HomeMy WebLinkAbout2004 - P08032 - sewer disconnect PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P08032
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 10/5/2004
SITE ADDRESS: 356 Westlake St
Long Lake,MN 55356
PID: 05-117-23-23-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Cut Off and Capping Existing Sewer
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Thompson Plumbing OWNER: Julie Fritzpatrick
15001 Minnetonka Ind. Rd. 356 Westlake St
Minnetonka,MN 55345 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.
O L
•
APPLICANT PERMITEE SIGNATURE IS SUED BY SIGNATURE
`4.
Conies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Doc-04-2001 12:44pm From-CITY OF ORONO +9522494616 1-297 P.001/001 F-805
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CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66(2750 Kelley Parkway) SEWER/WATER
Crystal Bay,MN 55323
GENERAL INFORMATION
I. You may apply for utility permits by mail or u t 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. 1)0 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. Ail work must be done in accordance with Stagy a Code requirements.
8, All work must be inspected before it is coverer 1. Call(952)249-4600.
24 hour notice required.
.TOE SITE ADDRESS:
Occupancy Type; Residential Commercial
Owner's Name n.�_.1:. Phone Number:
Mailing Address: ��L• i�'tet . City: Zip:
Contractor's Nar#tef\4�.�� E�\��:\. _ Phone Number: \ •
Mailing Address:t'_. . , ti .11 r. =��f� :��. . ��_��:� City: i l��t' � T L.)
PERMIT TYPE C �
�ri Municipal Sewer Connection ($35.00 per stub) $
J pipe size inches; material _Schedule 40 air tested; cast iron
" SAC Charge (2000 rate$1,150.00)must accompany all sewer permit applications unless prepaid.
u,)( If not prepaid,a sewer connection permit will not be issued.
Municipal Water Connection($35.00 per stub) $ f_
pipe size inches; material_ _copper; other 1
WATER METERS must be picked up and paid for at City Hall. / f
Water meters must be set and seated by Orono Water Department (952-249-4600) upon
completion of meterkastallation.
REQUIRED minimum setbacks from drain field and septic tanks=75'
REQUIRED setback from sewer line=20'
PEE TFE.E CALCULATION
1. Subtotal of above permit requested y$i
2. State Surcharge $ .50
The State Building Code Division Surcharge of$.5o per permit must be
included for each well,sewer and water conn(lion permit requested.
3. Postage& ndling(Only mail-in applications) $W 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 Applican i a'" — (“2--74/2, Date: /C7
cDATE TIME
CITY OF ORONO /V Ltef CALLED IN l0/r /O`I
INSPECTION N T COE SCHEDULED /i 7/Dy
PERMIT NO. /)6 D3, COMPLETED (V"� � 10.-c")
ADDRESS 3 U - - L/ / S,
OWNER CONTR.
TELEPHONE NO. Ci,/5 9:7( -0,aci
E DESCRIPTION
U..• 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IL 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: .YES NO
o COMMENTS:
Q.
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IQEDWORK SATISFACTORY:PROCEED X ROJECT COMPLETE
❑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
❑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/Co actor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice