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HomeMy WebLinkAbout2001-P04655 - sewer connection PERMIT ��TY- OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po46ss Crystal Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit (952) 249-4600 Date Issued: t ii26i2ooi SITE ADDRESS: 1170 Garden Court Mound,MN 55364 F�ID: 07-117-23-24-0048 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 TOTAL FEE: $ 35.50 APPLICANT: Metro General Services, Inc. OWNER: Tom&Jane Sutton 5790 Quam Ave Northeast 1170 Garden Court Rogers, MN 55374 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 CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File/SiQnitures Reauired), l-Apvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 PERMIT �ti r�� 0 F �j �N 0 Permit Num ber: 2 7 5 0 K e l l��+1 4 O B o x 6 6 P 04 6 5 5 CryStal �;M inneso 323 Pet'rrlit Type: Sewer and Water Permit (952) 24�-4600 � p �;' nf n_R SITE AC�RESS: 1� Garden Court Municipal Offices '� 1C�und,MN 55364 Street Address: Mailing Address: PID: o7-11t9T�=�g� 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 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 TOTAL FEE: $ 35.50 APPLICANT: Metro General Services, [nc. OWNER: Tom&Jane Sutton 5790 Quam Ave Northeast 1170 Garden Court Rogers, MN 55374 Mound, MN 55364 THE UNDERS[GNED 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. � i%; ��t`�/:�" , � � � � � -�-�,�� r�'`-'��. �r� i-»G / APPLICANT PERMITEF.SI T E t9SUEDBYSIGNATURE Telephone(952)249-4600 • Fax(952)249-4616 Copies: 1-File(SiQnita�res Reauired). 1-Apolicant, 1-Monthl��p�a���pr��l-Finance Page 1 (IJ;::i:lted 2/12/O1) . CITY OF ORONO APPLICATION FOR UTILITY PERIVIITS � T�os 66 (2750 Kelley Parkway) SEWER/WATER // � j � � 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 aze 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: ` ,�� �� � ����I �� Occupancy Type: Residential Commercial Owner's Name: c�. . /�n�s Phone Number��3 5�`� ' �' 7�'v� Mailing Address: �' �,��%r , � City: ���-S Zip: Contractor's Name: Phone Number: 7�� '�/1 s' -Z- y�3� Mailing Address: t� ��� ;c� /P��t ;��c�/ir� City: 7�: S;s .3 7 �� � / ��� C-< U/�1�1 ,/�.'� ���!J/��� � PERMIT TYPE '�i'J�'.�j ���iL� � �\�c l�Iunicipal Sewer Connection ($35.00 per stub) $ `3`� pipe size�inches; material.>G`i� CSchedule 40 air tested; cast iron SAC Charge (2000 rate $1,1�0.00) 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 (9�2-249-4600) 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) $ 3����� 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. /� ' /��' � � Si nature of A licant: L- L��� i `' � � Date: �/ 7�' � �� � rr � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED Z � � �C� PERMIT NO. J� COMPLETED �� /� �/S ADDRESS._L� 7� Ce/�GQ p_/}'1 �• OWNER CONTR. Nu'�lZ� GP,�..etic•� TELEPHONENO. `(� I� . ��� �07.� r � DESCRIPTION��.c�,�'-�1 �%�'2C1.�J � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 W OOK-UP 17 SITE INSPECTION Q OS FINAL WER OK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEP INT. 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O k W , Q �...__..� SG ( Gl�� L Z , � 5 � ty� _._._ � �u � j � �1WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE v W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector.f���'� � ��� White Copy/inspector's File Canary Copy/Site Notice