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HomeMy WebLinkAbout2005-P09125 - sewer connect PERMIT 6ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09125 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 8/30/2005 SITE ADDRESS: 825 Tonkawa Rd Unit# Long Lake,MN 55356 PID: 08-117-23-21-0002 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Sewer Connection Permit Type: Sewer and Water Permit DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: J S Stewart Companies,Inc. OWNER: Scott Bissen&Michelle Morey 5606 94th Avenue N 16025 36th.Place North Greenfield,MN 55357 Plymouth,MN 55446 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. CANT PE TEE SIGNATURE JP ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR C TYU ONLY O�0O City of Orono Date Received: d Permit# 1 o9as- P.O.Box 66 a? 2750 Kelley Parkway El In-House SAC Determination Form Completed �R, ,< Crystal Bay,MN 55323 (952)249-4600 Approved By(If Required): CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS- May be subject to further review and may not be issued when the application is received) 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 within 2 business days. 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. TYPE OF PERMIT (Check All That Apply) Residential(May Require Approval) ❑ Commercial(Approval Required) Connection ❑Additional Connection ❑Re-Connection ❑ Repairs ❑Disconnect Job Site/ Owner Information: Site Address: Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Z, Contractor: 11�iEwl+(c+ Contact Person: � Address: - � !yam V4Z� State License City: C ryo V Zip:;_Expiration Date: Phone: �1F3� `7� J Alternate Phone: 1 z 3�� s s JIM ❑ SAC Charge(2005 Rate=$1,450.00) $ (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can determine if applicable) (If not prepaid,a sewer connection permit will not be issued) wer Conne tion/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ADDITIONAL INFORMATION-WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of meter installation. 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 inances of the City and the regulations of the State of Minnesot certi es that al tements made o this application are,true and correct. Alicant: Date: 0 Pp DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED 'O 4 PERMIT NO. M0 COMPLETED J.ovOM ADDRESS ocli,20n 5— OWNER CONTR. . I Sfcwr�fi Co TELEPHONE NO. �!A ' -App S' Z3 DESCRIPTION w 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER ZSR QP 06 PROGRESS 07 DEMO-SITE 2 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc w o t1, Pp4 CrI�AL-Ie 1 -:17,J w ocQ z 2 Vc- w w cc d w kOKORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W 11CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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 ite:Inspector. White Copy/Inspector's File Canary Copy/Site Notice