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Home My WebLink About2000-P03038 - sewer connection ` � - PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po3o3g Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (612) 249-4600 Date Issued: 9i2��2o0 SITE ADDRESS: 1950 Fox Ridge Rd LONG LAKE, MN 55356 PID: 03-]17-23-13-0010 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: $ 1,100.00 TOTAL FEE: $ 1,135.50 APPLICANT: RITTER EXCAVATING OWNER: D S PHELPS&E D PHELPS 7120 VERNON STREET 1950 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 STRICT COMPLIANCE WITN ALL CI7Y OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. / � , �l- -��G�'"�` `" �� `� A/� APPLICANT PERMITEE SI NATURE ISSUED Y SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 ` � - CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 55323 GEIVERAL 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 fees 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(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: �-� G �G�` ' l� Occupancy Type: �.�_R�eSidential Commercial Owner's Name: � ; �--�� /' .-�w�' Phone Number: Gf- 7S � 7�-z Mailing Address: � � . " � City�i- � .�./ju 7ip:�� s�s_� Contractor's Name: � -��- �u�.. ' - Phone umber: '7�S 7 �f 7 7 S��'� Mailing Address:�/ O ��.�I'�-- City: .-j :--� Zip:�'7� PERMIT TYPE Municipal 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. 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. Water 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' 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. ' �� r--� c� Signature of Applicant: %� - -�'�- Date: " � O� // DATE TIME1 .f CITY OF ORONO CALLED IN INSPECTION y,OTIC?E SCHEDULED /�"�►�"�� (��o� PERMIT NO. f��^��g COMPLETED b �� — � �Q�� ADDRESS 9S� t��`2t e-- OWNER � CONTR. ��-- TELEPHONE NO. <��"' l�6l � DESCRIPTION JS�-�� U77v1PC�' lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 W OK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAIN . 21 COMPLAINT v 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �-d�C ��' � � , � .� � 2 c� , � �� 6� �s G � � 0 � --- s�P� i c -t��yks �v�iti�� o� 0 � W Q — S��Tic � ll �r _s � � � �.�,, � �� ' ano j y�� .s�. a W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN INSPECTOR WILL RETURN �l STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED Cl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for e next i p ction 24 hours in advance. 249-46�0 OwnerlContr t t�sit : Inspector. �1� White Copyl�nspector's File Canary CopylSite Notice