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Home My WebLink About2008-P11802 - sewer & water connections PERMIT CITY� OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: p11802 Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit (952) 249-4600 Date Issued: 1/l0/2008 SITE ADDRESS: 745 Bridgewater Dr Unit# Long Lake,MN 55356 PID: 33-118-23-11-0108 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-typc(s): Sewer&Water Connections 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: Groth Sewer&Water OWNER: O.T. Development, LLC 775 Tower Drive 2670 Kelley Pkwy Hamel,MN 55340 Orono,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. � . �,;: ��r�-c. A ICANT L SIG ATl!RE SUGD BY SIGNA'CURE /C'� L•' Copies: 1-File(Signarures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY '�(��\` City of Orono Date Received: Permit# /O� `�`0�;, P O.Boa 66 �� n; , � 2750 Iielley Pazkway ❑In-House SAC Determination Form Completed i�� j`� � �� Crystal Ba}�,MN 55323 '�� << J,6E� (952)249-4600 Approved By(If Required): .� saso4:�% CITY OF ORONO— SEWER& WATER/GENERAL PERMIT (*Note:Somr_permits ma}'require approval by the Building Official and/or Public Works Department*) (ALL PF,RMITS- Mav be subiect to further review and mav not hc issued when the anplication ie received) 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 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 ANl'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 A 1 ) �� Residential(May Require Approval) � Commercial(Approval Required) �'New Connection ❑ Additional Connection � Re-Connection � Repairs � Disconnect Job Site/ Owner Information: �� ` J`� , ,')� ��,� � C� l� Site Address: � c� � �//f/� � „�� Owner:�` Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:� �� °—l� �� Contact Person: P �� Address:7 7� /�j�� State License #: � / � Ss j�`� � 3 � � City: �� Zip. Expiration Date: l � Phone��0 � % � � � �/ �. Alternate Phone: ��/� J�/ �J O Z y� � DETERMINING PERMIT F�ES�°��'� �� 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 connectioo permit will not be issued) �f Sewer Connection/Disconnect/Re air($35.00/Per Stub) $ Pipe size�inches; material Schd 40 air tested; � cast iron �J� �Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size�inches;material�hd 40 air tested; 0 copper �� l. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 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 ineter installation. 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,true and correct. Applicant: Date: � — � � � 0 � : Reset Form ATE TIME v CITY OF ORONO CALLED IN D INSPECTION TICE SCHEDULED 0 � 3 • � PERMIT NO. l ��/ COMPLETED ADDRESS OWNER CONTR. �7� W �'� TELEPHONE NO. 3 - �— 7�� DESCRIPTION v�/G� -�-Q�� '�� - � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. �{Q�IATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL �-F,EWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL q�_ ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: ��YES_NO � COMMENTS: � a 7 �.�,� > � !�' �� O a � O � W � Q � Z W � W � � GW�WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. 1 s � �h 9 �� White Copyllnspector's File Canary Copy/Site Notice