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HomeMy WebLinkAbout2006-P09977 - sewer conncect �����I\ PERMIT CITY C)F ORONO 2750 Kelle�i Parkway- PO Box 66 Permit Number: p09977 Cr�stal Bay, IV9innes�ta 55323 Permit Type: Sewer and Water Pernut (952) 249-4600 Date Issued: 6/12/2006 SITE ADDRESS: 925 Brown Rd N Unit# Long Lake,MN 55356 P��� 27-118-23-34-0001 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Perniit Permit Sub-type(s): Sewer Connection �; �� YJl JJ ��t+,� �. . �lPi 5��:3 i DETAILS: � '�' '��U Approved per resolution#: � �� '`�/ 1�:,�=.1, ' � i ���(� r�,c�.� n � � ' -�,:���r�-. ;:��:�7� � �b1E�� CGh4d r:_�� 1 Separate permits required: �� / �'� � ��;;�,;��_� ��,���y� �� i � t1.�.� v� � �� :<<� �F ��'R � �.«; �,�o � � � '; }�E'!ti:�Od � NOTICES/REMARKS: / ; u ��,�j ;j, • � t z r, f��eG �'` i �� t1.�'� �.� :�? SU�'Cf':at�qE� i Home Owner-Lyle Cox also paid, SAC&Sewer Connection Fee f {� J 0.;,t,� fj,�f � �:.i;a��� � � �J.G� U.uC I �stxgahi�n �Re I � FEE SUMMARY: Permit Fee: $ 35.00 � � f�.Ui� C�.ii� j vs #i�:i-LLtt.l�; + ; �° �3�5:t1{� �3f,►�.�.QQ I State Surcharge Fee: $ 0.50 '��'�;��� `js���_`�� i �R� �•`j�l .I _..iTR� ;ALE L3.��'f1,�' SAC Fee: ,,.-�:u Raceivesi i':;�''?.��.� I :'c 0,f� i TOTAL FEE: $ 35.50 ' APPLICANT: VOLKENANT INC OWNER: Mr. &Mrs. Lyle Cox 1030 CO RD 83 925 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. � ., � ' �`-� c��'i�t�—�t �� r � PLICANT PERMITEE N TURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . • FOK CITY USE ONLY ��� C'tty of OCono Date Received: Permit# P.O.Qox 66 ��j�, � 2750 Kelley Parkway ❑In-House SAC Determination Form Completed �{�J a �j ,�� Crystal Bay,MN 55323 � �(,��''�o`� (952)249-4600 Approved By(If Required): ��t?��'��� asxa CITY OF ORONO —SEWER & WATER/ GENERAL PERMIT (*Vote:Some permits may require approval by the Building Ofticial and/or Public Works Department*) (ALI PFRMITS- h9aV be subiect to further review and mav not be issucd when the application is received) GENERAL 1NFORMATION 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 sho�vn below. Pernut cards will be sent by return mail within 2 business days. 3. Permits are not valid until you receive a permit card. 4. Work inust not begin tmless the pern�it card is available on the job site. 5. Utility connection permits may be issued to licensed conhactors only. 6. Contact the Public Works Department(952-249-4600)for utility shib as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP AIVY MAIN without express approval of the Public Works Department. Issuance of a pernut does not grant this approval. 7. All work must be done in accordance with State Code requirernents. 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 Coimection ❑Re-Connection ❑Repairs ❑Disconnect Job Site/ Owner Information: Site Address: �J �G � � Owner: �� C v� Mailing Address: c�ty: � l/1 z�p: Home Phone: Alternate Phone: Contractor Information: Contractor: �1 (��'� � ��C Contact Person: a g P��i-� Address: State License#: c�t �= ��I �. y: ��'( �� r � � Zip:�S xpiration Date: � Phone: _��� �'� �� l Alternate Phone: DETERMINING PERMIT FEES ' [� SAC Charge(2005 Rate=$1,550.00) $ � � (SAC Charge must accompany all sewer pern�it applications unless prepaid) (Orono City Staff can determine if applicable) (If not prepaid,a sewer connection permit will not be issued) �Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ ipe size iuches;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. 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 ■ WATEK 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 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: (o —d '- � �r , � ��,wwdj���.ih f �1'� �� , F �� W�'t���it f� �������� � v,yC�k�r9��y+,.,�",� ¢, �.,k .,�,`N A� �. ��.'FtS��R�fO �g t��� �T ��,t,.. �,: Y 1 6� �'� �Ti $ lY"yf !-y's i� � ftk T �2 1� p• '. f: ��� } 'a¢��,,. 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L/ - _� � ' `�'' � l -� a o S� � � �� � � � � : _ __ _ __ . _ � ____..�___ 1 - �__ __ _._��__�T�.����. . DATE TIME CITY OF ORONO CALLED IN INSPECTION N�TICE SCHEDULED �/� PERMIT NO. ' C �a�� COMPLETED �' 1�'��CJID ADDRESS �� J �•�O�-'�� Rc� � OWNER L-� �e �O� CONTR. V� ( 1�Q^�^T TELEPHONE N0. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL �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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ! � 5 ��S J..r �'`r ,i�S f � � � � �� 5-�-�,� 'J f�� �S '' _s l�v�-�r.��� � � �n � ��� � � �� ��� ..r,�e� � � �� � I �i� Q Z ��, � � �o� ,L � � � , -~ j O � WORKSATISFACTORY:PROCEED C� PROJECTCOMPLEfE W ❑ RRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46�Q Owner►Contractor on site: Inspector. �r �� c White Copyllnspector's File Canary CopylSite Notice