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Home My WebLink About2005-P08936 - sewer connection PERMIT CI�Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po8936 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952) 249-4600 Date Issued: 7/8/2005 SITE ADDRESS: 825 Brown Rd S Unit# Long Lake,MN 55356 PID: 10-117-23-21-0008 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: NOTICES/REMARKS: FEE SUMMARY: Pern�it Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 SAC Fee: $ 1,450.00 TOTAL FEE: $ 1,485.50 APPLICANT: Groth Water&Sewer OWNER: Martin&Bridgett Paradise 775 Tower Drive 825 Brown Rd S Hamel,MN 55340 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 MINNESO'I'A BUILDING CODE REQUIREMENTS. � � � AP ICANT PERMITEE SI T SSUED BY SIGNATURE Copies 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l FOR CITY USE ONLY 40� CItV of�COnO Date Received: Permit# O r. O P•O.Box 66 �,;.;,,, 27�0 Kelley Parkway ❑In-House SAC Determination Form Completed �j��r�;' � Ciystal Bay,MN 55323 �d� '�,(��';�la o'` (952)2a9-4600 Approved By(If Required): t'�eii a� CITY OF ORONO- SEWER & WATER/ GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS- Mav be subiect to fw•ther review and mav not be issued when thc annlication is received) GENERAL INFORMATION 1. You may apply for utility pernuts by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown below. Pernut cards will be sent by return mail within 2 business days. 3. Pernuts are not valid until you receive a pernut card. 4. Work must not begin unless the peinut card is available on the job site. 5. Utility connection permits may be issued to licensed conn•actars only. 6. Contact the Public Works Department(952-249-4600)for utility stub as-built locatious. DO NOT EXCAVATE IN ANY STREET Al\'D 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 Conneetion ❑Additional Coimection ❑ Re-Connection ❑ Repairs ❑ Disconnect Job Site/ Owner Information: Site Address: �� r�)c.t> I'1 �d � � , Owner: �C�� -t'O�a;CB.�S� Mailing Address: �� rocc�n�i.,�� City: �(�C3 Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � /� �`r `�v Contact Person: � ( / Address: �� I � � ��--,� State License #: I 2. � / � 5��0 � � ' � 1 �- a S City: ��J�1��-�--� Zip: Expiration Date: Phone: �J � � 9'1 C/ � �-y� Alternate Phone: DETERMINING PERMIT FEES rL ob SAC Charge(2005 Rate=$1,450.00) $ � 7 � (SAC Charge must accompany all sewer pernut applications unless prepaid) (Orono City Staff can deternune if applicable) (If not prepaid, a sewer connection permit will not be issued) aU � �Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ 3� Pipe size inches; 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 • WATER 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 far issuance of a Utility Permit, agrees to do all wark 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: SEPTIC SYSTEM INVENTOR Y Address: 825 Brown Rd. S PID: 0311723000000 Building Type residence BRs Install'd for: 5 In Musa: Yes Permit#: 011800 Date of Permit: 8/25/99 Installer: Hayes System Type: gravelless trench Experimental: Tank Filter: yes SYSTEM CONDITION Conformity: 1 Tank Condition: 5 DF condition: 11 Failure Pot: low SEPTIC TANKS Material: precast concrete Capacity: 1300,1300,1300 Setback to Bldg: Cesspool: DRAINFIELD Length of Lines: 110 # Lines: 4 Trench Width: 3 Treatment Area: 1260 Type of Filter: gravelless pipe Soil Boring: Y Tile Size: 10" Under Tile: N Perc Rate: 16 Setback DF-Bldg: 20+ DF Ht above Wt: 3 Soil Type: loamy sand Limitations: watertable WELL DATA Setbacks - Well-Tanks: Well-DF: Report in File yes Pump Type: subm Depth: 189 Diameter: 4 Method: rotary INSPECTION RECORD PUMPOUT RECORD DA TE DESCRIPTION COMPLIANCE DA TE GALL ONS 8/25/99 installation 1 5/12/00 final ok 1 9/21/00 no surfacing, mailed landscaping brochw 1 7/02/02 no surfacing,pump tanks code system j� � ��t� � � � � �� - � �, � �l - � � � 2 S ��w�� Rd � S. � , � � r ,� � � � < < . � � � C � � , � . � �� , � � , � + 53' GZ' . -- m� Lo'z �3s . p � ' d6`y � 2 3� 9 N �'� 36�6 !"JQ , 'G'�' ti2'D a � ,� h � � t 1 1 i� �/��`,�r�VL i �� i ; �I � �� f � .� � �. . . �� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NO ICE�j SCHEDULED �L�Z I �sP��nn PERMIT NO. �� / COMPLETED �' �� '' ADDRESS �� iJ�C�l-✓ (`.� �C� C OWNER �� C� r S[' CONTR. ��IV�� j'f��f� TELEPHONE NO. � DESCRIPTION ly 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. 1 ATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL �EWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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: C�'' � 1� i k�/� K � "��-4 ./t� l� � C- �!�T /� t' t� `_>C'(-,i T 7-0 6'��ol ( �� l�_ j �P �c� r� 0 o ��`ti'� ��i �.�2l� �� f,�a � �P I� � c3 � �—I� �t�'S �� =ri��'� W °� �� - � �� D / `/",Z `� �� Q � z !�U✓�� TZ� � -�� PrI- ` ,C�t4i � ��t(� �' 'f-ld/J r-!'v.�,. �{6�� '� � '1��'S S�� 1 ; F� ,�c.� ��, �l t� � d W ORK SAT{SFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �Q52� 249-46�0 Owner/Contractor on site: p '��L/�-�.. —e� � � Ins ector. � White Copyllnspector's File Canary CopylSite Notice