HomeMy WebLinkAbout2001-P04011 - septic system PERMIT
CIT`� OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po4oi i
Crystal Bay, Minnesota 55323 Permit Type: septi�
(952) 249-4600 Date Issued: 6i2si2ooi
SITE ADDRESS: 4675 Geekwood Tr
Maple Plain,MN 55359
P I D: 30-118-23-33-0007
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Sepric Permit Sub-type(s): Undefined Septic System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: �'�'idmer Inc. OWNER: D &K Biek
Box 219 4675 Creekwood Tr
St. Boni, MN 55375 Maple Plain MN 55359
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.
APPLiCANT PERMITEE SIGNATUR� ISSUED BY SIGNATURE
Copies: i-File(Sieraitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
PERMIT
CI��Y �`�,F ORONO Permit Number:
2750 f:eiley Parkway - PO Box 66 P04011
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-460U Date Issued: 6i2gi2ooi
SITE ADDRESS: 4675 G-eekwood Tr
Maple Plain,MN 55359
PID: �o-i i s-2�-»-000�
DESCRIPTION:
Proposed Use: Residential �� l��
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Permit Class: General
Pecmit Type: Sewer and Water Permit Permit Sub-type(s): Sewer& ater Connections
DETAILS:
Approved per resolution#:
Se�arate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ ��•�� Valu.ition: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Widmer Inc. OWNER: D& K Biek
Box 219 4675 Creekwood Tr
St. Boni, MN 55375 Maple Plain MN 55359
THE Uiv'DERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESO"T'A BUILDING CODE REQUIREMENTS.
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1PPL.ICiWT PERMITEE SIGNA'I URE ISSUEI�a' YSIGNATURE --
Copies: I-File(SiQnilures Reauired), 1-Applicant. 1-Monthlv Reports, 1-Assessin�, l-Finance Page 1
(Ur:.iated 2/12/O1)
••CIT�' OF ORONO APPLICATION FOR UTILITY PERIVIITS
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�:ox 66 (2750 Kelley Parkway) SEWER/WATER
' Crystal Bay, MN 55323
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 postage and handling 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 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(952)249-4600.
24 hour notice required.
JOB SITE ADDRESS: ���-� ���L=�--� �v✓�z-�� ��-��=-'�.�
Occupancy Type: 1�- Residential Commercial
Owner's Name: —�� �iC� Phone Number:
Mailing Address: ,S19i�� yG%� C,�l L�w=2�� ;?'. City: 7ip:
Contractor'sName: �>,�1.�,� ..�=-L�- PhoneNumber: t'�:.�- Y/l�-/y„ys�
Mailing Address: �v �..�� �.jt' City:���'�,-. ��=--:� Zip: S��3 '� �
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size � inches; materiali`v"� 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,.l'�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 & 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 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.
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Signature of Applicant:.�� <<����--�� Date: ��.�n�
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