The URL can be used to link to this page

Home My WebLink About2000-P03391 (sewer & water) � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po3391 Crystal Bay, Minnesota 55323 Pet'mit Type: Sewer and Water Permit (612) 249-4600 Date Issued: 12i12i2o SITE ADDRESS: 3750 Bayside Rd LONG LAKE, MN 55356 P I D: O S-117-23-21-0023 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 TOTAL FEE: $ 35.50 APPLICANT: coPPIN PLUMB�rr� OWNER: �ARY K vaLE�us 5089 SHORELINE DR 3760 BAYSIDE RD MOUND, MN 55364 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERM[SSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. / , Zti�,.�� G�rtJ � APPLICANT PERMI"I'EE SIGNATURE [ UEDBY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 � � CITY OF ORONO APPLICATION FOR UTILITY PERMITS I Box 66 (2750 Kelley Parkway) SEWER/WATER � `�` Crystal Bay, MN 55323 '' �� i � � GENERAL INFORMATIOIv � 1. You may apply for utility permits by mail or in person at the City offices. 2. Mailed in applications are subject to the posta�e and handlin�fees shown below. Permit cards will be sent � by return mail the same day the application is received. ;. 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(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 249-4600. 24 hour notice required. JOB SITE ADDRESS: ��' � � �-�' ��S� �� J Occupancy Type: � Residential Commercial Owner's Name: � � cq ; ' Phone Number: y�l � t� �`' �� f Mailing Address: �31 � �� t (Z-�7 City: � ��.= -��^ Zip: � S 3�--3 Contractor's Name:�� Q 0 1 � �,—v Phone Number: �--t� � ��1 `, Mailing Address: S�� S 4��.��:c \.� �-- City: �o c,:►-, � Zp� S S � b `�� k PERivIIT TYPE � � �^ � i�lunicipal Sewer Connection ($35.00 per stub $ ' pipe size � � inches; material�-�-�''chedule 40 air tested; cast iron SAC Charge (2000 rate $1,100.00) must accompany all sewer permit applications unless prepaid. If not prepaid, a sewer connection permit will not be issued. l�iunicipal `Vater Connection ($35.00 per stub) $ pipe size inches; material copper; other WATER METERS must be picked up and paid for at City Hall. `Vater meters must be set and sealed by Orono Water Department(249-4600)upon completion of ineter installation. REQUIRED minimum setbacks from drainfield and septic tanks= 75' REQUIRED setback from sewer line =20' . ; PERIVIIT FEE CALCULATION --� Ci� 1. Subtotal of above permit requested $ �� 2. State Surchar�e $ .50 The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection permit requested. 3. PostaQe & Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (add lines 1-3 above) $ �' S� S� The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do all �vork in strict accordance ith the ordinances of the City and the regulations of the State of �linnesota, and certifies that 1 statements made on this application are complete,true and correct. � Signature of Applica t• �> � ��"�� Date: � �' �� d��' L--ct Zt c� `�� i - �, �.� � DA E TIME CITY OF ORONO CALLED IN �' INSPECTION NOTI � � SCHEDULED � PERMIT N0. COMPLETE -'�,"S"L�1 I�! ',3 �- ADDRESS � �� /� /�� OWNER CONTR. TELEPHONE N0. �� OI � 1�- �� DESCRIPTION � �,(�( ��.�. ��L� ��,� � Ot FOOTING 11 MECHANICAL R�� 18 EXCA�//GRADING/FILLING � Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 WER HOOK-UP O6 PROGRESS � 07 DEMO-SITE � EPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�ES_NO /� � COMMENTS: ' � � � �— '�i f��> �_(„�G'..ta' ��fr t. � � �.��`C IW i �C'�'. I�I � �� L � � '1�\`l ' _ �t O \ ` � ' C Q r.r^C.H �� ^(t� 1 0� Ot, ..�-.�.� 0� �.t�.IL. �Y ~ ..� ! Q � f,\t .� � � �� f� �� ` w � <x:� __. ,_ ..___..._ ` a. �e r,.-•, � . d 'r�� W� ❑WORKSATISFACTORY:PROCEED �IOJECTCOMPL / W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-460� OwnerlContractor on site: � Inspector. '��_ %�;� :�"''"t�"'� White Copyllnspector's File Canary CopylSite Notfce o� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT scHE�u�Eo i/:(� � PERMIT NO. � coMP�ETEo u ��-� "��'t __1� '� +%�='�` !>�� ADDRESS ��D ��S'� � OWNER CONTR.�Y�l�1l TELEPHONE NO. L��aZ ��J 1 0�-.3 CO � DESCRIPTION_�� (��SY�f c" , — C��'r� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C jl,��^�-�r, .;i j ` � • �„�;`� �..�. / .�; �)),��' � `'� �. ^ ' j� � �:?�... c�1 �� tr� '�\� �(�\ S'�,l's�.'--� f�j.� � � � �� _ �_�^ ��{��/�,�� C(�i_��_ ��' !� � .�C�.�_, � W • _ � ��"t ^V�r� �� ,i ..'�./ � � WQ 1. ' y ��,� S-c�r S �`r�: (�. � � GW�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 Owner/Contr�tor on site: �;1 {�., .��x ,° �� , Inspector. = White Copyllnspeclor's Ffle Canary CopylSite Notice