HomeMy WebLinkAbout2006-P09888 - sewer connect ,�
• PERMIT
' CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09888
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued:
5/22/2006
SITE ADDRESS: 1245 Sixth Ave N Unit#
Long Lake,MN 55356
PID: 26-118-23-34-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Thompson Plumbing OWNER: Peter Grant
15001 Minnetonka Ind. Rd. 1245 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.
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PP CANT SIGNATURE ISSUED BY SIGNATURE
Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
0,���`O Clty Of Ol'ono 'Date Received: ' Permit#
`r P.O.Box 66
'4 2750 Kelley Parkway ❑In-House SAC Determination Form Completed
� � ,.� � Crystal Bay,MN 55323
o (952)249-4600 Approved By(If�equired):
i°SaesoB�
CITY OF ORONO — SEWER& WATER/ GENERAL 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 application is received)
' GENER.AL 1NFORMATION '
1. You may apply for utility peimits 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 permit 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.
E. Cor.tact the Pub?ic Werl�s TJepz:�mer.t(952-249-46�Q)for urility s*ab zs-built locu�or.s.
DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express
approval of the Public Works Department. Issuance of a pernut 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 A ly) '
�Residential(May Require Approval) ❑ Commercial(Approval Required)
�New Connecrion ❑ Additional Connection ❑ Re-Connection ❑Repairs ❑ Disconnect
Job Site`/ Owner Information:
Site Address: /0'2��- �}� �ve.-t�V.�- � �_
Owne��'-��— �]f c��� Mailing Address: /���� [�,� �J�/�a.
City: VG�UnO Zip: �`j�'j(�
Home Phone: Alternate Phone:
Contractar Information:
Contractor�Oth,,p��c�,-� `}'(U�n�v'� Contact Person:� ��0.+r�o�.
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Address:l5pp�`(�fl�ka�•,� c�. State License #: c�J�� �M
City: ��(1tl�pfl�� Zip�j�r Expiration Date: /�"' �J�`"'a� '
Phone: cJ��-• �— `-�� /� Alternate Phone:
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❑ SAC Cha ge(2005 Rate=$1,450.00) $
(SAC Ch rge must accompany all sewer pernut applications unless prepaid)
(Orono ity Staff can deternune if applicable)
(If not p epaid,a sewer connection permit will not be issued)
� Sewer Co nection/Bf�rtect/ ) $
Pipe size inches;material Schd 40 air tested; cast iron
❑Water ection/Disco Repai 35.0 /Per Stub) $
Pipe e inches• te 'al Sc 0 air tested; copper
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1. SUBTOT of Pernut Requested: $
2. STATE S CHARGE $ .50
3. POSTAG &HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL ERMIT FEE(Add Lines 1-3 Above) $
' DITIONAL INFORMATION-,WATER METERS
■ WATER METE S must be picked up and paid for at Orono City Hall,these are on a separate uernut.
■ WATER METE S must be set and seated by Orono Water Department (952) 249-4600, upon
completion of m ter installation.
The undersigned he eby applies to the City of Orono for issuance of a Utility Permit, agrees to do
all work in strict ac ordance with the ordinances of the City and the regulations of the State of
Minnesota, and cert'fies that all statements made on this application are,true and correct.
Applica : ' � Date: __ �'' 9—O�
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CITY OF ORO CALLED IN � �O
INSPECTION TI SCHEDULED ' � /d:�
PERMIT NO. COMPLET D �`���t -� �(-�_
ADDRESS �a T� ���U'c �
OWNER CONTR. �
TELEPHONE NO��-1 33 �7I 7
� DESCRIPTION D��
� 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 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: .� ���'G t"�a"''� � N �i1 �"^c' DA'I
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� �J�/ORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY
O C Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � 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. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. w � �f� �S
White Copylinspector's File Canary CopylSite Notice