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HomeMy WebLinkAbout2006-P09706 - sewer connect - � ` PERMIT CITY OF ORONO 2750 Keiley Parkway- PO Box 66 Permit Number: Po97o6 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 3/30/2006 SITE ADDRESS: 1145 Sixth Ave N Unit# Long Lake,MN 55356 PID: 26-118-23-34-0006 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Pernut Permit Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Install grinder pump at swere connection at property line FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Thompson Plumbing OWNER: Philip&Cassandra Ordway 15001 Minnetonka Ind.Rd. 1550 Sixth Ave N Minnetonka,MN 55345 Long Lake,MN 55356 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. . /1� APPLIC T PERMITEE SIGNATURE D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �' ' �- 1.,.�1� -� ��:� S�w -���,Y, . FOR CITY'USE ONLY O��,�`O City of OrOnO Date Received: Pemut# "r P.O.Box 66 �'�r 2750 Kelley Parkway ❑In-House SAC Determination Form Completed , > � Crystal Bay,MN 55323 4. ����yo� (952)249-4600 Approved By(If Required): CITY OF ORONO- SEWER& WATER/ GENEItAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS- Mav be subiect to further review and mav not be issued when the uaalication is received) GENERAL 1NFORMATION 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 rehu-n mail within 2 business days. 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. Urility connection peimits may be issued to licensed contractors only. 6. Contact the Public Works Lepariment(952-249-4600) for utility stub as-built locarions. 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 Al1 That A ly) �Residential(May Require Approval) ❑ Commercial(Approval Required) �New Connection ❑ Additional Connection ❑ Re-Connection ❑ Repairs ❑ Disconnect ''Job Site</ Owner Information; Site Address: �\�� �� ���/�.��:�� �C���� Owner:��c\�.vc�..����.�.,i r�.�:��-.�_ Mailing Address: City: ��Z L l�- Zip: Home Phone: Alternate Phone: Contractor Information: � � Contractor: �1���,,�,��,�v,�•�,�j � �, �Contact Person: �a��c.•�� �.�C.� ��1,I,P� ,�j � ' � Address: ��\ �kc�.Zc�c\vst:-,<,-� �c� State License #: �`�`�`�-- Y�i�1 City: \\1����--�,�,k� Zip:Sr>>`l.S Expiration Date: 1-�- ��-��� Phone: `����-��1�?� -- `� -� i� Alternate Phone: ,, J � � � � ��I i � � x , : � � r�. � � � � � � � r� � � H �' , � � � • � �� �y �i ,,.{t'ny.� �}�, ��=�x���3=``�r�,,,t.i�„;������1.7'PERIVIIT FEES ���� `�—X`���x,r�;""�s`' �����F��� 7`�' ❑ SAC Charge(2005 Rate=$1,450.00) $ (SAC Charge must accompany all sewer pernut applications unless prepaid) (Orono City Staff can deterniine if applicable) (If not prepaid,a sewer connection permit will not be issued) �Sewer Connection/-�see�ect/-�ep:ei�($35.00/Per Stub) $ '_,J� L� Pipe size�inches;material�Schd 40 air tested; cast iron %�.-d �CZS--tc�l_�� `'� �--�1�;-��C;,��j:����\<_;- �� .���� �L�- ��<=�vti L��lil�C,�i um c� ��T-,��"' ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ �'��� Pipe size inches;material Schd 40 air tested; copper / i1. SUBTOTAL of Pernut Requested: $ , I 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. - , � i/ ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate perxnit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon i completion of ineter installation. i `` 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. �\ C � Applicant:��i C't:���� � ��ti�' ��� Date: �- ��--d�n � ,� � `��� a� 6�e,'n �:e r�c.k� �11� �p�.��\��� � (a o ' J �c�c�',-���-,�, ��� � �,;�', ��, bu ' u,��e.--�_ L����S , �,�� E � � i i � � � �; � � ' � � � � � s i: � � t" f�i � S'. 4 4 k., � � h� ��. ��. II S'�� n �G� {p . . ��. �. .� - . � . I. _. �'. .� I a. ,.. IS:. .M �:� �5� .. , ��- ; � � ' I DATE TIME � �TY OF ORONO � CALLED IN �� 3-� � INSPECTION N��E�I�r SCHEDULED �� �� PERMIT NO. �0 COMPLETED ADDRESS � I�S St X�` f�1v`Q 1�1. OWNER CONTR. � ��^ f�l- urn�-�e TELEPHONE NO. Q��� a� `� ��7G`� � Cc��vu c� � DESCRIPTION S.2_c.va+ �1�(�- =�� � 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 05 FINAL 14 SEWER HOOK-UP O6 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 � COMMENTS: � � W a J c�� ` ��� �� . � s � fl.�n � S�Q...JC�i'� , �/ll� a ��-t S�-�-A ���c� �n � I �- T� �t � - 0 � W � Q � Z W � W � j d � WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on ite: Inspector. I White Copyllnspector's File Canary Copy/Site Notice � �l l� AT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE / SCHEDULED - � PERMIT NO._��S 4 7D �p COMPLETED � �r� � ADDRESS • OWNER CONTR. TELEPHONE NO. � 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 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W a o � . Sv; ���f �c��.� �� '' � i�. � o � ��, ��i��e J-��,(} iv� -� _ � W Q l � .' � s � na�K � z W � W � � � d W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �,,.� �r� �S White Copyllnspector's File Canary CopylSite Notice