HomeMy WebLinkAbout2005-P08641 (sewer & water) CITY F ORONO PERMIT
� Permit Number:
2750 Kelley Parkway - PO Box 66 P08641
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: ai2si2oos
SITE ADDRESS: 3760 Bayside Rd
L.ong Lake,MN 55356
PID: os-ii�-23-2i-oo22
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:
SAC Pd P08411 2/16/OS
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Plymouth Plumbing&Heating OWNER: Steve&Alyson Murray
12270 43rd Street NE 3760 Bayside Rd
St. Micheal,MN 55376 Long Lake,MN 55356
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.
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APPLICANT PERMITEE S[GNATURE SUED BY SIGNATURE E�c�
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1
�.-� � � �.rr vxunv APPL,ICA'�'ION Ft�R i7TILITY YERMITS
Box Gb (275(1 Keiley F�rkw�y) SEWEYtlWAT�R
Cry�taf Bay, MN 553�3 5'A�G Pd
� ��A . �,�� ��n
���Y�� 2I���o�
� You may apply for utility perrnits by mail ar in person ar the City ofEices,
�. Mailed in appll�ntiaos are subjcct to thn poatago ytnd hasadling feaa yhawn below, f'ormit cnrds w!1!be sont by
rcturn rtieil the same day tha app)icat3un ia rec�ived,
3• Permits are reflt va11d untl3 you recelYe a permtt cArd.
a• Work mu�Y not bcgin unles6 the prrtnit ca�rci is evailablc on the job site.
S. Utility cunnoction permits me�- be issued to licensed cnnrracton onlv,
6. Contuct th� Public W'orks Department (473-7337)fa�utility etub as-buflt locati��ns. DU NO"I'bXCAVATF
[N ANY S7'R�'F.T RN�: DJ NaT ;'AF I`.NY NiAilv without cxprebs approval o; tt�o Public wo�ks
UrpAftt11cr1t. lssuartce of n perrrii;does not gra.n2 thu approvA;.
- Ali work must ba dcmc ir; eccordance with Stat�Code rcqairen�cnis.
8. Ali work must bo impocud betorc },is covered. C&11 473-735 i.
Z4 hourttotico roquEred.
�)Ussc"t�raUnuESs: loD S�. c�(
t�ecupanc�� Type: � Cou�mtrc�iat
(?w�e�'� ?�I�!mr:�_L-�c,�-, �'QM� P��:�c Numt:er:
M�IJin� Addreas: �� �ity' ��,
Coufr�ctar's Nume: v�.�. �1 Phant Number:�s�v1c G G•< Zs�
Mallittg Addresa: C'�� -1�— 3� -f-• Cih':5�-v,,�ct�,.�� �p;�Go
�'E�,'1M'IIT �'YI�� ec�
Munlcip�t Sa��er Conneetfo� (�35.00�per stubj b $ 3S • �-
pi�r. size��` -- inci�es; materia?�G�i��P�'C (or sand fIl); cas: iror._._.��
SAC Chr�rge(�900,OU; mus:n�compftny tili sewcr pernzit�zpplications unless prcpaid, If noE preptxid,
s scwcr coun�ction permit wii? nat be issued,
I17unfct�ni Weter �'onneciion (535.0� per stub) $
pi�e size�� inches; material copper; other
WA3�LR�v1�;TERS must be picked up und paid fvr at eity�iall. T �� �T
(5/R" mctcrs � $139,00; 3/4" metcrs �$191.OQ; 1" mottlrs=$247.00)
Separat� Plumhin� Pcrmit issued for watcr meter.
Watcr metcr�mu�t bo set s�nd aeAled 6y Qronu Wsttcr Bepartment{473-735�qpon compktlon
o€metcr iast�tlAtiom.
�t�QUIRF.I)minimum set���ks from drainfield and septic tanks=75'
Rl;{,1CJlRED sctback from sewor Iiue �20'
P - MIT ��F�: �.AI�.CULATION
1. Subtotal of above portnit rcquestcd �
Z. St�te Su� rc,�o�e $~ _50
"t'he State Suilding Code Ulvision 6urcharge of S.30 par petmit must bt
ine3uded for eRch wait,sewt.r atrd watcr aonnection potmlf raquoatcd.
3. �'UStgue& Haridlina (Only mail-in applioatic�n�j $ , ] SO p
4. "I'UTAI. PERMiT FNF(sdd lines 1-3 above) $ �� �
The undnrsigned heraby applies to t.he City of Orono far issuancc of a Utility Permit,agroes io do
all work in st�ict acenrdance with the ordina�ces of the City and the rcgulations of the Statc nf
I�inneaota, and certifics that aI!atatrn�en�s;nerlc ur�thi�app!icati�n ase co:nplete, i-ue�nd correcf.
sig��t��af Arpis��r: � �: 5r,/y� _ �
� V
DATE TIME
CITY OF ORONO CALLED IN �`�lv-(}S�
INSPECTION N TIC SCHEDULED `�-i(a -c?� � ' � �
PERMIT NO. 'f� COMPLETED
ADDRESS ��L?G� ���.5.�"�' ���
OWNER CONTR.���t1� � f"��t,1�-�7•
TELEPHONE NO. ��s� � � X�LL' �_3 � � -- /�ff LL:~
� DESCRIPTION
� 01 FOOT�NG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WA�ER,HQQK-UP 17 SITE INSPECTION
Z .
Q 05 FINAL '14 SEWER HOOK-UP O6 PROGRESS
_ �-._._...s
� 07 DEMO-SITE _ . 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATfON/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:P OC 17 PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �� pH0T0 TAKEN
INSPECTOR WILL RETURN u CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 24Q-46QQ
OwnerlContra�to site:
/
Inspector.
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