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HomeMy WebLinkAbout2002 - P05215 - SAC only CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P05215 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 7/18/2002 SITE ADDRESS: 340 Willow Dr N(Fire Station) Long Lake,MN 55356 PID: 34-118-23-32-0003 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): SAC Only DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: 3 SAC Charges for Fire Station,Per Met Council-Fund Transfer FEE SUMMARY: Valuation: $ 0.00 SAC Fee: $ 3,600.00 TOTAL FEE: $ 3,600.00 APPLICANT: Owner/Self OWNER: City of Orono MN 340 Willow Dr N 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing. 1-Finance Page 1 (Updated 5/3/02) CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC Crystal Bay,MN 55323 c ')/ .JJ GENERAL INFORMATION L 1. You may apply for utility permits by mail or in person at the City offices. /2 /1,' 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: 0 LW I i UuL) oy-) Occupancy Type: Residential / CommerciAl Owner's Name: C /7 (J c-( l �� 2 l Phone Number: i a`�/��-�'g(P/ Mailing Address: City: Zip: Contractor's Name: RC C ji) or) cc rpc r7-f-L nphone Number: `7 CG 3 _ 5-5-9_9 3 9 . .\(!‘ Mailing Address: City: Zip: 02S PERMIT TYPE Connections ❑Repairs, WEI Disco ect (Check One) QQ' Ul7 SAC Charge (2002 rate $1,200.00) p,, X $ r� (Set Rate) Sac Charge must accompany all sewer permit applicati ns un ess prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer Connection/Disconnect/Repair ($35.00 per stub) $ pipe size inches; material 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 $ � ,' ji / D 0 1. Subtotal of above permit requested uested (s7 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) $ 1.50e_opail-InOnly) 4. TOTAL PERMIT FEE (add lines 1-3 above) b 61) 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: Date: 6123396212 BKPV & ASSOCIATES 909 P02/02 MAY 13 '02 14:37 444 Metropolitan Council Building communities that work • May 9, 2002 Marvin Wurzer Building Inspector City of Long Lake P.O. Box 606 Long Lake, MN 55356-0606 Dear Mr. Wurzer: The Metropolitan Council Environmental Services Division has determined SAC for the Long Lake Fire Station to be located within the City of Long Lake. This project should be charged 4 SAC Units, as determined below. • SA drifts • Charges: Office 1164 sq. ft. @ 2400 sq. ft./SAC Unit 0.49 Training 1360 sq. ft. @ 1650 sq. ft./SAC Unit -0.82 Hose Tower1.00 Truck Washing 1.00 Lockers 15 lockers @ 14 lockers/SAC Unit / • 1.07 Total C arge: 4.38 or 4 If you have any questions, call me at 602-1113. - . /1 4 Sincerely, A d. • Qj(,/\j‘ Jodi L. Edwards Staff Specialist Municipal Services Section .TLE: (220) 020509S8 Cc: S. Selby, MCES Michael Krych, BKV Group www.mccrnounx•Il.org Moro Info Llne 602.1888 noon c...•• rne.!,t...,... • .ci r':uJ Minn.�.olu 55101-1626 - 16511 602•I000 • Fax 602-1550 • 'I"IY 291-0904 I +� It Metropolitan Council Building communities that work May 14, 2002 01 Lyle Oman Building Administrator \ O City of Orono P.O. Box 66 Crystal Bay, MN 55323-0066 v0 Dear Mr. Oman: The Metropolitan Council Environmental Services Division has determined SAC for the Long Lake Fire Station to be located within the City of Orono. This project should be charged 3 SAC Units, as determined below. SAC Units Charges: Office 1164 sq. ft. @ 2400 sq. ft./SAC Unit 0.49 Training 1360 sq. ft. @ 1650 sq. ft./SAC Unit 0.82 Truck Washing 1.00 Lockers 15 lockers @ 14 lockers/SAC Unit 1.07 Total Charge: 3.38 or 3 If you have any questions, call me at 602-1113. Cin ely, 4. () _ , 0 „ odi L. Edwards Staff Specialist ru Municipal Services Section JLE: (220) / \f 020514S9 c, r 2 ` Cc: S. Selby, MCES G^ Michael Krych, BKV Group www.metrocouncil.org Metro Info Line 602-1888 230 East Fifth Street • St.Paul.Minnesota 55101-1626 • (651)602-1000 • Fax 602-1550 • TTY 291-0904 An Equal Opportunity Employer f/ igrj 6123396212 BKPU & ASSOCIATES 909 P02/02 MAY 13 '02 14:37 • 114 Metropolitan Council Building communities that work May 9, 2002 Marvin Wurzer Building Inspector City of Long Lake • P.O.Box 606 • Long Lake, MN 55356-0606 Dear Mr. Wu -r: . The Metropolitan •uncil Eninental Services Division has de.- r" ed SAC for the Long Lake Fire Sta ion to be td within the Ci of Long Lake. This project should be harged 4 SAC Units, as i etermined below. • S • C Units Charges: • Office 1164 sq. ft. @ 2400 sq. ft./ • C Uni 0.49 Training 1360 sq. ft. @ 1650 sq. ft./SAI mit 0.82 Hose Tower 1.00 Truck Washing 1.0' Lockers �� 15 lockers @ 14 lockers/S•. C Unit .07 • Total Charge- • 38 or 4 os � If you have any question:, call me at 602-1113.\ ,�'0 Sincerely, ' Q,,dij. d. al 0 ili• .c-\ Q)0.)Jodi L. Edwards Staff Specialist Municipal Servic: Section JLE: (220) 020509S8 . Cc: S. Selby, MCES • Michael Krych, BKV Group www.rnc(ocuuftr•ll.orl( Metro Info Line 602-1888 ••••.n c..... clf.o.ei....•. . V Paul Mlniimt)lat 55101-1526 - (651)602.1000 • Fax 602-1550 • 11Y 291-0904