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Home My WebLink About2002-P05813 - sewer connect PERMIT CITY OF ORONO 2750 Ke";�y Parkway- PO Box 66 Permit Number: Possi3 Cryst�al Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952�249-4600 Date Issued: iii�i2oo2 SITE ADDRESS: 1405 Sixth Ave N L.ong Lake,MN 55356 P I D: 3 5-118-23-22-0006 DESCRIPTION: Proposed Use: Residential Permit Class: General Pernut Type: Sewer and Water Pemut Perxnit 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• �dy Monson Plumbing OWNER: 7ohn&Donna Crotteau � 17435 30th Ave N 1405 Sixth Ave N Plymouth,MN 55447 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND Sf ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. l � Illi V ANT PERMITEE S NATURE D BY SIGNATURE Conies: 1-File(Signitures Required), 1-Avnlicant,1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 (LTpdated 5/3/02) CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC Crystal Bay, MN 55323 . 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 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 permit card is available on the job site. 5. Utility connection 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 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. JOB SITE ADDRESS: ��/ �� .�-�l L� Occupancy Type• Residential Commercial Owner's Name: Phone Number: Mailing Address. City: Zip: Contractor's Name: Phone Number• `�(�.3 �4 1� - � Mailing Address: �l 35 �'' City Zip: ,5�1�l PERMIT TYPE �Connections ❑Repairs ❑Disconnect (Check One) SAC Charge (2002 rate $1,200.00) $ (Set Rate) Sac Charge must accompany all sewer permit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer Connection/Disconnect/Repair($35.00 per stub) i4 $ pipe size inches; material Schd 40 air tested; cast iron Municipal`Vater Connection/Disconnect/Repair ($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. Subtotal of above permit requested $ 2. State Surchar�e $ .50 (Minimum) The State Building Code Division Surcharge of$.50 per pemut must be included for each well,sewer and water connection permit requested. 3. PostaQe & Handlin�(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 the State of Minnesota, and certifies that all statements made on this applicati compl e, tru correct. Signature of Applic t: Date: C�� Cl DA�E TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �;�`��S � 3 COMPLETED ADDRESS � L}-�`:c� � `�� -} 61 �"� �,� OWNER CONTR. � �. TELEPHONE NO. /�� l �� DESCRIPTION � � � � �--�--��..�� . tL Ot FOOTING 11 MECHANICAL RI �" 18 EXCAV/GRADING/FILLING Q02 FRAMING 13 MECHANICAL FINAL Z.�'� ' 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS;_L 1, �.P��`'� l.- ( ' ��—� ��— W , C ��' , a �� o �.-= (,,�� -,��, ,�u...�/ �--f�2 . � � O � � � � W � Q � 2 W � W � � a / W��f WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVEflING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCorl#a�lo�o�site: Inspector. T=`",�.� White Copy/lnspector's File Canary Copy/Site Notice ��/ DATE TIME � CITY OF ORONO CALLED IN � INSPECTION N TICE SCHEDULED 7 -/ -b PERMIT N0. � COMPLETED ADDRESS ��C-_S o�'`�C��'t9 � OWNER CONTR.�� rf.,/L��-�� —� TELEPHONE NO. � �E'� `f 7C� ��f�/ � DESCRIPTION / ��'m-� ��- � 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 O6 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT � DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j l � 0 �. � 0 � W � Q � z W � W � � � WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE W ❑ flRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952) 249-4600 OwnerlContra site: Inspector. White Copyllnspect s File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN �7"1-�- �-3 INSPECTION NOTICE SCHEDULED � '�`' � ��``' PERMIT N0. ��=��y� 3 COMPLETED ADDRESS �� L'� �'�"�- �-' OWNER �-��--�: �.z�`� CONTR.__C�-��.a� /��s�i+ri TELEPHONE N0. �� =' > 5 ' -� } � S ' � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING f Q FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSUtATION 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 v 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � e�cl� � � - � � 0 '' S � - 0 � W � Q � z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (95Z� Z49-4600 OwnerlContr �r it : Inspector. �� J : White Copyllnspector's File Canary CopylSite Notice