HomeMy WebLinkAbout2001 - P03600 - sewer/water permit PERMIT
CITY O F ORONO
permit Number:
2750 Kelley Parkway - PO Box 66 P03600
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 3/12/2001
SITE ADDRESS: 1050 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-41-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
PermitType: Sewer and Water Permit Permit Sub-type(s): Sewer Connection
Water Connection
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: Willow View Developers LLC
1521 94th La Ne 1521 94th Lane NE
Blaine,MN 55449 Minneapolis,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.
1/26til 04//
APP ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
Mak9-001 09:16am From-CITY OF ORONO +9522494616 T-642 P.002/002 F-959 nV
. . �� 3
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay,MN 55323
GENERAL INFORMATION
I. 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.�ir
JOB SITE ADDRESS: /6.50Sd1- c� //,C�1��L2
Occupancy Type: R sidential Commercial
Owner's Name: -. o/�� ����� __�'__ Phone N inter: ; A'� J i
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Mailing Address: 2.2 City:
Contractor's Name: tf/1�.� / 1 ,, Phone Number• -- -
Mailing Address; / 1 I City: Zip:4"/7'
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $ .3.00
Ver pipe size 4/ inches; material prLSchedule 40 air tested; cast iron
—"`"'1:74"' SAC Charge (2000 rate$1,150.00)must accompany all sewer permit applications unless prepaid.
AIf not prepaid, a sewer connection permit will not be issued.
Municipal Water C?nnection ($35.00 per stub) $ 14`p
pipe size i inches; material _{c 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 .00
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. Postne& Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(add lines 1-3 above) $ ,O
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( Jiffs_ 4 . Date: 5/9/ 2 /
fit if
VI
DATE TIME
CITY OF ORONOQ 0a CALLED IN 5f(7
INSPECTION N=34.4. ' SCHEDULED :10
PERMIT NO. COMPLETED �- 41 3
ADDRESS/Oco liRg
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OWNER CONTR. _f 'a -( Scup(fin
TELEPHONE NO. FA,.2-- R(0 - C7
DESCRIPTION
LV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
cE IL. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Cr)
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK- • 17 SITE INSPECTION
Q 05 FINAL , ' 00K-UP 06 PROGRESS
• 07 DEMO-SITE • MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
ri
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
cc OWNER/CONTRACTOR TO MEET YOUX YES NO
o COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED )<ROJECTCOMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
LI CITATION ISSUED
CISTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contr, tor on site: S�oc1t s
n
Inspector l _ -a
White Copy/Inspector's File Canary Copy/Site Notice