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Home My WebLink About2001-P04069 - sewer connection � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04069 Crystal Bay, Minnesota 55323 Permit Type: sewer and water Permit (952) 249-4600 Date Issued: v�i�2oot SITE ADDRESS: 1945 Fox Ridge Rd LONG LAKE, MN 55356 P I D: 03-1 17-23-13-0006 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: Ritter Excavating OWNER: D E KIRKMAN&J M KIRKMAN 7120 Vernon Street 1945 FOX RIDGE RD Rockford, MN 55373 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL C[TY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), l-Applicant,1-Monthly Reports, 1-Assessing, 1-Finance Page 1 1 .� CITY OF ORONO APPLICATION FOR UTILITY PERMITS Bos 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 5�323 GEIVERAL INFORMATION 1. You may apply for utility permits by mail or in person at the City offices. 2. Nlailed in applications are subject to the postage 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. �. Utility connection permits may be issued to licensed contractors only. 6. Contact the Public Works Deparnnent(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. Ca11249-4600. 24 hour notice required. JOB SITE ADDRESS: �L�� // � � �� Occupancy Type: _ � Residential Commercial O`vner's Name: � '� �.� � � .��-s��. Phone Number: �f ��`�— `��.� �/ �Iailing Address: / - �City:/�.�'--rr� Zip: Contractor's Name:�/ �,�.,.`i��z, �`',�'f%''�hone Number:�� <f 7 7 S� �� Nlailing Address: �% Z �� t'��ti ��- City: -��C Z i p:-T 7�7.} PERi�IIT TYPE `Iunicipal Sewer Connection ($35.00 per stub) $ pipe size�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. �1Tunicipal `Vater 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 Water Department(249-4600)upon completion of ineter installation. REQUIRED minimum setbacks from drainfield and septic tanks= 75' REQUIRED setback from sewer line = 20' PERIVIIT 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. 3. PostaQe & 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 Nlinnesota, and certifies that all statements made on this application are complete,true and correct. � Signature of Applicant: �-�� ` Date: �— � � " �� -- _--\ . . _.__.. _'\� � �\ �� \\ 0 0�� C ITY of ORONO ,� ��t �., � � ,,, �,;�� ti Municipal Offices �� Street Address: Mailing Addross: l,q ��,�i�;, �'EggO j� 2750 Kelley Parkway P.O. Box 66 � -_ =—' Orono, MN 55356 Crystal Bay, MN 55323-0066 September 27, 2000 Shannon Sweeny City of Long Lake P.O. Box 606 Long Lake MN 55356 Dear Shannon; Enclosed you will find check#062390 from the City of Orono in the amount $40,950 for payment of sewer connection charges for the Fox Ridge and East Long Lake sanitary sewer projects. This check is payment for a total of twenty-one sewer units at a cost of$1,950 each. An address listing of these properties is shown below. EAST LONG LAKE AREA FOX RIDGE AREA 430 East Long Lake Road 1850 Fox Ridge Road 450 East Long Lake Road 1895 Fo� Ridge Road 460 East Long Lake Road 1900 Fox Ridge Road 550 East Long Lake Road 1945 Fox Ridge Road 925 Old Long Lake Road 1950 Fox Ridge Road 965 Old Long Lake Road 1960 Fox Ridge Road 985 Old Long Lake Road 1995 Fox Ridge Road 990 Old Long Lake Road 5 Brown Road South 1000 Old Long Lake Road 15 Brown Road South 1005 Old Long Lake Road 255 Brown Road South 265 Brown Road South Thank you for your assistance in this matter. Please contact me at 952-249-4621 should you have any questions. Sincerely; �� . _ � �`,y,�y�� Greg Gappa Director of Public Services Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us Y DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT � SCHEDULED - :� 3'a t� P� PERMIT NO. � �� COMPLETED -- � ADDRESS��` N Sr FC7 ' �r��c. �#.�� - '��f '�� OWNER CONTR. �i � �. - �� TELEPHONE NO. C,� �c� �I c( � �{(�I � DESCRIPTION SP,CII� C, O✓��vl� t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 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 Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO «� COMMENTS: ��'� K� �� 'IC �`� � � W a � r � / i J f� /'`f'P` f;r�JH� . ,,f d� O � '�, O � ---- ,� �� W � — � � � i Q � W _ ._ ....._.._a_.. _, .... � W � � � d W� �ORKSATISFACTORY:PROCEED OJECTCOMPLETE W , O CORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContr r on site• Inspector.��'�� C..-�e �i'S White Copyllnspector's File Canary CopylSite Notice