HomeMy WebLinkAbout2006-P13094 - sewer/water permit t
PERMIT
C`.ITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10394
Crystal Bay, Minnesota 55323 Permit Type:
Sewer and Water Pernut
(952) 249-4600 Date Issued: l0/3/2006
SITE ADDRESS: 1430 Cherry Pl Unit#
Mound,MN 55364
PID: 08-117-23-33-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Sewer and Water Permit Permit Sub-type(s): Sewer Connection
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50 `
TOTAL FEE: $ 35.50
APPLICANT: Westonka Sewer&Water OWNER: Glenn Solie
6501 Co.Rd 15 1430 Cherry Pl
Mound,MN 55364 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C[TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PE EE SIGNATURE ISSUED B NATURE �
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reparts, 1-Assessing,(If Septic, l-Septic) Page I
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FOR CITY USE ONLY
¢0,�` City of Orono Date Received: Permit#
"r P.O.Box 66
���; � 2750 Kelley Parkway ❑In-House SAC Determination Form Completed
a ��t���� �* Crys[al Bay,MN 55323
�� ��� ��o~ (952)249-4600 Approved By(If Required):
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CITY OF ORONO-SEWER& WATER/ GENERAL PERMIT
(*Notc:Some permits may require approval by the Building Ofticial and/or Public Works Department*)
(ALL PERMITS- NIaY be subiect to further review and mav not be issued whe�the application is received)
GENERAL INFORMATION
1. You may apply for utility pernuts by mail or in person at the City offices.
2. Mailed in applicarions are subject to the postage and handling fee shown below. Permit cards will
be sent by renun mail within 2 business days.
3. Permits are not valid until you receive a pernut card.
4. Work must not begin unless the pernut card is available on the job site.
5. Utility co�mection permits may be issued to licensed conhactors only.
6. Contact the Public Works Department(952-249-4600)for utility stub as-built locations.
DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express
approval of the Public VVorks Department. Issuance of a peinut does not grant this approval.
7. All work must be done in accordance with State Code requuements.
8. All work must be inspected before it is covered. Call(952)249-4600,24+hour notice requirecl.
TYPE OF P�RMIT
(Check All That APP1Y)
� Residential(May Require Approval) ❑ Conm�ercial(Approval Required)
❑ New Connection ❑Additional Connection [t�e-Connectiou ❑Repairs ❑Disconnect
7ob Site/Owner Information:
Site Address: � ` � �v ��1-e�` n`� �+�C�
Owner: �� � 1�� ��v1•'��(/� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ����y��� Contact Person: �f � �1
Address: �5 �-'l �'O � I S� State License#: � D�('`I �,���1
City: �Y��v''� Zip:S 5 3�`� Expiration Date: �� - � �- � �
P11one: �( ��- ��� Z - ��� � Alternate Phone: ` S a - ��L - ���P�
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- e'` ,; � ` DETERIVIINTNG PERMIT FEES ` .
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❑ SAC Charge(2005 Rate=$1,550.00) $
(SAC Charge must accompany all sewer pernut applications unless prepaid)
(Orono City Staff can determine if applicable)
(If not prepaid,a sewer connection permit will not be issued)
�-Sew r Connection �Disconnect/Repair($35.00/Per Stub) $
Pipe s ° mches;material 1�� 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 Applicarions) $ 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 permit.
■ 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 sh�ict 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.
Applican�SL�k-� � Date: ���� — ��
DATE� TIME
C TY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED �' ���
PERMIT NO. l�� COMPLETED
ADDRESS � � ' � ����
OWNER CONTR. �- �
TELEPHON E NO. ��`� ��� � �7 � �� �i- �-
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FI 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURN FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-U 17 SITE INSPECTION
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Q OS FINAL C 14 SEWER HOOf - 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-F�NAL 15 SEPTIC INSTRLL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑ GTATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site: �
Inspector. � l.[a 'r�
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