HomeMy WebLinkAbout2003 - P06252 - sewer/water connect PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06252
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 4/30/2003
SITE ADDRESS: 845 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-44-0004
DESCRIPTION:
Proposed Use: Residential
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
Misc.Fee: $ 1.50
TOTAL FEE: $ 72.00
APPLICANT: Schulties Plumbing OWNER: RVC Homes
1521 94th Lane NE 1003 Twelve Oaks Circle
Blaine,MN 55449 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.
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APPLICANT PERMITEE SIGNATURE L/� ISSUED BY SIGNATURE
Copies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessing, 1-Finance Page 1
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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 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: S-g5 / '
Occupancy Type: Residential Commercial
Owner's Name: a • ,J,./ Phone Number: X 3-7E 5-%S
Mailing Address: / .m ,j%wkl,w e,City: Zip:5'54/4/ 1
Contractor's Name: / ._1W./_Z/I�,MM
_,.i� hone Number: 7e, --7k6-q.0-7
Mailing Address: f .i 44Zi' City: ,—c_. Zil)
PERMIT TYPE
Municipal Sewer.Connection ($35.00 per stub)`/ $ 3S.Di-)
pipe size y inches; material X 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 stub $ .Oti
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 $ 70.06
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) $ W,) 0
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 Applica0"—� Date: o ' d
or
Cir
IDAT�EI r� TIME
CITY OF ORONO CALLED IN ff
INSPECTION NOTICE SCHEDULED i.G2 I 3
PERMIT NO. Z``7) COMPLETED
ADDRESS Sjc ) L) I-C` ' DlZ
OWNER CONTR. ----)V10 1 -Pt
TELEPHONE NO. Ina (e7— LIoC% l P `M1D
DESCRIPTION fit-- %ti 20
Lu
01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FI ING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H 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
COMMENTS:
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Wd ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 0 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
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner!Conirac on to
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
L+AD
TIME
CITY OF ORONO CALLED IN DATi i 3I b
INSPECTION NOTIC SCHEDULED L-PI t _l 103 1 ,)PERMIT NO. 0 In 2c) COMPLETED
ADDRESS LI`�� �` I ( _kJ �' +E - pz •
OWNER CONTR. I --L
TELEPHONE NO. 1 r) 1 c- - (jJ 1 2 u
DESCRIPTION •-k 6 i•
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILL G
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
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
I, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEP IC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU: YES_NO Lo.,-)04 COMMENTS: a rdThSP 1 :job
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cc
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0
0
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cc
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W
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W
cc
ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952) 249-4600
Owner!Contr c o ite:
Inspector.
White Copy/Inspector's Canary Copy/Site Notice