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HomeMy WebLinkAbout2001-P04718 - sewer repair e �,. CITY OF ORONO PERMIT 2750 Kellc�y Parkway- PO Box 66 Permit Number: Poa�is Crystal Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit (952) 249-4600 Date Issued: i2ii2�2ooi SITE ADDRESS: 4132 Highwood Rd MOLIND,MN 55364 PID: 07-117-23-44-0031 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,300.00 State Surcharge Fee: $ 0.50 SAC Fee: TOTAL FEE: $ 35.50 APPLICANT: Roto Rooter Services Co. OWNER: SCOTT G&CATHERINE ANDERSON 14530 27th Ave.N. 4132 HIGHWOOD RD Minneapolis,MN 55447 MOLJND MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEI�NTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOT LDING CODE REQUIREMENTS. t '—_ �-- �y�:�(�/yh C�� �?�- � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Repuired). 1-Annlicant 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1 f ,� (L1*::i lted 2/12/O1) CITY OF ORONO APPLICATION FOR UTILITY PERIVIITS Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 55323 GENERAL INFORMATION j��v � ' 1. You may apply for utility permits by mail or in person at the City offices. 2. Mailed in applications are subject to the posta�e and handling fee 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 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: �/� � ��o Occupancy Type: Residential Commercial Owner's Name: �o�� ���G(��Sc� Phone Number:_� g/� -S SJ 7 Mailing Address: �//�� /��, �,,,,,��,�( i��� City: brvr,� Zip: SS 3� `/ Contractor's Name: Re� - R o�f Phone Number: 7U 3- .5�� - 3yd� Mailing Address: �L/5",�,p �7�—`'' �t/� J�J, City: y�/ ,�,,c�� 7�p:� PERMIT TYPE ��� ��� Nlunicipal Sewer Connection ($35.00 per stub) ', $ �3 C�� �" pi pe size `� inches; material Schedule 40 a r tested; cast iron SAC Charge (2000 rate $1,150.00) must accompany rmit 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 = 7�' 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. Postaae & 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 Ciry and the regulations of the State of Minnesota, and certifies that all st ents made on this application are complete,true and correct. � � Signature of Applicant: �'�( "" "l Date: — � ` � DATE TIME CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED ia-�a � PERMIT N0. G 7� COMPLETED << ADDRESS y �a �-l'i�� c�oo� OWNER CONTR. �7�?� Y�ft l TELEPHONE NO. ��� �ICv� �a'��^�/�4ff � � DESCRIPTION .QP.�crP.t �/l�a.�z � 01 FOOTING 11 MECHANI AL R� 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 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 FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y CO ENTS: � a /Lo��� a �z r�s-�— �- Cl�.�va� � /4T o ��� �. � ° G4 �. ���•��(� ��� t� ����'�JroJ � Q � Z W � W � � O ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContra Inspector. White Copyllnspector's Fiie Canary CopylSite NoNce