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HomeMy WebLinkAbout2007-P11194 - sewer & water connection • " PERMIT � CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11194 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 7/9/2007 SITE ADDRESS: 744 Brown Rd N Unit# Long Lake,MN 55356 PID: 34-118-23-12-0005 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Pernut Permit Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: SAC Paid 6/8/78 FEE SUMMARY: Permit Fee: $ 35.00 vatuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Advanced Excavating OWNER: T Schultze&M Steil 700 O'Brien Parkway 744 Brown Rd N Belle Plaine,MN 56011 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. ���1�'� L APPL ANT PERMITEE SIGNATURE SSUED BY SIGNA'IURG Copies: 1-File(Signatures Reguired), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page ] FOR CITY USE ONLY Q� City of Orono Date Received: Permit# �� ��� P.O.Box 66 +��' ��� 2750 Kelle Parkwa �+,� y y ❑In-House SAC Determination Form Completed ��: �r,>. � Crystal Bay,MN 55323 ,��''�x��j a�•y�/ (952)249-4600 Approved By([f 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- Mav be subiect to further review and mav not be issued when the aan��cation is received) GENERAL INFORMATION L You may apply for utiliry 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 wark 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) � Commercia((Approval Required) � New Connection �Additional Connection �Re-Connection �Repairs ❑ Disconnect Job Site/Owner Information: Site Address: ' �'� `�%� �/��/��YL �� � Owner: ��� SC�jti L �Z Mailing Address: =Sc-z-�.---�_ City: l./��✓��'� Zip: Home Phone: Alternate Phone: Contractor Information: �� c . J ,, Contractor: _ I/'Q'Vt�('� �����ontact Person: ��"'� .��� �f� �// � 1 � Address: ,UC/ O��/�� t��'t-�1�U-�tate License #: ��j � City: ���� /«/� ✓iC� Zip:���Expiration Date: �� � l ' �� Phone: ��Z���^�/�/ Alternate Phone: / �Z D 7��3�1 L� ' � £ "� .: �. �'�': DETERMINTI�G 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) �Sewer Connect' /Disconnect/Repair($35.00/Per Stub) $ �j��.������ � Pipe size � ' ' inches;material Schd 40 air tested; � cast iron ❑Water Connection/Disconnect/Repair ($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; � copper � �1 1. SUBTOTAL of Permit Requested: $ � �..�� ' 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 4. TOTAL PERMIT FEE(Add Lines ]�-3 Above) $ �j��,��' 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: � ���� Reset Form S �y,r�,. :�;. ,.:. - �.,.� � 'i ����� . . � -. �. . � B T�,- JPl��� ��a�a PERMIT �TA _ o�77�A � ' r� ��ld��� �`ei.����� '� h,; , •h` �. t'�'�.c'i�e ;.� DATE ISSUED � �$�7� — ��; k �D�,PPLICATION FO�i CERTIFICATE OF OCCUPANCY EXPiRES �� . SOX 8�, CRYSTAL BAY, MN 55323 473-7357 .X�u�` �{+IIROC� DiS1�RIC�' SITE ADDRESS �7`�`1 /�0 �rocc�►� L�" ; LEGAL DESCRIPTION: PROP.ID.� 3�S Z �' 1 oeQ " '�' LOT BLOCK SUBDIVISION F16iE ZONE WNER (Name) (Address) (Phone) � ��� °.V6aR.DATE I'e ,�' ARCHITECTIENGI EER—Must Certify Multi•Family,rommercial& Industrial Construction Pl�s ��`��:,'�:" ?`'rY COND.USE DATE ERT.NO. • !Address) Pfione) �s�� (Firml � �_� :. �$ ��,a,�F� . ��,�;; 75G 4ceE � x. IKiDTH DEPTH BUILDER (Firm1 (Address) (�one) '� �',�`. � E°E�f�POS�D SETBACKS � �r E x.�:, a°* �F�ONT R.SIDE TYPE OF WORK ew Addition Remodei Renovat2 �;� `~ ��'. � FiEAR L.SIDE �r�C�LF QIaAIL `��' �: �;? Ct�hST.TYPE BLDG.SIZE E .CONST.VALUATION :;; �; ', LAKE WETLANDS WD q�4�� �d � ` r �M� L. W. Ht. • � i :� " � a�: r �;` � `�.�� ., RESIDENTIA STORIES B t � 3 PERi�A1T FE�S ��� �; � BLDG.PERMIT °Y ,O0 �`�� � (�EW EXISTING DWELL. BORMSiFLR � �A 'y�,t ,; AG�fdCY-APPRQV.DATE uNI7s STATE FEE ��� >, ,�;; ,:,M , GAR.StALLS SEPTIC � �% �9TM APP.DATE �p'�5 �� PLAN REVIEW 3 �� p��;. ATT. ' DET. PENALTY :n:: SA�RBTY OOCK Ap �p�' ���� NON-RESID. PROPOSEO USE PARK FEE • �a .�,�zl SAC CHARGE �^ �� �` a��3.�ASENIENT oCG '� ; C LASS. �s,��F, STORIES couNci� TOTAL DUE I J�J• o� '��S APP.DATE �,,;;, , ^,�i;�" . . . � � �y"';T, � �$E��R�J: - � � � � .�.����i, ��µ. +��bk '�"�+$'+� . � . . � Y:�.'�.,'' . � � . - . . - ,: f'. �'t �e IN�CTI4�9d REQUIiBED VYORIC REQUORING ACKNOWIE�EMENT � � SEPARATE PERMITS ����� __FOOTIAIGb�fwapour THE UNDERSIGNEDHEREBYREQUESTSPERRAISSIONTOM/1KIE �; :�:! ,b Fi�iAMING rouf;�-in �''� INSULATIOW PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES �i� WALLBOAHD deiwe Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEWIENT AND ACCE6�T• �� WELL ANCE OF ALL INFpRMATiON, CONDITIONS AN�D REQUIRE• '��i �FINALbNon accuO�ncY ' � , SEPTIC — MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER– �: M�'ORK BEYOND OR WITF��UT A RE• SEWER SIGNED FURTHER AGREES TO DO ALL WOFKS IN STRICT CQM- ' "''' �U13iE0 INS�ECTION W1LL BE SUB• yyATER � � JECT TO PENALTY, PIIANCE W ITH ALL CITY OF OfiONO OROINANCES AND STATE � , GiiADING�FILIING t'� , 9NS�ECYION HOURS �573�7367 OF MINNESO BUILDING CODE REQUIREMENTS. CI�IL@•92 A.M.INSP.1 •4 P.M. � y ' CALL 1- 4 P.ki.INSP.fvEXT DAY ELECTHICAL trom Suta �` :' Siprfstur� � Dab 'i`s� CCSPY: : WNIT�–�ILE ry GREEN–FINANCE �'� CAP�,��BY–IN&PECTOR, GOLD–RECEIPT � yr��, ai�a�—A,��esso� ,a�,�,�,��_;�,����.������� i...�...__c����,r���m a.:; ` ` • _ ._ - ,:�r , ;,_,, .. S n r „.�y,m..nr- - . ., � � . . � iy ". "t�i,+ I f'.�% . � '.�.. �. r . _ .. . �� , � `�e �lb ���3 rj !,'�'�/� �� � � ' .���i�}?�� '� � a � '� ��+ � s , {r7 7 l � 3`';y„ d ".. � s `3�.+:� mk;t � ��r7tY?� t�k' ' ��. S,� _ �bf � . 4: �� T� •t.�.. . ��-��, . . k . j �..:, �,., � �j .��`JK i`+ ��!y,j ys{c�,�y . , . . ��� y t°F�,i$ .�k, > 5� s . .,�'t��° . ,�..'.a�%5�.:�' , .' zi�. �s�l�dE�'����T���',F�?t;'���3.,�t� �L�d..rr�s,'f�'+^�F;fJ'$'�;'., .. . » r.�.. .�;' . ,. ,.... . . .. . . SEPTIC SYSTEM INVENTOR Y Address: 744 Brown Rd. N. PID: 34-118-23 12 0005 Building Typeresidence BRs Install'd for: 4 In Musa: Yes Permit#: 5289 Date of Permit: 8/23/78 Installer: Clover Hill Co. System Type: standard trench Experimental: no Tank Filter: SYSTEM CONDITION Conformity: 3 Tank Condition: 5 DF condition: 11 Failure Pot: medium SEPTIC TANKS �� Material: precast concrete Capacity: 1000, 1000 ��� Setback to Bldg: 20 Cesspool: no � � DRAINFIELD � �I� Length of Lines: 370 # Lines: 6 Trench Width: 3 Treatment Area: 1100 Type of Filter: rock Soil Boring: yes Tile Size: 4 Under Tile: 12 Perc Rate: 30 Setback DF-Bldg: 40 DF Ht above Wt: 0.3 Soil Type: sandy clay loam Limitations: water table WELL DATA Setbacks - Well-Tanks: 50 Well-DF: 75 Report in File Pump Type: subm. Depth: 155 Diameter: 4 Method: drilled INSPECTION RECORD PUMPOUT RECORD DATE DESCRIPTION COMPLIANCE DATE GALLONS 9/6/78 installation c 10/2/85 1800 7/13/81 no surfacing 1 11/2/98 1500 8/5/86 no surfacing 1 6/29/88 no surfacing 1 10/5/90 no surfacing-pump tanks 1 5/27/92 no surfacing-pump tanks 1 9/1/95 non-conforming-repair by 12/31/97 3 8/25/98 non-compliant-repair by 12/31/2002 3 7/20/00 non-compliant, repair by 12/31/2007 3 6/13/02 non-compliant,replace by 12/31/2007 non-compliant �_ I� :�`# t l I � ,�-U b /t,�o!�/ _ G C�•cn !� �� `�� �C�C.�� v � �C�� T 1 �_ Z , - _. I � � / � � . � � / � � ' � _ �� � � � ��� ��' �� �� � - � � �� `� � � � , , � , � �� �� oo� .� c� � � � --oo � �- -o w o � -�- d� d ��� � � � 'nl ' �� uN1CJ.��I ��'�, � V � ✓ DATE TIME �� CITY OF ORONO CALLED W �� �!`` n INSPECTION NOTICE SCHEDULED _��� � l PERMIT NO. � COMPLET e� ADDRESS 'j 5 � OWNER CONTR. � . � � C;�� �_ �-�. / �, , TELEPHONE N0. ��� � � 1��"��.4���F' � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS ti Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 a o '(���D ��9�1�,�✓ ���C'�� 4�r ��, '' Lrc.s�z./1 iJ % ,� i> �r r �'� c�� �� � � /-��� 5,� — .� I����� .�.� �:�Q � ' ► W � � z � ��5 S��e T�ST C��. w . � w � � a W � RKSATISFACTORY:PROCEED i PROJECT COMPLETE � ❑ ORRECT WORK&PROCEED r ISSUE CEFTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT C CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Insoector. � .c/�,�/, �� White Copyllnspector's File Canary CopylSite Notice 7`� �v�✓n �.o� n/ �tn ktn�� ? , �� � J� 1s�� � �� �,(.Q� �f� FZ�- �� DATE �,T�IM/E�,,�� CITY OF ORONO CALLED IN ��' � � ` INSPECTION NOTICE SCHEDULED _��� __I .U� PERMIT NO. coMP�ET � ADDRESS � OWNER CONTR. ��r I'1CQ� ����.. TELEPHONE NO. ��� � ���'��� � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS � O 03 INSULATION 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � I�„��p ���9�2c��✓ ���C�� ����"� 0 � C�st11�� � ,� �� �r r i'n c�,c� �`� ° /�.�--��� 5� �- .� ������ �-��:�� y � � W ' � y � ('�SSv/e TcST C�. � z W � W � � GW RKSATISFACTORY:PROCEED L� PROJECTCOMPLETE � ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. s vr✓/ � �,�� White Copyllnspector's File Canary CopylSite Notice