HomeMy WebLinkAbout2002-P - sewer connection `� � PERMIT
C I�Y O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 pos�so
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: ioi23�2o02
SITE ADDRESS: 960 Brown Rd N
Long Lake,MN 55356
PID: 27-118-23-43-0025
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Sewer and Water Permit Pernut Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Thompson Plumbing OWNER: Gany&Shannon Banks
15001 Minnetonka Ind.Rd. 960 Brown Rd N
Minnetonka,MN 55345 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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APPL[CANT PERMITEE SIGNATURE 1 UED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reroorts, 1-Assessin�, 1-Finance Page 1
� D�t04-2001 12:44pn frort{11Y OF ORONO � �� +p5224o4616 T-2G7 P.001/001 F-305
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CITY OF ORONO A.PPLFCATION FQR UTILTTY PERMITS
BaY 66(2750 KcUcy Perkway) � SEWER/WATER
Crysta!Bay,MN SS323 �
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CENE L INFORMATION
�0,� 1. You may sppty for utiliry permits by m�il or u►persan at the City offices.
2, Mailed in applications ure aubject to the postage and han�ing fee showa below. Permit cards will be sent by
return mnil the same day the application is rec�;ived
3, Permib are oot v�(id unti!yon receive a permit card.
4. Waic must not begin unless the permit cerd ia available oe the job site,
5. Utility connxtinn perniita may be issued tu lic�nsed cantractors only.
6, Contact the Public Works Depa�tmeat (95?-249�600) for utility stub as-built lncations. pQ NQT
IXCAVA'TE IN ANY S'�'RE�T AIv'D DO NC�T TAP ANY MAIN withont acpress approval of the Public
WoQics DepartmeaL Issuance of a permit does not pant this�ppmval.
7. AEI wark tnust be done in accordence with Sta�e Code ree,uiremants.
, 8. AA wark mtLat bc inspoeted b�fore it is covere�l, G�11(952)249-4600.
24 hour notice req�ired.
JOB SI�'�ADDRTSS: �'1(Q[� 1JD. �Jt t�w n ��-
Occupancy'I�ype: �Residential Commerciat
Ovraer's N�a�: �o.r�.s �.�;���-�- Pboae N�ber:
Maebing Addraa��(a IJo. gro�� t�• City: O�o�c 7_i�x
Contractor'aNatpe`l��,m��-��IUr��C�a;�_ PboncNambercS3- �j3�._'l`ll�,
Mailing Addres::l`�,��,� �M�� �-�' r� � City: f�S�.��_ "T�pa ��
P�1tMTT TYPE
Muaicipal Sewer Connechon($35.Oa per stub} $
11�'r�� pipe siDe�inch�es; material,,,�_Schodule 44 air tested; cast iron
a"'� SAC Charge(2400 rate$1,150.00)must gcw�nipa.n�aIl sewtr ptacnit applicatians unless p�paid.
�� r If uot prepaid,a sew�er con.nectioa permit will�wt be issu�d.
1Kunicipal ter C nection(�35.00 per stub) $
pipc a' inehes; material �copper; other
�� �„o„�VA'TER ME must bc pickcd up and pai�i for at City Hall.
v`�Water m m t be sct nnd seat,ed by (lrono Water Deparbnent {952-?�9-4600) apon
co oa of inett Luzbllxtion.
� REQt�T) ' ' um sctbacks from dr�.in field and septic taulcs=75'
REQYJ�sctback from scwcr line=20'
p�MTT��E S�SI.�CULATIQI�
l. Subtotal of abavc permit r�qucstcd $
2. Statc Sur�c_t�� $ .50
'Ihe State Building Codc Divisioa Surchargo of S.SO per permit must be
iacluded for aac�i well,sewer and water eonne�tion permit requ�sted.
3. Postage&�andling(4nly mail-in applications) � 1.50
4. TOTAL PERMIT FEE(add linos 1-3 above) �
T'he undersi�ned hereby applics to the City of�hano for issuance af n Utility Permi� agrccs to do
all worlc in siriei �cxordenct with thc omdinan�:es of the City and tbe rt�ulations of thc State of
Minncsota,and certifies that nll statements made on this applicatioa sre compkt�,true and coaect_
Signature of Applicant�/ � �-� ��/,t��r�a n bate: /U �0,71 - Z
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED �' �Z ��-a v
PERMIT NO. ��S 7S U COMPLETED !�-� �',v V
ADDRESS q�Q Nnr�-1 �c r�.,.� (�C�
OWNER CONTR. ��`�"`',�Sa^
TELEPHONE NO. ____ ��� Z-�13�-- ~77 I�
� DESCRIPTION S`�.:� �oa���P
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 EWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWN ER/CONTRACTOR TO MEET YOU:�(ES_NO
� COMMENTS: � Sc � , `. -�►� �� C C� �.��Q(� ,
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W� �GlORKSATISFACTORY:PROCEED 4�I� .-�_Sc�.e ❑ PROJECTCOMPLETE
W�❑CORRECT WORK&PROCEED `❑ ISSUE CERTIFICATE OF OCCUPANCY
Q O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cal1 tor the next inspection 24 hours in advance. (952� 249-4600
OwnerlCon ctor on site:
Inspector. C�� ,
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALIED IN �a��
INSPECTION N TICE SCHEDULED 7-a���3 :o�
PERMIT N0. � � COMPLETED
ADDRESS q�G N• ��''�'�'► �'�
OWNER CONTR. (�"�(-n1;
TELEPHONE NO. [�2- �3 �J 77I 7
� DESCRIPTION ��`�'>`''�-� ����''"`-r
� Ot 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
Z04 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 0 UMBING FINAL 36 FOUNDATION/REMOVAL
� WNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-46��
OwnedCont�aet�r site:
Inspector. ��
White Copyllnspecto s Ffle Canary CopylSfte Notice