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Home My WebLink About2001-P04584 - sewer connect CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Poass4 Crystal Bay, iVlinnesota 55323 Permit Type: Sewer and Water Permit (952) 24`-4600 Date Issued: �ti2i2ooi SITE ADDRESS: 15 Brown Rd S I.ong Lake,MN 55356 PID: 34-118-23-34-0010 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 SAC Fee: $ 1,150.00 TOTAL FEE: $ 1,185.50 APPLICANT: Sullivan's Utility Services, Inc. OWNER: John& Bonnie Eiss 3660 Hwy 101 S 15 Brown Rd S Wayzata, MN 55391 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIv1ENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ,, (T��..� � /�� '~ �� APPLICANT P ITEE SIGNATURE ISSUEDBY SIGNATURE Conies: 1-File(SiQnitures Reauired), 1-Anolicant. 1-Monthlv Reoorts, 1-Assessine. 1-Finance Page 1 �:'a'ated .�.�12��1� ; CITY OF ORONO APPLICATION FOR UTILITY PERiVIITS Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 55323 �NERAL INFORMATION 1. You may apply for utility permits by mail or in person at the City offices. R 2. Mailed in applications are subject to the postage and handlin�fee shown below. Permit cards will be sent by return mail the same day the application is received. � 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 AN�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. i�;� ' � � � JOB SITE ADDRESS: i✓ �'��cT=�-'�✓ �-� �� - Occupancy Type: � Residential Commercial Owner's Name: `o,r� ,c ��s Phone Number: ,`��3� `�7 3 '`ll�� Mailing Address: j5' ��:vN /�✓, 5�,. City: 7�: Contractor'sName: �'u��.c�,��c i �re s l��c��'hone Number: i�'S��i�%3-�i'3C� Mailing Address: � � � �� ty: � Zip: `"-'-'`' � � � �� /_n.i so� c� �� ;,�- �� .��i PERIVIIT TYPE . � Nlunicipal Sewer Connection ($35.00 per stub) $ � pipe size�inches; material Schedule 40 air tested; cast iron ' SAC Charge (2000 rate $1,150.00) must accompany all sewer permit applications unless prepaid. If not prepaid, a sewer connection permit will not be issued. Municipal Water Connection ($35.00 per stub) $ pipe size inches; material copper; other WATER METERS must be picked up and paid for at City Hall. Water meters must be set and sealed by Orono Water Department (952-249-4600) upon completion of ineter installation. REQUIRED minimum setbacks from drain field and septic tanks = 75' REQUIRED setback from sewer line =20' PERMIT FEE CALCULATION � 1. Subtotal of above permit requested $ �� 2. State Surchar�e $ .50 The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection permit requested. 3. Posta�e & Handling, (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (add lines 1-3 above) $ The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, ab ees 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 complete,true and correct. , Signature of Applicant: � ,�- Date: %� '' /� f DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �— PERMIT NO. �� 4 58 COMPLETED ' -01 f�— ADDRESS �`� ��^ � S. , OWNER CONTR. S U-�� hJ�� TELEPHONE NO. CD�� '�-`-�°' "�'�`-�� DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 4 SEWER H001111P� O6 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 � OWNERICONTRACTORTO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � �;' ��c:- �� O � W � Q � 2 W � W � � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � `�''�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V "BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� Own�erlContr �on site: Inspector. ` � White Copyllnspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI � Q� SCHEDULED �1-�°� `�',cv PERMIT N0. �6 COMPLETED ,i-°1- p( °�'.0 U ADDRESS �5 ��Q'�� P�U 5 OWNER CONTR. S�'��►q� � TELEPHONE NO. � DESCRIPTION �L�� C J �� j'� � 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 WER HOOK-UP O6 PROGRESS � 07 DEMO-SITE EPTIC 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 � OWNER/CONTRACTORTOMEETYOU�YES_NO � COMMENTS: "p�t S.��IL "�'FSfi I � �t� 5 C�I` a - L- - I p � ,�-� o r w e �� S;� �.� ic. vi� �. _ � �s �� '�� c �.� b St� � 0 � ' U�l� 'tT�n� S ,j,,. c ;}- �; 1�x � "' S*�� Q ' � P� — p�r W F� � W � � � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnedConUa or on s�l�t.e�-. �^ Inspector. White Copyllnspector's File Canary CopylSite Notice