HomeMy WebLinkAbout2005 - P08951 - sewer/water connect ` 4
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PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P08951
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 7/12/2005
SITE ADDRESS: 1010 Willow View Dr Unit#
Long Lake,MN 55356
PID: 28-118-23-41-0013
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: Schulties Plumbing OWNER: LeGran Homes
1521 94th Lane NE 1521 94th Lane NE
Blaine,MN 55449 Blaine,MN 55449
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 BUI DING CODE REQUIREMENTS.
APPLI A T P RMITEE SIGN U• ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CTrY tlt ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC
Crystal Bay,MN 55323
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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 da)
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 ANE
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: /e)/Z) 4-di-doirfel,d 4it
Occupancy Type: 1,/ ' esiden ' I Commercial
Owner's Name: ► , •/ , ,ef,: ., Al....._ Phone Number: 7�3-79;)-- --75E
Mailing Address: (,L' ,./7„/;:',. .. 7% City: 'a Zip: 55
Contractor's Name:,.4_,1Jf/i ��. �1� Phone Nu ber: 7.6'3.-"-- —; 4/7-07
Mailing Address: ' ' _ City: Zip:
PERMIT TYPE Connections ❑Repairs ❑Disconnect (Check One)
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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/Disconnecair($35.00 per stub) $ 5:e)O
pipe size `f inches; material ' Schd 40 air tested; cast iron
Municipal Water Connection/Disconnect/Repair($35.00 per stub) $ 5 ,E
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 $ 7')C 9
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) $ ' 6 (Mail In Only)
4. TOTAL PERMIT FEE (add lines 1-3 above) $ 2.
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 s. . • e and correct.
Signature of Applicant: Date: , / / 77r,,& ,
/ /
V "� DATE v; TIME
CITY OF ORONO Po8 95 (CALLED IN 7 IO(
INSPECTION NOT SCHEDULED 7-‘26-oc /. PA,/
PERMIT NO. COMPLETED
ADDRESS /OO &)i// (/r2 to JA.
OWNER CONTR. S-7LLii fi`e_
TELEPHONE NO. 76 3 7160 1100 7
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK- 17 SITE INSPECTION
Q 05 FINAL \ 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SE 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
14,4 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
a COMMENTS:
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WCC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑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 inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice