HomeMy WebLinkAbout2002 - P05507 - sewer connect PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P05507
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 8/14/2002
SITE ADDRESS: 1074 Wildhurst Tr
Mound,MN 55364
PID: 07-117-23-24-0046
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: Bohnsack&Hennen Excavating,Inc. OWNER: Ilona&Kenneth Peterson
17072 Revere Way 14820 13th.Pl.North
Prior Lake,MN 55372 Plymouth,MN 55447
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.
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AP LICANT PERMITEE SIGNATURE ISSUE Y SIGNATURE
Conies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessinc, 1-Finance Page 1
Auj OT-2002 '0:03am Fram-CITY OF 0R0^fC +9522494616 T-TOT P.002/002 F-329
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 fee shown below. Permit cards will be sent by return mail the same da;
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. DO NOT EXCAVATE IN ANY STREET ANL
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: , Q`�) Li t9tt- Pti-oRsr i2Frl L
Occupancy Type: V Residential Commercial
Owner's Name: Clot, 1-.11-0^,/+.5 L-irD t,t 5 Phone Number: P 41 5`)— _ciC,2
Mailing Address: \ co\ WA �40--a r31/44Y,)./t -2-le City: \A,n(1_,M-A Zip:
Contractor's Name: Phone Number: N6t1..4 i . �g j
Mailing Address: t 7u_ /1 , ,2„ L'vo)y City: PP-w4-LA--r Zip: -?d
PERMIT TYPE '
Municipal Sewer Connection($35.00 per stub) $
pipe size inches; material Schedule 40 air tested; cast iron
SAC Charge (2002 rate$1,200.00)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 (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 S :3�
2. State Surcharge $ .S0 _
The Stare Building Code Division Surcharge of 5.50 per permit must be
included for each well,sewer and water connection permit requested.
3. Postage&Handling(Only mail-in applications)
4. TOTAL PERMIT FEE (add lines 1-3 above) $ , 5''U
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: (140e Date: 'c3'
DATE TIME
CITY OF ORONO /d 55 CAVED IN
INSPECTION e 1 SCHEDULED <17c - ( 0,73 E
PERMIT NO. 4—--" COMPLETED
ADDRESS /O 7 -- Q �.�
OWNER ;215,:Arz. �� CONTR. /50h/S/S /\'(--
�TELEPHONE NO. 7-� Li 7 - 3 �c�� /it n,e 0
35'5 ' r ,,c a fv;, �j
DESCRIPTIONe �V 2 2 Tr oa K•— (-Cr �/
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
y 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 HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
--d 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
C
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
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IQ ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U 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/CoIlittm • ' ite:`
Inspe
-Copy/Inspector's File C 1 Copy/Site Notice