HomeMy WebLinkAbout2002 - P05374 - sewer/water permit PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P05374
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 7/2/2002
SITE ADDRESS: 1030 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-41-0012
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: Schulties Plumbing(See Comments) OWNER: Le Gran 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 BUILDING CODE REQUIREMENTS.
Ault Oa/it— ralic)
A'PLICANT PERMI EE SIGNATURE I ISSU D BY SIGNATURE
Copies: 1-File(Siinitures Required). 1-Anplicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
r (Ululated 2/12/01) 537c/
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.uire
JOB SITE ADDRESS: /�3 /WV 4e sg
Occupancy Type: A Residenti 4 Commercial
Owner's Name: AL,,,i .,, ,41:0,,0A _i or • Phone Nber: 773-
Mailing Address: /�' �� ' '.t .„ City: Zip: 4
Contractor's Name: �� << /.�' Phone N ber: . — ,.%r
Mailing Address: .. ..or_1,y A City: zip: ,"+�, r
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PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub $ 5•
pipe size 41 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 stub) $ 35.09
pipe size / inches; material K 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 ,r l
1. Subtotal of above permit requested $ `7006.
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) $ 3 Sfl!
4. TOTAL PERMIT FEE (add lines 1-3 above) $ Jr°
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: c
CITY OF ORONO ICALLED IN DATE TIME
INSPECTION NO ICESCHEDULED 7—/'7 I.0 cP'-
PERMIT NO. re S 77`f / COMPLIED
ADDRESS 10 30 o% I/iiJ e at)
OWNERCOyNTR. 'l� rl u I �..P S ��� .
TELEPHONE NO. 7 o 3 7,')LP 4,007
DESCRIPTION �--t-' 4--� - GSL
f.�. e (—
1.4 LL..
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATIONNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. �12 WAT OOK-U 17 SITE INSPECTION
Q 05 FINAL 00K-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU09 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:
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ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CD.t BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CI CITATION ISSUED
ClSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/C ctor on site:
Inspector. ;4,sell/II---c- 1470"...,:::z.)
White Copy/Inspector's File Canary Copy/Site Notice