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Home My WebLink About2001-P03454 - SAC only � � �� PERMIT C i TY O F O RO N O permit Number: 2750 Kelley Parkway - PO Box 66 Po34s4 Crystal Bay, Pllinnesota 55323 Permlt Type: Sewer and Water Permit (612) 249-4600 Date Issued: ligi2ooi SITE ADDRESS: t96o Fox Ridge Rd LONG LAKE, MN 55356 PID: 03-117-2�-U-001 1 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection SAC Only 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: LUCIA T MOR[SON 7120 VERNON STREET 1960 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 WITH ALL CITY OF ORONO ORD[NANCES AND STATE OF MINNESOTA BUILD[NG CODE REQUIREMENTS. � , �� /� '�� nC�/' f�`�� : � � � �/ , / � " A CANT PERMITEE SIGNATURE IS$ ED BY 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 5�323 GENERAL 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 posta;e and handlin;fees shown below. Permit cards will be sent by return maii 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. 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 Deparhnent. 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: �� C� �� Occupancy Type: Residential Commercial O�vner's Name: �-�t'� ��-�''"' Phone Number: Mailing Address: �� ' � �� City:�� - Zip: .�,35 G Contractor's Name• ,�c�.` Lc�'r-,�,, ��/�''-��-G Phone Nfimber:f/Z -�i�-�Li`�< Nlailing Address: 7f�-�� ,.��n- �f City: � 7ip: ��5�,�7,� PERNIIT TYPE �Iunicipal Sewer�onnection ($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. I�Iunicipal `Vater Connection ($3�.00 per stub) $ pipe size inches; material copper; other ��'ATER 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 se�ver line = 20' PERi1�IIT FEE CALCULATION 1. Subtotal of above permit requested $ ?. State Surcharge $ .50 The State Buildin�Code Division Surcharge 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. � Sianature of Applicant: " �'`~- ��'�-� Date: ' � � � DATE TIME CITY OF ORONO CALLED IN � r ��/ ��- �+� INSPECTION N TIC SCHEDU�o�� " �/•.�j PERMIT NO. �tl� COMPLETED �/ ADDRESS �Cl'� , C�Y ��al4�-�' �C� OWNER CONTR._� f f.�,1�- TELEPHONE NO. �l 9 -,,�yL� / �- DESCRIPTION ��-�-�-�-^�h� � * � ��' � L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WAT - 17 SITE INSPECTION Z Q OS FINAL 14 R HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL T 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO ��/�� COMMENTS: � W ,:,.r, a � J i O � i�h � ' (�,�2�� w � Q � � �,� � � � G w� �,,� j d W�ORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑ ORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 u CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT f�CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED CI INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr ctor on site: Inspector�'�/ �� <<-Ll� White Copylinspector's File Canary CopylSite Notice