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HomeMy WebLinkAbout2001 - P04299 - sewer/water permit CITY OF ORONO PERMIT 2750 Kjley'1=arkway - PO Box 66 Permit Number: P04299 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 9/5/2001 SITE ADDRESS: 810 Willow View Dr Long Lake,MN 55356 PID: 28-118-23-44-0012 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections 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: Coppin Plumbing OWNER: RVC Homes 5089 Shoreline Dr 15500 Wayzata Blvd. Mound, MN 55364 Wayzata,MN 55391 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. VLA r APPLICAN ' RMITEE SIGNATURE ISSUB6 BY SIGNATURE Conies: 1-File(Si&nitures Required). 1-Applicant, 1-Monthly Reports, I-Assessing. 1-Finance Page 1 -I pl (Ur:iated 2/12/01) CITY OF ORONO -I APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER C 7ystal'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 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 Occupancy Type: L.< Residential Commercial Owner's Name: CZO C, he Phone Number: Mailing Address: City: Zip: Contractor's Name: C.I.D C)Q\ \.1 S Phone,NJ4mber: 1 L{' Mailing Address: SDE'VS how k.% City: OtI Oh v1J f PERMIT TYPE Municipal Sewer onnection ($35.00 per stub) $ 3 S pipe size l inches; material Schedule 40 air tested; cast iron SAC Charge (2000 rate $1,150.00) 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 0) $ 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 $ .O 3 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 th):11 statements made on this application are complete,true and correct. of A lic.t%'. ` ( Signature PP �.��i /L - � - - �/. Date: DATE TIME CITY OF ORONO CALLED IN f. INSPECTION NOTI E� SCHEDULED% 1 -- /(�•' PERMIT NO. pe " / COMPLETED — /0:5o ADDRESS / LL)/ /1 O tc) frI etc' p12.... OWNER CONTR.' / r pp;n ``7 TELEPHONE NO. 95 P- -7r�- ▪ DESCRIPTION o ��---f- 4.. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 v 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 Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: CCa —7 CC7 O CC W pill- ccQ • IQ Z \ /9 ,---ri--e ) r----- () -W cc GW n' os RK SATISFACTORY:PROLE \ 1 ROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O(..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED O 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.11 ,e.-t-_,'Qc White Copy/Inspector's File Canary Copy/Site Notice