Loading...
HomeMy WebLinkAbout2008-P11996 - sewer/water connect A , PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11996 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 4/23/2008 SITE ADDRESS: 1075 Tonkawa Rd Unit# Long Lake,MN 55356 PID: 08-117-23-13-0002 DESCRIPTION: — Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolution#: Separate permits required: _r NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: Stonewood Design Build OWNER: Jim&Karen Fry 7407 Wayzata Blvd 2659 Casco Pt Rd Minneapolis,MN 55426 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. t� AP ANT PERMITEE S NATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ON L Ogd�© City of Orono Date Received: Permit#i �'q� P.O.Box 66 Le ' 2750 Kelley Parkway ❑In-House SAC Determination Form Completed ajCrystal Bay,MN 55323 ?.4-14" (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) New Connection ❑Additional Connection ®Re-Connection ®Repairs ®Disconnect Job Site/Owner Information: Site Address: I b`1 S MK k6t(,e)0_ ed- Owner: rrJGL"u Mailing Address: 2(,S-Vasce 040 City: ro P�'o Zip: Dau 7 Jot- Al Home Phone: Alternate Phone: Contractor Information: Contractor: —�1 pfc1�UG� Contact Person: Address: -7q&-7 Wa 4 zct 1o_Ryd State License#: City: Zip:S"suz(, Expiration Date: Phone: q52-(,T-7 —SS9 0 Alternate Phone: 0 SAC Charge(2007 Rate=$1,675.00) $ (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) Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size `'1 inches;material Schd 40 air tested; 0 cast iron Water Connection/Disconnect/Repair($35.00/Per Stub $ Pipe size I 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) $ Q 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 ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are,true and correct. Applicant: Date: MEN= TE TIME CITY OF ORONO CALLED IN INSPECTION N TICE / SCHEDULED O F PERMIT NO. Y� COMPLETED ADDRESS 0_7 S ( U00 OWNER CONTR. C/,)v ok 4e5l TELEPHONE NO. DESCRIPTION UW ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/ ILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS H ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL WER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REOVAL v El PLUMBING FINAL ElFOUNDATION/REMAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cca J l 0 cc o W cc Q ? J Z W r Uj cc WORK SATISFACTORY:PROCEED El PROJECT COMPLETE W0 ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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 Copy/inspectoes File Canary Copy/Site Notice