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Home My WebLink About2000-P03212 - sewer connection i � � PERMIT C TY OF ORONO 2750 helley Parkway- PO Box 66 Permit Number: Po32i2 Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit (612) 249-4600 Date Issued: 11�2�200 SITE ADDRESS: 255 Brown Rd S LONG LAKE, MN 55356 P I D: 03-117-23-24-0008 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: IVOTICES/REMARKSD FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: BILL FIGNAR PLUMBING OWNER: MARGARET P COST 2844 JOHNSON STREET 255 BROWN RD S MINNEAPOLIS,MN 55418 LONG LAKE MN 55356 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI'IY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDI DE REQUIREMENTS. � � z�c/� -- G APPLI T PER T I NATUR ISSUED B SIGNATiJRE Copies: City,Applicant,Assessor,Finance Page 1 k ^ CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 5�323 GENERAL INFORMATION 1. You may apply for utility permits by mail or in person at the City offices. 2. Mailed in applications are subject to the posta�e and handlin;fees shown below. Permit cards will be sent by return mail the same day the application is received. ; ;. 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(249-4600)for utility stub as-built locations. 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 249-4600. 24 hour notice required. ` �Z� _ JOB SITE ADDRESS: ds� -5� L��a;.�.= - - Occupancy Type: � Residential Commercial Owner's Name: /�.,,,,SN,vt !� � r Phone Number: �lailing Address: City: 7ap: Contractor's Name: 11;�r 1�` w•Y— l�� ` "��`� Phone Number: ��'� �- y�h�'- (��. Nlailing Address: ;��'`�Y , tr�,-.�s� S;� � j"'`L� City: wr� �:s Zp� �s`�/� Y PERMIT TYPE �N Municipal Sewer Connection ($35.00 per stub) $ 3-S� ` pipe size l�inches; material Schedule 40 air tested; cast iron SAC Charge (2000 rate $1,100.00) 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. `Vater meters must be set and sealed by Orono`Vater Department(249-4600)upon completion of ineter installation. REQUIRED minimum setbacks from drainfield 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 Buildin�Code Division Surchar�e of$.50 per permit must be included for each well, sewer and water connection permit requested. ;. Postaje & Handlin� (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, agrees to do all �vork 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: /� a• � DATE TIME CITY OF ORONO CALLED IN INSPECTION TICE SCHEDULED � PERMIT NO. � Z� Z- COMPLETED �I�.3�� I I � �� ADDRESS�� +��t.;f'1 /� S�� OWNER CO�F CONTR.�YJ� f��JC1 TELEPHONE NO. ��`I' Z 7/y � DESCRIPTION _�Pl.�X�� ( 0 ��f�C_� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING � 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS h 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- � 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVA J �� Q OWNERICONTRACTOH TOIMEET YOU:_YES_NO -��,�k y COMMENTS: � '`�1 .DPC f'�'Or✓� �t� � C'" r�S W .� y�� ; �� ho �� c, � J O � --� �c,� d`C 0 � Q `� ��1 C l�l � � 0 � �e � �e Lxi in ^ � � f �i 1 ' , � W � , �1� � � �i � � d �WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE W � ❑CORRECT WORK 8�PROCEED r 1 ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. , pHOTOTAKEN INSPECTOR WILL RETURN f'CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call fo e ext in e tion 24 hours in advance. 249-46�0 OwnerlCon acto n site Inspector. �� '�-� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED ll'2—� � �� PERMIT NO. 2!�-- COMPLETED (I �Z�i) �` tl,G' ADDRESS 25S �ROl.�n� �0� SOI.,� _ OWNER �� CONTR. �'911M+� �6uw.�i�_ TELEPHONE NO. ��Z��f�� ! � DESCRIPTION JeW�►Q I�O�k� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 1 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o t� � S� �� l/ �"✓I I r9 Gl��'� � � O � W � Q � Z W � W � � GW �l WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � �❑ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED C STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. 249-46�0 OwnerlCon ra or o te: Inspector. �� 2�� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION N�TICE SCHEDULED / - .7- o f /U.�cy� PERMIT NO. �3��Z COMPLETED ��" �� U! C � ADDRESS �-�5 �(�,,��v r�� sc� OWNER �%s`� CONTR. YC.,-'x�-�� TELEPHONE NO. � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO Z � COM,�VIENT : � = � - -- a ~� '�.. f L�.� • � 7 ;� � o ' � ' > '� ^ , �. _ � o ,�'��1�� ` � ' � � `�� Q -�.. � ..�� , z w W � �'t� ; ;;�i o1 j ..� , , d '�WORK SATISFACTORY:PROCEED �� ROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. i PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR : CITATION ISSUED Ci INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContr t r on site: Inspector. �'✓� � White Copyllnspector's File Canary CopylSite Notice