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HomeMy WebLinkAbout2001 - P04084 - sewer/water permit PERMIT CIT� c)F ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P04084 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 7/13/2001 SITE ADDRESS: 1065 Willow View Dr Long Lake,MN 55356 PID: 28-118-23-41-0009 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Sewer& Water Connection 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 TOTAL FEE: $ 70.50 APPLICANT: J.S. Stewart Companies,Inc. OWNER: Willow View Developers LLC 5606 94th Avenue North 1521 94th Lane NE Greenfield,MN 55357 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. (5172f APPLI ANT ITEE SIGN9TU IS UE Y SI ATURE ,7 Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 (Undated 2/12/01) Chi( OF ORONO APPLICATION FOR UTILITY PERMITS W Box 66 (2750 Kelley Parkway) SEER/WATER Crystal Bay, MN 55323 i 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: /O CSS 1,), /low lei.) Occupancy Type: ,)( Residential Commercial Owner's Name: 9.V L Ho,., s Phone Number: Mailing Address: City: Contractor's Name: Ks 54 c Phone Number: 74,3—y5K 71og3 Mailing Address: 360 yap, e,,,,c .✓ City: C'2ee�F;‘t.la/ Zip: Ste- 3f7 PERMIT TYPE Municipal Sewer Connection ($35.00 per stub) $ pipe size L( 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) $ 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 1. Subtotal of above permit requested $ 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) $ 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: Of' f Date: 7 —/ 3 �© DATE TIME CITY OF ORONO CALLED IN INSPECTIONOTIC SCHEDULED -U-01 l f)=-36 PERMIT NO. ya N �- 7COMPLETED -,-\b.- 0 I Il'-n° ADDRESS 10 (05 ' \\o w° �E A' > OWNER CONTR. 3—, ,51-e\A-A r 1- TELEPHONE NO. DESCRIPTION S w ►.a pkv ,_ L., 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS V/ 03 INSULATION 2 25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 ATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 1 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP gcC 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z /OWNER/CONTRACTOR TO MEET YOU:L.YES_NO COMMENTS: -e'ry; \ . -- ..,, i r.•,, ; t• -'' W 1\ Q. CC CCOLi. r .y„ t__-- r /LCIjC 1 ��� C � L� 1\ ;;�,• -_ C� �' ��r� Q i f f'12 C N . ', Eau p , W IQ ❑WORK SATISFACTORY:PROCEED ,l�PROJECT COMPLETE W 0 CORRECT WORK i£PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED 0 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• ,( f (--„, �i 1 I Inspector. J + -(7� r.4, - White Copyllnspector's File Canary Copy/Site Notice