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Home My WebLink About2004-P08262 - sewer/water connect � � PERMIT CI��Y OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Pog262 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: i2�6�2004 SITE ADDRESS: 719 Sandstone Cir I,ong Lake,MN 55356 PID: 33-118-23-11-0047 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: SAC Paid#P08160- 1 1/18/04 FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: Westonka Water&Sewer OWNER: 7ohn Terrance Homes, LLC 6501 County Rd 15 8266 Xene 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 STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. '� �f� `L � �, �� yYl C:z-!'t / �`-' AP LICANT PE EE SIGNATURE t �UED BY SIGNATURE Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 �'� (Updated 1/5/04) CITY �j�F ORONO APPLICATION FOR UTILITY PERMITS Box 6f�(2750 Kel,ley Parkway) SEWER/WATER & SAC Crystal Ba�, N1N 55323 (� � �� r��1�° ,��. GENERAL INFORMATION Q V �\ '� 1. You may apply for utility pemuts by inail or in person at the City of�ces. �� 2. Mailed in applications are subject to the postage and handling fee shown below. Pennit 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 peniut card is available on the job site. 5. Utility comiection 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 Deparnnent. Issuance of a pemut does not grant this approvaL 7. All work nuist be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Call(952)249-4600, 24 liour notice required. , � JOB SITE ADDRESS� �� f'�- Occupancy Type: Residential Commercial Owner's Name: —�7�r,��.,�> �a,�� Phone Numbei: Mailing Address: City: Zip:_ Contr�ctor's N1me: � v�./ Phone Number• aS� u7�� Mailing Address: �d( �'O . .P_ -� f-� City: ►'�'C�� `� Zip: 5`� 36�/ PERMIT TYPE �onnections ❑Repairs ❑Disconnect (Check One) SAC Charge (2003 rate $1,350.00) $ (Set Rate) Sac Charge must accompany all sewer pennit applications unless prepaid. (If not prep�id, a sewer connection will not be issued) Municip�l Sewer onnection/Disconnect/Re air ($35.00 per stub) $ pipe size�inches; material�chd 40 air tested; cast iron Municipal Water C nnection/Disconne pair ($35.00 per stub) $ pipe size �- inches; material copper; other 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. SuUtotal of above pennit requested $ 2. State Surchar�e $ .50 (Minimum) The State Building Code Division Surcharge of$.50 per pernzit must be included for each well,sewer and water connection pemut requested. 3. Posta�e &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 regulations of th State of Mirulesota, and certifies that all statements made on this application are complete, true a�d correct. Signature of Applicant: Date: �� DATE TIME v CITY OF ORONO CALLED IN fa� �� INSPECTION TI E n SCHEDULED �a-is ay �d PERMIT NO. �a' L COMPLETED I'L-i�'4y ADDRESS �7/� c�G�t,i?G��Y�2� �ff'. OWNER CONTR. /�-eS TTlvt- �G� TELEPHONE NO. �!S o� y7� �9 L��r� � � DESCRIPTION � 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 Z 04 WALL BD. 12 W -UP 17 SITE INSPECTION Q OS FINAL 4 SEWE H - 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � — C o� �e r �r-�rc r �� 0 � 7 C\ �� SC wt�' 1�(�� O � W � Q � 2 W � W � � � O W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4f)�0 OwnedContr cto�: Inspector. White Copyllnspector's File Canary CopylSite Notice