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Home My WebLink About2006-P10315 - sewer & water connection � PERMIT ClTY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10315 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952) 249-4600 Date Issued: 9/13/2006 SITE ADDRESS: 782 Bridgewater Dr Unit# Long Lake,MN 55356 PID: 33-118-23-12-0023 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Perniit Permit Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 70.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: Groth Water&Sewer OWNER: O.T.Development, LLC 775 Tower Drive 10300 lOth Avenue N#101 Hamel,MN 55340 Plymouth,MN 55441 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL[MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � �� i� ! _.�CL_-.�/ �,,t��-r--�� V, AP ICAN ,RMITEE SIGNATURE 1 SUED BY SIGNA'16URE -' Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 a � FOR CITY USE ONLY ��,�` Clty Of OI"ono Date Received: , Permit# "r P.O.Box 66 ��;;, � 2750 Kelley Park��ay ❑In-House SAC Determination Form Completed � �Il�� ' Crystal Bay,MN 55323 �t��,j�w��i;,{o�o~ (952)249-4600 Approved By(If Required): �'sexo CITY OF ORONO -S�WER & WATER/ GENERAL PERMIT (*note:Some permits may require approval by the Building Ofticial and/or Public Works Department*) (ALL PERMITS- DTav be subicct to(urther review and mav not be issuecl�vhen thc anolication is received) GENERAL INFORMATION 1. You may apply for utility pennits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown bzlow. Perniit cards will be sent by rehun mail within 2 busuiess days. 3. Permits are not valid until you receive a permit card. 4. Work must not begin unless the pernut card is available on the job site. 5. Utility coiuiection perniits may be issued to licensed conh�actors only. 6. Contact the Public Works Department(952-249-4600) for urility shib as-built loeations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express approvll of the Public��'orks Department. Issuance of a pemut does not grant this approval. 7. All work must be done in accordance with State Code requirements. S. All work must be inspected before it is covered. Call(952)249-4600,24+hour notice required. TYPE OF PERMIT (Check All That ApP1Y) ' �Residential(May Require Approval) ❑ Commercial(Approval Required) �] New Connection ❑ Additional Comleerion ❑Re-Connection ❑ Repairs ❑Disconnect Job Site/ Owner I�lformation: Site Address: / �PC �i�! c'i � (.�}��'�' �� Owner: �� Mailing Address: City: Zip: Home Phone: Altemate Phone: Contractor Infonmation: � Contractor:lV�(�� .S� � Contact Person: �! �( Address?�S—�u� �'12..��2 State License #: ��-- City: �� r Zip�S 3`��Expiration Date: � � , -3�` �� Phone: �� z- Alternate Phone: � �� ( � �/ �2. y � � '`� IDETERMINING'PERMIT FEES; ° , .<. ❑ SAC Charge(2005 Rate=$1,550.00) $ (SAC Charge must accompany ail sewer pernvt applications unless prepaid) (Orono City Staff can deternvne if applicable) (If not prepaid,a server connection permit will not be issued) �Sewer Conne tion/Disconnect/Repair($35.00/Per Stub) $ Pipe size�inches;material�U _C,Schd 40 air tested; cast iron [�Water Connection/Disconnect/Repair(�35.00/Per Stub) $ Pipe size_�inches; inaterial C��_Schd 40 air tested; copper .� �/� 1. SUBTOTAL of Pernut Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-I��Applications) $ 1.50 4. TOTAL PERMIT FEE(Add L'uies 1-3 Above) $ ADDITIONAL INFORMATION-WATER 1VIETERS ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate pernut. ■ WATER METERS must be set and sealed by Orono Wate►- Department (952) 249-4600, upon completion of inetei•installation. The undersigned hereby applies to the City of Orono for issuance of a Utility Peiznit, agrees to do all work in sn-ict 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 coiYect. Applicant: ' Date: � r FOR CITY USE ONLY ,�` City of Orono 4O`�' P.O.Box 66 Date Received: Permit# ��k,, � � 2750 Kelley Parkway a �j�?1�;r;ry � Crystal Bay,MN�5323 Approved By:(If Required): ��++�,��"�i��o` (952)249-4600 saxo$ CITY OF ORONO -WATER METER FORM (*Notc:Some permits may require approval by the Building OYficial and/or Public Works Department*) GENERAL INFORMATION 1. WATER METERS must be picked up and paid for at City Hall. 2. If Uossible, fax in tlus application ahead of time;we will then call you and let you lalow we have the water meter in stock. Fax Number: (952)249-4616. Also,you can call ahead of time to make sure we received the fax, or to wat7i us that the fax is conung. 3. WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter installation. TYPE OF PERMIT (Check All That Apply [�Residential(May Require Approval) ❑ Commercial(Approval Required) ❑ Ne�v Meter ❑Additional Meter—For: ❑ Replacement Meter Job Site/ Owner Infoimation: Site Address: �8 2 �rr al 9�� "� Owner: �-��- 9�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �vl�O�ft t"lulik�� Contact Person: Address: �� State License #: City: � �"��-�ip: Expiration Date: Phone: � �o� -�6-�-3�7� Alternate Phone: r ti 2007 -WATER METER PERMIT FEES 5/8"METER-$240.00 ❑ 3/4"METER-$291.00 ❑ 1"METER-$356.00 5/8"HORN -$ 44.62 ❑ 3/4"HORN -$ 49.03 ❑ 1"HORN -$ 73.12 � "WATER METER (THESE�VILL HAVE TO BF.SPECIAL 02DERED&PRICES DETER�IINED) 1. METER FEE: $ 2' ( �• �� 2. HORN FEE $ `�� 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ l� � �/�-" CITY-USE ONLY BRAND: /`� ' >, SIZE: ��'S/8" ❑ 3/4" ❑ 1" ❑ Other IIIIIIIIIIIII111111��1111111 146 0 6 3344y (LO) SERIAL#: g`9 Z /Q 2�' IIIIIIIIIIIII1111111IIIIII111 (if applicable) ERT HIGH#: iaeoes3aaa �Hi� ADDITIONAL 1NFORMATION—WATER METERS The undersigned hereby applies to the City of Orono fur i�suance of a water meter perrriit, ab ees to do a;l �vork in strict accordance:vith the ordinar.�es of the Cit;� an�the regul�tions of the State of Minnesota, and certifies that all statements made on this application are, true and correct. _7 ____,___._ Applicant: ° �J Date: �d G7 � � Origirral: 1-Ad�b�ess File Make Copies For: 1- Utilitv Billiiig Depart�rient l- Caslr Drawer Jan 03 07 09: 41a Tim Iverson 320-274-8820 p. 2 � (Up�a�ed OS/i S/OG) CI'I'Y OF ORO1�4 Bo�e 6b (2750 Kelley P�rkway) SALE O�WA�g MET'ER Crystal Bay, M1V �5323 GEN�I�,INFURMATi�JN �� O 1• Water meters ix�ust be-��oked Lt� and paid�or at Gity F;��11, �- 'V�'at�r mett�rs�must b�set aod sealed b Oron�o Wa�er Ue a completiou o�'metQr iustal�ation. y p ��9$2'249-�h00)upon �OB SITE ADDRESS, /1�Z ��(cI �„/��,�...�r— �� ---_.___. ��p�$°��y�y�e� �_Residentiat �„�Commercial OR.ner's Name:� � ,� Phone Ne�mber: Mail'u�g Addr�ss: Cii_y: �_--1_ Contractor'sName: .� �1�,,.�(� , � � � '`�C� Phone Number: r0�2 r3�3�32 G Mai�ing Address:�B� �f �� -- �'h�� S// METER INFO TIflN 5 " l��t� = 2�b-p ' 3/4"meters =$250:00; I" rneters=$320.OD) Serial ATumber: H.iah _ Size; Brand: Type; 1�feferF�e: S Si�nature of App '��t: � Date: � � Mal�e Copies Fcu: i-Address File 1-Unliry BiHing Dept 1-Cash Regjster V=1(Fonns)\�VatermeterSale Foi�n.n�pd Jan 03 07 09: 40a Tim Iverson 320-274-8820 p. l �� S95sE PLVMBINQ SERVICES FAX COVER SHE�T ' nr� ��i�'�I p •� To: l F� Number: 9.�2 '2�� o Date: /- �� Number of Pages Including Cover Sheet: 2-- Comments: ��-��✓�-C ��c�� f�-� /i�C.c.. l'1 � /�� / h'( ��1OU� �� 2--��°3 �3Z`�� 2605 Campus Drive Plymouth, MN 55441 * Ph # (952) 944-5399 * Fax# (763) 591-6071 � �//� ATE TIME � CITY OF ORONO CALLED IN �`�� INSPECTION NO CE � SCHEDULED � y� '�' PERMIT NO. Il� /S COMPLETED � � � ADDRESS � �^� �� -� OWNER CONTR. ��Y� TELEPHONE N0. [ �� a 7 � � �/ � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. ATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOO - 06 PROGRESS � 07 DEMO-SITE 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 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W c, � � O a � O � W � �r � Z W � W � � GW �WORK SATIS CTORY:PROCE [�PROJECT COMPLETE � ❑CORRECT WOR PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,C L FOR REINSPE TION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECO ITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContract site: Inspector. - White Copyllnspector's File Canary CopylSite Notice