HomeMy WebLinkAbout2000-P02537 - plumbing � �_y
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po2s3�
Crystal Bay, Minnesota 55323 Permit Type: Plumbing Water Meter
(612) 249-4600 Date Issued: 6�s�oo
SITE ADDRESS: 2108 Sugarwood Dr
LONG LAKE,MN 55356
P I D: 34-118-23-21-0024
DESCRIPTION:
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Permit Class: Plumbing
Permit Type: Plumbing Water Meter Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 0.00
State Surchazge Fee: $ 0.50
Misc.Fee: $ 240.00
TOTAL FEE: $ 275.50
APPLICANT: Lee Plumbing OWNER: RVC HOMES INC
4004 Baker Road 2104 SUGARWOOD DR
Minnetonka,MN 55305 LONG LAKE MN 55356
THE UNDERSIGNID HEREBY REQUESTS PERNIISSION TO MAKE'TI�REAL IMI'ROVIMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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ISSUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
�• CITY OF ORONO APPLICATION FOR UTILITY PERNIITS
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Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GENERAL IlVFORMATION
1. You may apply for utility pemuts by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below. Pernut 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 pernut card is available on the job site.
5. Utility connection pernuts may be issued to licensed contractors only.
6. Contact the Public Works Department (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 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. Ca11249-4600.
24 hour notice required.
JOB SITE ADDRESS: �- �� � ���.-��' c� �ZSZ� �
Occupancy Type: esidential Commercial
Owner's Name: � - c�s�-,..�--�-- PhoneNumber•
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Mailing Address: City: 7ap:
Contractor's Name: � -�� � ,�� �.,�� Phone Number: �'-f�3� �5�'�
Mailing Address: » � City: / 7ap: ,SS�� S
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size inches; material Schedule 40 air tested; cast iron
SAC Charge ($1,050.00) must accompany all sewer permit applications unless prepaid. If not
prepaid, a sewer connection permit will not be issued. �
Municipal Water Connection ($35.00 per stub) -. $
pipe size � inches; material copper; ,. �other •
WATER METERS must be picked up and paid for ' Hall.
(5/8" meters= $130.00; 3/4" meters= $180.00; 1" meters = $240.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Water Department(249-4600) upon completion
of ineter installation.
REQUIItED minimum setbacks from drainfield and septic tanks=75'
REQUIRED setback from sewer line=20'
PERMIT FEE CALCULATION � '
1. Subtotal of above permit requested $
2. State Surchar�e $ .50
The State Building Code Division Surcharge of$.50 per permit must be
included for each well,sewer and water connection permit requested.
3. Posta�e & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
The undersigned hereby applies to the City of Orono for issuance of a Utility Pernut, 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.
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Signature of Applicant: ��=-c Date: (� / � C—�