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HomeMy WebLinkAbout2005 - P08493 - sewer/water permit CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: P08493 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 3/8/2005 SITE ADDRESS: 945 Willow View Dr Long Lake,MN 55356 PID: 28-118-23-44-0009 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: SAC Paid#P08456-02/28/05 FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: Coppin Plumbing OWNER: Timothy&Brenda Wicks 5089 Shoreline Dr 945 Willow View Dr Mound,MN 55364 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. IC C`/L /2 APPLICANT PERM SIGNATURE i IS Copies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessin2, 1-Finance Page 1 FOR CITY USE ONLY � 0� City of Orono Date Received: Permit#\ P.O.Box 66 2750 Kelley Parkway 0 In-House SAC Determination Form Completed 3 fi t Crystal Bay,MN 55323 o$�o (952)249-4600 Approved By(If Required): r4s CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS- May be subject to further review and may not be issued when the application is received) 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 within 2 business days. 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. TYPE OF PERMIT (Check All That Apply) '14 Residential(May Require Approval) ❑ Commercial(Approval Required) Ri New Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect Job Site/Owner Information: Site Address: 9I c VV'i` t l O w cs Owner: �,_��� *at, Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: , 'A .p l[�„�.�c/ Contact Person: LGv� Address: �S p4\ 5- (C‘;4 ca State License #: 33 a e City: Nhr)n Zip:S 536`1 Expiration Date: Zenn Phone: ,S- -9 713 -0316 Alternate Phone: 61 a- Ry 0 6 a,: o r r.. ' r 't I3E 1'ERMINING PERMIT F EES,,' y`, ❑ SAC Charge(2005 Rate=$1,450.00) $ (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can determine if applicable) (If not prepaid,a sewer connection permit will not be issued) E Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ k oC) Pipe size t/''.Chinches;material Schd 40 air tested; cast iron Lf0 1RIVater Connection/Disconnect/Repair($35.00/Per Stub) $ Se;6 c? Pipe size I inches;material Schd 40 air tested; cast iron 1. SUBTOTAL of Permit Requested: $ . d c) 2. STATE SURCHARGE $ ,50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 7o, _s—c) ADDITIONAL INFORMATION WATER METERS • WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. • WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of meter installation. 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,true and correct. Applicant: � � Date: `) g —d, Q),61--- DATE TIME CITY OF ORONO CALLED IN t�j INSPECTION N TICE SCHEDULED -= J __ 31 _ PERMIT NO. $V`S C T3 COMPLETED ADDRESS 9 Li j LA2 -L_C`k) U-1-. pe OWNERCONTR.C Lipp 1 ci lel OWNER --k TELEPHONE NO. ( -a S �. -4/ -7 - 3/(e_, DESCRIPTION S _ Cn W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 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 cI 4.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: (f YES_NO cc • COMMENT� S: K +0 -© `� _,.., f , , ... j ,,,t � O ,..,„O W CC cL co W Z W CC d WC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0• C7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 iI pection 24 hours in advance. (952) 249-4600 Owner/Contract sit Inspector. White Copyllnspector's File Canary Copy/Site Notice