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HomeMy WebLinkAbout2002 - P05280 - sewer/water connect PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P05280 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 6/12/2002 SITE ADDRESS: 340 Willow Dr N(Fire Station) Long Lake,MN 55356 PID: 34-118-23-32-0003 DESCRIPTION: Proposed Use: Permit Class: General Permit Sub-type(s): Sewer&Water Connections Permit Type: Sewer and Water Permit DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: United Water And Sewer Co. OWNER: City of Orono 11666 Wayzata Blvd. 340 Willow Dr N Minnetonka,MN 55305 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. APPLICANT P RMITEE SIGNATURE 4YSIGNATURE Copies: 1-File(Sijnitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1 (Updated 5/3/02) CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box.66 (2750 Kelley Parkway) SEWER/WATER& SAC 9 O 59 O Crystal Bay, MN 55323 GENERAL INFORMATION 4170. O 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 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. JOB SITE ADDRESS: 3 q 0 ()Df c-LouL) J - CF-;Xe %/a%/dam Occupancy Type: Residential ck-- Commercial Owner's Name: Phone Number: Mailing Address: City: Zip: Contractor's Name: 0 01=i—ed& d- --sf-Se(4...e r Co. Phone Number: Mailing Address: ( ((f,(o(p U7c. a` (3 (Uc9 . City: ,l,(ct.+- c Zip: 5 3 d S PERMIT TYPE Connections D 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) $ ?5. G" pipe size inches; material Schd 40 air tested; cast iron Municipal Water Connection/Disconnect/Repair ($35.00 per stub) $ 3 S . a 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 regulations of the State of Minnesota, and certifies that all statements made on this application are co plet and correct. Signature of Applicant: /0-... Date: /./ '--79 V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /0.//0 Z /fjli'l PERMIT NO. I12 .`) 0 COMPLETT ,/l ADDRESS -�(J (c_)i 1/Ch/ I____)/e, /t/. OWNERCONTR. — TELEPHONE NO. �0 S / - y y 3 93 r DESCRIPTION A L di Kb S-/7,f 1 G 1-CS f &,'1 4..i„-1 e,, I-i ,,‘ Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS C") 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 `I 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TOMEET YOU:� NO oy COMMENTS: 1 O, LA, /50 ,psi OK CC0 .• 35-to ctimp (ce,_ 31cc0 W cc cr W z W cc VW �]WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CZIO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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 't': Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED (5 -12--c-1eZ- (o:v PERMIT NO. 116 S COMPLETED ADDRESS 3 4O u„,((6cr. Q,c I,Olre OWNER CONTR. L".' CT-CO w't-5 TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 6)WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT -1 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LW 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: W C cc a1( �l' cc z cc • "WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ 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/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALL DIN INSPECTION NOTICE SCHEDULED ,� PERMIT NO. f.o �� 8 a COMPLETED t("�g�2-- g' S ADDRESS '" 4.))//tJ (2.'- OWNER CONTR. / 'T'� TELEPHONE NO. DESCRIPTION fid' e)ve G-ze. .-- 5 Z-iGe A2)2 k.� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS " 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. - - ' HOOK-s' 17 SITE INSPECTION Q 05 FINAL 14 SEWER -..•- ' 06 PROGRESS 07 DEMO-SITE 27 SEPTI MAINT. 21 COMPLAINT cC ✓ 07 DEMO-FINAL 15 SEPTIC TALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINA 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES O o COMMENTS: 4 :W 0. Cc J c S112 (°'i ✓ 0 CC o _ LLi CC toW Z W CC S IQWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W /❑`-CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CO. DITION WITHIN HOURS- 0 PHOTO TAKEN INSPECTOR WILL RgURN ❑STOP ORDER POSTED.CA. INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CA. TO ARRANGE ACCESS. Call for the next ins,ection 24 hours in advance. (952) 249-4600 OwnerlContr�/ tor on si dial Inspector. !J... G Ar White Copy/Inspector's File Canary Copy/Site Notice V Fie .7 CX- ' (-ee/e/,,, DATE TIM CITY OF ORONO CALLED IN ' INSPECTION N TIC a V SCHEDULED Q .-Zr' , PERMIT NO. i'0 cv COMPLETED ADDRESS L{ C- Lv ; ( Ink 0 � . ki OWNERCONTR. Cr(_j1 t 1 ee) TELEPHONE NO()I� -1� `7 _ 4� Lam' �A DESCRIPTION IL. G ,It"x 4, 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/ ILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/W NDS " 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 LU09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES O o COMMENTS: c W Q. CC (,00 C, .er` n� (W c 0 ,.....W cc .4cW z W 'QV: ATISFACTORY:PROCEED 0 PROJECT COMPLETE T WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY RI BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952) 249-4600 Owner!Contrac Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED If q Q: 3c 4144 PERMIT NO.L,. kL COMPLETED SO ADDRESS ADDRESS - = /J / r OWNER CONTR. CAI'>la CL2"jev TELEPHONE NO. (/. A "7i f `7 © / ▪ DESCRIPTION ) C{'G% -Syz%f/ C. fi C S Ij 01 FOOTING L11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Cl) 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP IQ 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 Q. o le/(e- 141 —�J�►Nl rt,6 cc 0 W c z cc d/NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 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/Contra qr�site: Inspector. White Copy/Inspect s File Canary Copy/Site Notice