HomeMy WebLinkAbout2001-P04514 - sewer connect CVTY 'OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P04514
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit
(952) 249-4600 Date Issued: 10/19/2001
SITE ADDRESS: 340 Tonka Ave
Long Lake,MN 55356
PID: 05-117-23-14-0039
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:
NOTICESIREMARKS:
FEE SUMMARY: _ . _.Pgnnit.Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE:.._ _.. $35.50
APPLICANT.-....Widmer Inc. r`. OWNER._.__Patra Swe. -
Box 219 340 Tonka Ave
St:=Boni MN 55375 _ :.:. r
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.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si-anitures Reouired). 1-ADDlicant 1-Monthly Reports. 1-Assessine. 1-Finance Page 1
(Uraated 2/12/01)
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Dox 66 (2750 Kelley Parkway) SEWERIWATER
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 permits 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 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.
JOB SITE ADDRESS: 3 W9
Z&Z. " C.-
Occupancy Type: Residential Commercial
Owner's Name: ,d4yl S& o Phone Number:
Mailing Address: City: Zip:
Contractor's Name: Phone Number:_
Mailing Address: City: ` Zip: y 75'
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size inches; material Schedule 40 air tested; cast iron
SAC Charge (200 rate $1,150.00) 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 at City Hall.
Water meters must be set and sealed by Orono Water Department (952-249-4600) upon
completion of meter 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 Surcharge $ .50
The State Building Code Division Surcharge of$.50 per permit must be
included for each well,sewer and water connection permit requested.
3. Postage & 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 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: Date: 142 /9 7
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICESCHEDULED
PERMIT NO. COMPLETED Oz�0, 1
ADDRESS 3yo -7-o/-) 4 o-e-,
OWNER CONTR. 1i0J 42(IrLeh/
TELEPHONE NO. 9 J - �zc/
DESCRIPTION
41 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
CO03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATE OK-UP 17 SITE INSPECTION
Q OS FINALHOOK 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:I YES_NO
COMMENTS: 5e_t.r
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LAJ ❑WORK SATISFACTORY,PROCEEDXPROJECTCOMPLETE
cc
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 2hours in advance. (952) 249-4600
Owner/Confor on site: ` c-,?_ (-
Inspector. �~�7� -�
White Copylinspector's File Canary Copy/Site Notice