HomeMy WebLinkAbout2001-P03736 - sewer connect PERMIT
CITY OF O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P03736
CrIstal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 4/25/2001
SITE ADDRESS: 684 Tonkawa Rd
LONG LAKE, MN 55356
PID: 05-117-23-33-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pe: Sewer and Water Permit Permit Sub-type(s): Sewer Connection
Permit Type: Water Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Plymouth Plumbing OWNER: J SUNDET& R SUNDET
6909 Winnetka Ave N 684 TONKAWA RD
Brooklyn Park,MN 55428 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.
TPE I E I I D BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Pagel
CITY OF ORONO 6124730510 09/29/97 13:5915 :02/02 NO:030
U'I'V OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66(2750 Kelley Parkway) SEWEWWATER
Crystal Bay, MN 55.323
fa fiNE AL 1jSFD& ATlQ�t ,
I. You may apply fot utility permits by mail or in person at the City offices,
2. Mailed in applicatiaos aro subject to the postage and handling fees shown below. Permit cards will be sent by
return mail the same day the application is received.
3. Permlts are not valid until you receive a permit card.
4. Work must not begin unless the permit caret is available on the job site.
3. Utility connection permits may be issued to licensed contractors only,
6. Contact the Public Works Department(473-7337)for utility stub as-built locations. DO NOT l;XCAVATF.
IN ANY STUET 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 insponed before it is covered. Call 473-7357.
24 hour notice required.
JOB$ITEADDRI,SS:
Occupancy Type: Residential Commercial
Owner's Naive: o n. " Phone Nutri A ((OR
Mania Address: t C ` City:e Zip: 65-5
Contractor's Name: w n i Aa Phone Numbe —
Malliag Address:(17 City: - �J
PERMIT TYPE
Municipal Sewer Connection($35.00 per stub) $
size ( )
pipe 't.t._inches; material PVC ori sand fill); cast iron
-
SAC Charge($900,00)must accompany all sewer permit applications unless prepaid, If not prepaid,
a sewer cotinection petmit will not be issued.
Municipal Water Connection ($35.00 per stub) $
pipe size__,L__inches; material �(_copper; other
WATER METERS must be picked up and paid for at City Hall.
(5/8"meters-$139.00; 3/4" meters $191.00; 1"meters=$247.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Witter Department(473-7357)upon completion
of teeter installation.
REQUIRED minimum setbacks from drainfield and septic tanks=75'
UQUIRED setback from sewer line a 20'
&RMIJ FEf;.CA4CULA330N
I, Subtotal of above permit requested
2, S_ ate Surchgra $�o
The State Building Code Division Surcharge of S.50 per permit roust be
included for each well,sewer and water connection permit requested,
3. P'95149C AHadIjU((hely mail-in applications) $ 1 SO
4. TOTAL PERMIT FEE(add lines 1-3 above) $
The undersigned hereby applies to the City of Otono 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 etre complete,true and correct.
Signature of Applican . ! Daher
CITY OF ORONO CALLED IN DAT .6 0/ Tllv]�
INSPECTION NOT CE SCHEDULED 3 t (fir-.
PERMIT NO. ✓`r`" COMPLETED
ADDRESS (U S L4 1(n , LID—
OWNER
I.OWNER CONTR. l&h su
TELEPHONE NO. ��'3 Y-38
DESCRIPTION "eh
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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINALq SEwFa unnK i�� 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
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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klj ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. -�
White Copy/Inspector's File Canary Copy/Site Notice