HomeMy WebLinkAbout2007-P10884 - sewer connect PERMIT
CITY OF ORONO
2750.KeIIey Parkway- PO Box 66 Permit Number: P10884
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued:
4/11/2007
SITE ADDRESS: 1330 Cherry PI Unit#
Mound,MN 55364
PID: 08-117-23-32-0026
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Sewer and Water Permit Permit Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: K.A.Witt Construction OWNER: James&Linda Martinson
1530 280th Street W 6556 Broadview Dr.
New Prague,MN 56071 Prior Lake,MN 55372
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.
APPLICANT PERMITEE SIGNATURE ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
PTWX 'KW \ v )
/9,1 Gu r/L____
FOR CITY USE ONLY
/40 City of Orono Date Received: Permit#
P.O.Box 66
i— 0&.\
2750 Kelley Parkway El In-House SAC Determination Form Completed
41'4 t C Crystal Bay,MN 55323
a (952)2494600 Approved By(If Required):
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
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 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)
EXI,jZesidential(May Require Approval) 0 Commercial(Approval Required)
New Connection ❑ Additional Connection .Re-Connection ® Repairs ❑Disconnect
Job Site/Owner Information:
Site Address: 13-3v
Owner: .. 7r14. 1..1 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: L.. A, . Contact Person: b31-1-1
Address: is to rrl I . State License#:
City: = AG;•_._ Zip:Mid • Expiration Date: _ j t�L 6e)
Phone: Alternate Phone: CIC1 'Z-(O
DETERMINING PERMIT FEES
❑ SAC Charge(2007 Rate=$1,675.00) $
(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)
ED Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ .
Pipe size inches;material Schd 40 air tested; fl cast iron
❑Water Connection/Disconnect/Repair($35.00/Per Stub) $
Pipe size inches;material Schd 40 air tested; f I copper
1. SUBTOTAL of Permit Requested: $ 35.
2. STATE SURCHARGE $ .50
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 31.00
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 ,reby applies t. the City of Orono for issuance of a Utility Permit, agrees to do
all work in -. is cordan e wit the ordinances of the City and the regulations of the State of
Minnesota, •n. : ifies that • I s •�ments made on this application are,tr e and correct.
Applicant: A k 1` Date:
Reset Form
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DESCRIPTIONS../....A.d-,-€.71 0
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W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
cc LI. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
LU 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: • YES NO
o COMMENTS:
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W2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W El CORRECT WORK&PROCEED LiISSUE CERTIFICATE OF OCCUPANCY
40 ❑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/Contractorpn site:
Inspector. `ii(LIM►
White Copyllnspector's File Canary CopylSite Notice