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Home My WebLink About2002 - P05148 - sewer connect PERMIT CITY OF ORONO Permit Number: 2756 Kelley Parkway - PO Box 66 P05148 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 5/6/2002 SITE ADDRESS: 372 Westlake St Long Lake,MN 55356 PID: 05-117-23-23-0044 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: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Westonka Water&Sewer OWNER: Robert Erickson 6501 County Rd 15 372 Westlake St Mound,MN 55364 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. btu APPLICANT PE'•ITEE SIGNATURE I� SSUE Y SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 (Updated 5/3/U2) CITY OF ORONO APPLICATION FOR UTILITY PERMITS f fly 1 q S Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC 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 maybe 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: /2 � K� Occupancy Type: Residential Commercial Owner's Name: � ,�P 1i Phone Number: Mailing Address: City: Zip: Contractor's Name: 1,t) Phone Number:c s Mailing Address: �vS�C � ��- City: /tiQ c, i Zip: qS- �6( ei PERMIT TYPE [Ionnections ❑Repairs ❑Disconnect (Check One) SAC Charge (2002 rate $1,200.00) $ (Set Rate) Sac Charge must accompany all sewer permit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer Connection/Disconnect/Repair ($35.00 per stub) $ pipe size y inches; material X Schd 40 air tested; cast iron Municipal Water Connection/Disconnect/Repair ($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 (Minimum) 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 (Mail In Only) 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 re_ lations of the State of Minnesota, and certifies that all statements made on this application are complete, true . /ct. AP Signature of Applicant^- Date: �� kkk'- t/1\i/i..fric DATE TIME CITY OF ORod-• CALLED IN � INSPECTION I.OZIC� SCHEDULED-'rlU,eS .4-crt. ? -)rn PERMIT NO. NL' L.) i Li g COMPLETED 5--is .. )-- -1 fijrf- ADDRESS 3 -) a 1,,,.?e_ t IC (La_ ¶ --- OWNER CONTR. 1 vrtli-a- 1-1 7r TELEPHONE NO. 9 5 a-- LI --1 —y c c-)9 DESCRIPTION SQ.-LC— 44 U t 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS U) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 S WER HOOK-UP 06 PROGRESS 07 DEMO-SITE SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO WCOMMENTS: '-tC� cL __'s ro(rol� .9 (,)lip C�1- 11;CC CC 0 — NC‘u C, S IN.;c,‘..1i'l U O 'L CC Q coq 6 6nr-C c;r W + `cvx �/qr<;S{ aon!' (CSG V cc IV d • ❑WORK SATISFACTORY:PROCEED / ROJECT CO LETE W CC ❑CORRECT WORK&PROCEED ❑ ISSUESCERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra for on site: j �'\`I(�� •\)CC\ Inspector. 1)'. C3Ak_ / 'L":G2.•ry--c\,,r--. White Copy/Inspector's File Canary Copy/Site Notice