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Home My WebLink About2000 - P03257 - sewer connect * '~' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P03257 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (612) 249-4600 Date Issued: 11/14/20 SITE ADDRESS: 1000 Wildhurst Tr MOUND,MN 55364 PID: 07-117-23-13-0217 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: WIDMER INC OWNER: KIM M ERICKSON BOX 219 1000 WILDHURST TR ST. BONI,MN 55375 MOUND MN 55364 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. dVt t '444 yLe C771-0 APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE (454 Copies: City,Applicant,Assessor,Finance Pagel CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER 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 fees 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(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 249-4600. 24 hour notice required. JOB SITE ADDRESS: /,� ��.41/1 1��A-1. Occupancy Type: Re identia Commercial Owner's Name: /P si Phone Number: -i 7/ y 370 Mailing Address: City: Zip: Contractor's Name: _ 17Z�-t, `-� Phone Number: ,-,I9 —/6/95` Mailing Address: �/ 7 City: ,- i . Zip: , 37 3 PERMIT TYPE Municipal Sewer Connection ($35.00 per stub) $ pipe size inches; material I. Schedule 40 air tested; cast iron SAC Charge (200rate $1,100.00) must accompany all sewer permit applications unless prepaid. If not prepaid, a sewer connection permit will not be issued. Municipal Water Connection ($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(249-4600)upon completion of meter installation. REQUIRED minimum setbacks from drainfield and septic tanks=75' REQUIRED setback from sewer line=20' PERMIT FEE CALCULATION 1. Subtotal of above permit requested • $ 2. State Surcharge $ .50 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 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 Applicant: ,� X1 "6 -1- Date: /// d a DATE TIME CITY OF ORONO m J 1 CALLED IN I— �' O MFly INSPECTION NOTICE SCHEDULED PERMIT NO. 7 �COMPLETED ADDRESS i cfC tA) ►I c. hu r s± Tp_ OWNER CONTR. TELEPHONE NO. (-1-qtr DESCRIPTION J� -``�' / ft ° u 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 • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION ct 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 kJ 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: cc W cc cc cc z cc W ❑WORK SATISFACTORY:PROCEED El PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED P ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (..)O BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adv nce. 249-4600/ Owner/Contrac on r� site::, Inspector. c "`'� 14? White Copyllnspector's File Canary Copy/Site Notice CITY OF ORONO CALLED IN J/TE ��C� TIME �� INSPECTION NOTI SCHEDULED // 00 ��/''? PERMIT NO. KO 3,-,25_.7 COMPLETED a) 2—/c ADDRESS / CCD Gam' r / /1 L-(is f- je_-_ , OWNER CONTR. GO/c//'Y)a/' TELEPHONE NO. 4"-/ (1)` /'-7 95 DESCRIPTION �'�` /--- -1, W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRAD NG/FILLING ct W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS tel 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 MATER HOOK-UP 17 SITE INSPECTION Q05 FINAL r 1144 SEWER HOOK-UP 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL _ ' OWNER/CONTRACTOR TO MEET YOU:_YES NO l " ,-t), COMMENTS: E�S W Q.. j L O Ilk cc LL O � o W J ct Q ILLu cc 0 d /ORKSATISFACTORY:PROCEEDP W J v ❑CORRECT WORK v ROJECTCOMPLETE PROCEED I-1 ISSUE CERTIFICATE OF OCCUPANCY W l ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0O BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR E CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContractpr on site: Inspector �i 1 e9Cc-14) White Copylinspector's File Canary Copy/Site Notice