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Home My WebLink About2005-P08687 - sewer disconnect PERMIT �CIT�"1�'��OF ORONO 275�"Kelley Parkway - PO Box 66 Permit Number: Pos6s� Crystal Bay, Minnesota 55323 Pe►'mit Type: Sewer and water Permit (952) 249-4600 Date Issued: sisi2oos SITE ADDRESS: 849 Brown Rd N Long Lake,MN 55356 PID: 27-118-23-34-0011 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Coppin Plumbing OWNER: Hossnpat Construction, Inc. 5089 Shoreline Dr 18105 31st Avenue N Mound,NIN 55364 Plymouth,MN 55447 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. i �2}��l/(� APPLICANT PERMITEE SIGNATURE ISSUED QY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 ♦ � FOR CITY USE ONLY � 4�� City of OrOnO Date Received: Pennit# P.O.Box 66 �° � 2750 Kelley Parkway ❑In-House SAC Determination Form Completed �T � a ��>�n � Crystal Bay,MN 55323 ��$�a~ (952)249-4600 Approved By(If Required): CITY OF ORONO - SEWER & WATER/ GENERAL PERMIT (*Note:Some pennits 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 application is received) GENERAL INFORMATION l. 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. Peimit cards will be sent by retuin mail within 2 business 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 connection peimits may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600) for utility stub as-built]ocations. 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 work must be inspected before it is covered. Call(952)249-4600, 24+hour notice required. TYPE OF PERMIT � (Check All That Apply) ❑Residential(May Require Approval) ❑ Commercial(Approval Required) ❑New Connection ❑Additional Connection ❑ Re-Coruiection ❑ Repairs isconnect Job Site/ Owner Information: Site Address: � � � ' 1 '� J� � w � \'�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor I�Zformation: Contractor: �� `�'v Contact Person: �^�� `-� � v � Address: s��1 S��`��`'� State License #: � -� �� City: .�v n� Zip�sjF� Expiration Date: � �`' � �` `� S Phone: � �0�� 6 ��"� Alternate Phone: °� 4 4 � � � i L � � II �� A � � � � � ; �� : -� ;�� ' � � . DETERMINING PERMIT FEES ❑SAC Charge(2005 Rate=$1,450.00) $ (SAC Charge must accompany all sewer pernut applications unless prepaid) (Orono City Staff can deternune if applicable) (If not prepaid, a sewer con ction permit will not be issued) `� �Sewer Connectio /Di connect/ epair($35.00/Per Stub) $ Pipe size i hes� Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches; material Schd 40 air tested; copper 1. 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 pemut. u. ■ 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 stric accordance with the ordinances of the City and the regulations of the State of Minnesota, an c rtifies that all statements made on this application are,true and correct. Applic � Date: �"� ' �� 4 q � iQ � � . . . . . - . .. . I ��' . . . . ��. ; p � 1Ik � � �� I ,. � � �� , �-� �� . �y � �� ITY C�F ORONO PERMIT `, ;� k� �- �� L�� Permit Number: �_�� N� � � 2750 Kelley Parkway- PO Box 66 �: (�,� �� Po8687 Crystal Bay, Minnesota 55323 Permit Type: � �- ` ` `�` Sewer and Water Permit (952) 249-4600 Date Issued: �� 5/S/2oo5 �'"� SITE ADDRESS: 879 Brown Rd N Long Lake, MN 55356 PID: 27-118-23-34-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Sewer Disconnect Permit Type: Sewer and Water Permit DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Coppin Plumbing OWNER: Hossnpat Construction,Inc. 5089 Shoreline Dr 18105 31 st Avenue N Mound,MN 55364 Plymouth,MN 55447 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. L�� j--��/� _� C`�i'Yl C2 i''\ APPLICANT PERIvfITEE SIGNATURE ISSUED Y SIGNATURE Copies: 1-File(Siznitures Required), 1-Applicant, l-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 `� w � � � ° � INSPECTION RECORD C I TY O F O RO N O Permit Number: Po8687 2750 Kelley Parkway- P.O. Box 66 (Required wl�en settii:g up ixspectia:s) Crystal Bay, Minnesota 55323 (952) 249-4600 Date Issued: 5/5/2005 SITE ADDRESS: 879 Brown Rd N APPLICANT: Coppin Plumbing 5089 Shoreline Dr Long Lake,MN 55356 Mound,MN 55364 .. .. _..... ..,.,_ "'-�'4 z + "; Permit Sub-Type: 'Sewer Disconnect fs ' , _____. _ :: ._�>. , � ..,s,�:� . � �'r Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Pernut Separate Inspections Required: INSPECTION TYPE DATE � 7NSPECTOR � ��INSPECTION TYPE � DATE INSPFCTOR �uilding: GeneraL• Other-Final Sewer Disc� Comments: This property has been combined-is now in the computer as 849 Brown Rd N:/Replaces 1st Pernut Issued to 849 Plumbings Brown Rd N-Taken out under wrong address back in May. Contractor#: 952-472-2316 ALL INSPECTIONS MUST BE CALLED 48 HOURS IN ADVANCE. THIS CARD MUST BE POSTED IN A CONSPICUOUS PLACE ON THE PREMISES ON WHICH THE WORK IS TO BE DONE. ('nniec• 1_Annlicant/Prinl nir nraieve Card) 1-Rnilrlin¢tnsn. (Anv Rldv nr I/icihle Prniectcl. 1-Sentic Tnsn /Am�Can�i�nr Cmd��4lorl �� _D E � TIME CITY OF ORONO CALLED IN � INSPECTION NOTI�� SCHEDULED ,�v��' � PERMIT NO. COMPLETED ��, - �J � ADDRESS � C-�� / Q� OWNER CONTR. ��c�r`��-'�/ ,�I (JJ��• � TELEPHONE NO. C-�� c� ��C� Lc� .�-� � � DESCRIPTION r '��-F�..�'`E,:�l �c�t�C�I�v�c:� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 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 C o �A Pr�� 1 � 2 �?�ss�rz � t ��,c.�t� ,�.,.s �-�r�t-�- S;�I e. o r � Q - � -' � �� f� `P�Lt c7 c� z �i o i e r�11 e� =",�3 W � w � j d � WORK SATISFACTORY:PROCEED [7 PROJECT COMPLETE W ❑ RRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. Cj pHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector._�q, � � _.�_a White Copyllnspector's File Canary CopylSite Notice