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Home My WebLink About2004-P07885 - sewer connect PERMIT C I TY O I� O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po�ggs Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952) 249-4600 Date Issued: gi26i2ooa SITE ADDRESS: 2i3s siXth A�e N Long Lake,MN 55356 PID: 27-118-23-31-0005 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Sewer Connection Permit Type: Sewer and Water Permit DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Kothrade Sewer&Water OWNER: Richard&Sally Valiton 12059 Whitetail Avenue 2135 Sixth Ave N Hanover,MN 55341 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � �� AP 1 NTPERMITEESIGNATURE ISSUEDBYSIGNATURE Copies: 1-File(Si�nitures Required). 1-Applicant, 1-Monthlv Reoorts, 1-AssessinQ, 1-Finance Page 1 ` (Updated 1/5/04) 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 pernvts by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown below. Pernut cards will be sent by retunl 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 pernut 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 Department. Issuance of a pemut 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: � I 3 � ��._ I`�Ct- U� Occupancy Type: �_Residential Commercial Owner's Name:��c�.�r'c� �1ci �� or Phone Number: Mailing Address: City: Zip: Contractor's Name: ��h rar�l� �;�r� e�r- Phone Number:�(�3--yQ�- �� Mailiug Address: �a-U5 � �1�, �� ; I �Av.e City: ��p�e,r Zip: �53 `� � PERMIT TYPE �Connections ❑Repairs ❑Disconnect (Check One) SAC Charge (2003 rate $1,350.00) $ (Set Rate) Sac Charge must accompany all sewer permit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipa( Sewer Connection/Disconnect/Repair ($35.00 per stub) $ � � �� pipe size � `� inches; material X Schd 40 air tested; cast iron Municipal Water 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 pernut must be included for each well,sewer and water connection pernut requested. 3. Posta�e &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 application are complete, true and correct. Signature of Applicant:�� + � C�� Date: � �b �� DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED PERMIT NO. D 8J`� COMPLEfED �o .� � ADDRESS Z( 3� � Y� C OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINCa 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 �EWER HOOK-UP O6 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 � OWNERICONTiiACTOR TO MEET YOU:_YES_NO y COMMENTS: v ' V l � a 0 i �tJ i O/�' � � O � �0 y W � Q � 2 W � W � � O � RK SATISFACTORIF PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINCa PERMANENT ❑CORRECTUNSAFECONDIT�ONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. � Call forthe next in ion 24 hours in advance. (g52) 249-46�0 OwnerlContra i Inspec White CopyMspector's Ffle Canary CopylSfte Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION N ICE SCHEDULED PERMIT NO. D �S COMPLETED ��-V� ADDRESS d`�3� � '�� /�'v t. OWNER CONTR. TELEPHONE NO. � DESCRIPTION S�w c,�- �.oc� v� � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 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 v �0 PLUMBING FINAL �/' 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES/�NO � COMMENTS: � � `� �"''�n�L� v�' �O � � � Lf��.2 � J O >. � O � W � Q ti Z W � W � ; � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C IS UE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlCo actor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice