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Home My WebLink About2003-P06675 - sewer connection PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P06675 Crystal Bay, A��-�nesota 55323 Permit Type: Sewer and Water Permit (952) 245��00 Date Issued: aii9i2oo3 SITE ADDRESS: 118o Garden Court Mound,MN 55364 PID: 07-117-23-23-0031 DESCRIPTION: Proposed Use: Residenrial Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Coppin Sewer&water OWNER: Stimkel LLC 5089 Shoreline Drive 6624 Gleason Ter Mound,MN 55364 Edina,MN 55439 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 M SOTA BUILDING CODE REQUIREMENTS. C � (.��,<7 �C� APPLICANT PE T SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 (LTpdated 6/2/03) CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC Crystal Bay, MN 55323 GENERAL INFCI�MATION 1. You may apply for utility pernuts by mail or in person at the City offices. 2. Mail'ed in applicarions 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 pernut card is available on the job site. 5. Utility connection pernuts 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 pernvt 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 I 6 �`� ��'�C� �� Occupancy Type: Residential Commercial Owner's Name: �� '�r c Phone Number: Mailing Address: City: Zip: Contractor's Name: C-� G '�ti ^ f'_�,, �-�•-"�-c.�hone Number: � S.Z �-(� �� Z,3 � Mailing Address:S� �`�, � � c�:-�e.. �,n ,-.� � _ City:�� Zip:��S �, b-F PERl`1IT TYPE onnections ❑Re airs ❑Disconnect (Check One) P SAC Charge (2003 rate $1,275.00) $ (Set Rate) Sac Charge must accompany all sewer pertnit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer�onnection/Disconne t/Repair ($35.00 per stub) $ pipe size inches; material�chd 40 air tested; cast iron Municipal Water Connection/Disconnect/Repair ($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 (952-249-4600) upon completion of ineter installation. REQUIlZED 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 (Minimum) The State Buildiiig Code Division Surcharge of$.50 per pernut must be included for each well,sewer and water connection pemut requested. 3. Postage & Handlin� (Only mail-in applications) $ 1.50 (Mail In Only) 4. TOTAL PERMIT FEE (add lines 1-3 above) $ The undersigned hereby appli to the City of Orono for issuance of a Utility Permit, agrees to do all woxk a� �trict accordance with the ordinanc of the City and the regulations of the State of Minnesota, and certifies that all st�g�rxa�nts made on this application are omplete, true correct. � � Signature of Applican . Date: �� 3 �+i� � Ap� �� TIME CITY OF ORONO CALLED IN ��' INSPECTION NO E r SCHEDULED � PERMIT NO. "��J COMPLETED ADDRESS I I ��-�GY�?�-�" ` �-f OWNER CONTR. ' � � f'� TELEPHONE N0. � � � � V � L��'� � DESCRIPTION C ��J��-' ��n � � Ot FOOTING i t MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC INAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Z OWNERICONTRACTORTOMEETYOU: YES_NO � COMMENTS: � � � � a � � 0 � � � � �� 0 � W � Q � 2 W � W � � � d W� : ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next i spection 24 hours in advance. (952) 249-4600 OwnedContr�ct r r�s t Inspector. � � White Copy/l�spector's File Canary Copy/Site Notice