HomeMy WebLinkAbout2006-P09844 - sewer connect ' PERMIT
_ CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09844
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 5/l0/2006
SITE ADDRESS: 770 Brown Rd N Unit#
Long Lake,MN 55356
PID: 34-118-23-12-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Sewer and Water Pernut Pern,it Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
No record of SAC being paid
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Sunset Construction Inc. OWNER: Heinz Hutter
1351 Cty.Rd. 83 770 Brown Rd N
Maple Plain,MN 55359 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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APPUCANT PERM[TEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, l-Septic) Page 1
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� ,a�� Clty of Orona �4ui�:t�oeiyed:,� - -O� • ;P'aravu�i ��b 9Ff�
p.O.Box66 • ,'!. '` :.'. '...,:,..• ' •
�• � 2750 Kelley Parkway ,'0,�(n-Soqso SAf;�e�aoliai�rorrn CWrtiploro'd '
� CryBtal�3ay MN 55929 �
,,�r �� (952)2491t600 �Appcoved Sy(1#'�9uirul):;� '�� .
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CYTY OF ORONO—SEWER& 'VVATEI�!G�N�RAL PE�m
("Hoce;3omc pmni[�m9y rtyu9Tr opproval by tba Huilding Q£Lcial and/ar Publir Works Deparimm��*)
fA17 1'k"RM1TC- MAv he auhioct tA fur[h�r review and mnv noC{�a iNRuad whrn the opf11i1'arlon ia r�e 'vd �
�GEI�TERA�,'�'OR�iIATION - � � � � . . • � � � ,�� .. , . ..
!. You m�.y ap'pl�for uiiliry pennizs by mail or in pe�son at th�Ci'ry oftrcos.
3, M�+iled in applictiuons are subjeet to ttte postage as�d h�3zdling fae shown belo�v� Permiti�ard�will
be sent by retura mdil wi�n 2 bu9iness days.
3. �'ermits are not Walid until you receive A perrnic rard.
4. W'ork rnu5ti�ot b�gin unless ihe permir eard is avp,i.lubks on the job site,
5. UtiliYy couaection perm9,�ramy b�i��uod to licar�s�d eoa�ractors only.
o. Conrac�the Public Vlroti�s Deparcment(952-249-460o)for un'�ity sn�b as-bui1Y loc�rions.
DO 1�10T�XCAVATE I1V'Al'�Y STIi��T e1N11 DO NOT TAP ANY lYYAY1�T without express
approvai oP eho�'ublic R'orlcc nepartment. Tssuance of a pe�mit does not grana this approv�l.
7. All work must be danc�rt acaordancc wirh State Cade requirexaenu.
8. All wc�r�c musi be inspecced b�fu,re ir�s ooverad. Call(952)Z49-4�00,24+hour notiee.requirc+d.
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�ltosidcn�ial(May Requ�ire Appmval) ❑ Commcrcia](rA,pproval Required)
�New Cm�necrion [,�Additional Connecrion ❑1�-Co�aaection ❑R�pairs ❑biscoanect �
Tob Sit�J��v�ri����I�o�xiiad�o'b: '. �'� '����"���
Site Ad�ress: �7� �ro c�n. 1Q�, �
�W11C'.r: �C i ►� � u I'I�+�_ ��]1T1��L�CITESS: � 7 0 �f0 Gl n_ 1�'�
CiTy. C��or� , Zip: �535 G
�rome phone: 9�a �/7 3 16 7 v Altemaee Phone; ���3 7 6 5r / 3 qt5`
�Coni�c�te�;k�foxma'�i;o�.:� , .;.���:, :_ �.,
Contra�tor: ��Se T Co2�T. �� Con't�ct Person: f�b �r� ✓�r 17
.A,ddress: ��"� � � Stato License#: �Gf,l� ��g�
City: f'YI��CI�e �a:-►L� �fp�� Ex�iration na�a; �— 8�� 4�
Piicue: 763 4�9 �D��� A1te�nat�Phone: G ia o l y�3 q
ze�ie 3Jt1d 1SN0�13SNf1S 050T6Lb�9! LB�ZZ 900Z/80/50
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�"�:`}� !�.@ "•h I �e I ��l��!1,��5 nl�,t i i?1k1��'� �� IM4�''r,?S1� 1.. ��`;�.'';'� #=r� .1']�i l��w41UNi�li k1 NI I;�i�a��?'i"C;�'�5�u�v�l �W'lll:'i' �
�]SAC Charge(20UB Rate=�1e450.00) $
(SAC Ch3r�d Btust accOtppu�ly all scwer petiYti�ripplica�i0�g ut�lass prepaid)
(Orono G�ry S1�f�aan d�tcrmine if appl�cable)
(Yf not prepaid,u sewer conneccion permit rvi11 not be issucd),
� /�Sower Connrctioa/l��lseaat�ect/ltopuir(�35.00/Per Stub) $
(_ � Pip�siza incTz�s; material Schd 40 air testad; cast uon
[�W�1ter ContlrCtion/n56Cobpnct/Repair(S3SA0/Pet Stu�) �
pipe 9i�e �nohes;rnaee.rial,�Schd 40 8iP tiested; C�BL i�on '
1, S'CJBTOTA�of Perxuit lZequested: �
2. STAT$SURCHARG� $ ,�q
3. POSTAG�&fiANpLING(Only on 1via���Applicatians) � ��
4. TOTAL p�MIT'F�E(Add Liaes �-3 Above) �
`� '� '' � �;� ���''A�D1TxUN�AL'INFORl�1A,TZ'4N—WAT�R�� � � ' ,;,,
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' 'nVATTR METERS must be picked up pt�d paid fnr at Orono Ciry HaXl,thcst are on a se�+�ra��Cm,i.t
• 'GV.�TER METERS must be s�r ard sealed by Orono Watar Department (93Z) 249-4600, upu�
�ompletiop of ineter�lnstaY�ucian.
The urldc�signer�hereby�spplies to'Che Ciry of Orano for iss�ance or a TJt��ity Pera�i.x,agrees w do
all work in su�ic� accordance with rhe ozdiass►ces o��rhe Ciry and thr re�lations of the at�tc of
Minnesora,and cc�tifies that all sratc�uents made c�this application�e,true and eon�et,
ApplicLnr. � DttCe: V ' ��d�
Z0/ZB 39t�d 1SN0�13SNf1S 090Z6Lb�9L LO�ZZ 9e0Z/80150