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Home My WebLink About2000-P03359-old PID# - sewer connect � - ' * �� - PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: po33s9 Crystal Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit (612) 249-4600 Date Issued: 12ii9i2o SITE ADDRESS: 460 Long Lake Rd E WAYZATA,MN 55391 P I D: 3 5-118-23-14-0003 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: PermitFee: $ 35.00 Valuation• $ 0.00 State Surcharge Fee: $ 0.50 - TOTAL FEE: $ 35.50 APPLICANT: �DMER INC OWNER: J R BEAUCHAINE ETAL BOX 219 460 LONG LAKE RD E ST.BONI,MN 55375 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVIMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS. � (� ` L �� Y�`� ,D� I PERMI I A � I UED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 ` r CITY� �;�ONO APPLICATION FOR UTILITY PERMITS , �;�'� Bnx 66 (2750 Kelley Parkway) SEWER/WATER � ' Crystal Bay,MN 5�323 �) ? ` �� G EIVERAL 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 cover2d. Ca11249-4600. 24 hour notice required. JOB SITE ADDRESS: Ll�D ��Si �o�yLi,�,r�_ ,��:� Occupancy Type: `— Residential Commercial O`vner's Name: ��Uc:��s.� Phone Number: Mailing Address: �/G�� .s,� 1��;L�� City: �� 7rp: Contractor's Name: C��c%,�- 1'��- Phone Number: ys�- S/s��-/�t'S Mailing Address: �'o �a.� �Jf' City:S%"��.•�s 7�p:_�s�3�� PERNIIT TYPE , Municipal Sewer Connection ($35.00 per stub) $ -`>> .�`C> pipe size � inches; material�/S�chedule 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 `Vater Connection ($35.00 per stub) $ pipe size inches; material copper; other WATER 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 sewer line=20' PERMIT FEE CALCULATION 1. Subtotal of above permit requested $ �� 'C�� 2. State Surchar�e $ .50 The State Buildin�Code Division Surchar�e of$.50 per permit must be included for each well,sewer and water connection permit requested. � 3. PostaQe & Handlin� (Only mail-in applications) $ �� , � �� 4. TOTAL PERMIT FEE (add lines 1-3 above) $ "�� ' � 1,"�� The undersi�ned 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 Minnesota, and certifies that all statements made on this application are complete,true and correct. � Date: /�� Signature of Applicant:T�o�z, C/��2�� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED a�-Ci �(.��l ADDRESS 6� rRst IO��' L-�lk �� OWNER CONTR. w'��^"�� r TELEPHONE NO. � DESCRIPTION �t 5S�i<< 1`� *� � 01 FOOTING 11 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 05 FINAL �SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL �/ 36 FOUNDATION;REMGVAL � OWNERICONTRACTOR TO MEET YOU:a YES_NO � COMMENTS: ' � � ��ess��c �-esfi �,�i �c�r I �,,�- j o roc> b�v(� �� p�ess t>��. �. � � �� p�', �� r I I,r W � Q � Z —.— W � W �- � � � d W� ❑WORKSATISFACTORY:PROCEED J?�PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContr�ctor on site• Inspector. G�� - ^�"�^-��- White Copyllnspector's File Canary CopylSite Notice