and may not be issued when the�unlication 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 retum mail within 2 business days.
3. Permits are not valid until you receive a pernut card.
4. Work must not begin unless the pemut 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 peimit 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) ❑ Conunercial(Approval Required)
[�1ew Connection ❑Additional Coimection ❑Re-Connection ❑ Repairs ❑ Disconnect
Job Site/ Owner Information:
Site Address: �{/ [.D � � �t'/ ,�j/lJ � �� 2
Owner: Mailing Address:
City: Zip:
Home Phone: A1tenlate Phone:
Contractor Information:
Contractar. �__���� ��� Contact Person:
�
Address: � �s` �it�l�� State License#: �� `li �
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City: �� Zip:�s�7L�fcpiration Date: � �— �j � v S
Phone: G� � �y ��7 Alternate Phone: , � 7j y 7 � �,r 7 �L
_� T _ . . .
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DETERMINING PERMIT FEES
❑ SAC Charge(2005 Rate=$1,450.00) $
(SAC Charge must accompany all sewer permit applications unless prepaid)
(Orono City Staff can detemune if applicable)
(If not prepaid,a sewer connection permit�vill not be issued)
[�Sewer Con tion/Disconnect/Repair($35.00/Per Stub) $
Pipe size�inches; material Schd 40 air tested; cast iron
�Water Con ection/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 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 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:�� � ��/ �!�
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Pc-rmit Nurnbex
RF.Scheck Cc�Inpl�aneC CerLificate Checked By/Date
2aQ0 I.F,�C
RESc:hecdc So�.w�ua Va�iuti 3.6 Rc�ca.�c 2
Data�lena�ne: C:1.['mgt�m .FileslCheck\R�;Scheck\Stonc l3ay ofCh•ono 2 strny tuck uuder unit#34.rd:
PROJ�CT TFTL.E� Stm�e Bciy ofOrcmo Two Story Tow�z Homcs
C•iTV: Orono
STATE: Mtnnesota
���� 803�
CONSTtZUCi'ION TYPE: Singln I�'xmily
WINDC)W /WALL FZ�TIC7: U.15
bATE: d9/28/OS
UA7�.OF PI.ANS: September�1, 2005
PILOJEC;T DESCKII'TION:
Center uriic�34 two stocy �icic u�ade�•ga��e cow�z l�cm�c
�DES TCiNE}t/C O'�iT R AC'�'OR:
\chiteccrual WorL-s Villard, Inc
COMPLIANCE: Passes
M�-ixirnum UA-� 22?
You r.Ho�n.e UA.- 2 t 4
3.6%Bette��Than Code(UA)
Gross Cilaz�ng
Arca ar Lavity Cont. or poor
Pcrinlct� I.�YaIu� i�Yal�a�, IL-Ea�isu �
Ctating 1: �lat Ceiling or 5cissar"Tntss l 127 38.0 0.5 34
Wa{I r: Wood Fr�me, l6"o.c. 1349 19.� Z,0 63
Windoa� 1: Met�l Fr�ne:Double Pane with Low-E 197 0.350 69
Door t: Solid 4.2 (I.�.Sn 15
Basenierxt Wal�l i.: Solid Coc�crdc or'Masonry 323 l0_0 2_0 t8
Walt hciglit; $_5'
Depth beloW grxdc� H.U'
Insul�:iun dcpth: £s.5'
Base�nent W�il 2: Wood Fr�.mc 272 I9.t3 2.0 15
Wail lieight: $.S'
Depth below gracle: 0.0' �
Ir�suaariou dcptt�: 8.5'
Furnace 1: Forced Hot Air, 78 Ar'U�:
AirCottditioner 1: Electric Crntral Air, lU Sk;FfZ
C4MPLIANC�SxATEMEIVT: Thc�t+oposed buil�g desegn descr►b�xi here is oonsistea�t with thE bttilding pla�,
a�ifiad.icm�, and at�ec caicut�t' sub�nicted.vill�lbx.permir {iraiicx�. The�p�ued building has bt�d�igned ta
us
meet the 2000 iECC rcqui ents ' REScheck Version �lca.sc 2(fonnerly M�Cchc,ck} a�td to comply wiih the
manilatory requ,it�ements sted' - ion Chedciist.
Buildca/b�si�nrr y.._� I)ate � _..�
�/�`� DAT TIME �
CITY OF ORONO CALLED IN o��
INSPECTION N I SCHEDULED /d/3-Lk� �-
PERMIT NO. �7 COMPLETED i � � .s� ��� \
ADDRESS I�L�D� ��
OWNER CONTR. ����
TELEPHONE NO. �/a �� � D���
� DESCRIPTION �- �C��c�Cr�( �vu
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G NG/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 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAI 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
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� �WORKSAT4SFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector. �,l(f' / � �
White Copyllnspector's File Canary CopylSite Notice