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Home My WebLink About2006-P10448 - sewer connect PERMIT � �ITY OF ORONO � 2750 Kelley Parkway- PO Box 66 Permit Number: p10448 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 10/12/2006 SITE ADDRESS: 3065 7amestown Rd Unit# Long Lake, MN 55356 PID: 2g-118-23-33-0008 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: Pernvt Fee: $ 35.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Ritter Excavating OWNER: John& Susanne Koob 7120 Vernon Street 3065 Jamestown 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[N STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDiNG CODE REQUIREMENTS. �"� � � ,� j� , . . - ��-� .��--�� =: ��- .�. APPUCANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Required), l-Appiicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . : � - FOR CITY:USE ONLY ��0 Clty Of OPOno Date Received . ; Permit# ` , P.O.Box 6G � �� 2750 Kelley Parkway ❑In-House SAC Determination Form Completed a� � > „�.� �* Crystal Bay,MN 55323 A roved B If Re uired ��g ��,''r�o c (952)249-4G00 PP Y� 9 )� . t'�RasRo�'� CITY OF ORONO—SEWER&WATER/ GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS Niav be subiect to further review�nd mav not be issued�vhen thc annlication is received) GENERAL INFORIVIATION 1. You may apply for utility pennits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown below. Pernut cards will be sent by rehirn mail witl�in 2 business days. 3. Perrruts are not valid until you receive a permit card. 4. Work must not begin unless the pei�ut card is available on the job site. 5. Utility connection pernvts may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for urility stub as-built locations. DO NOT EXCAVATE Il�`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 inust be inspected before it is covered. Call(952)249-4600,24+hour notice required. TYPE OF PERIVIIT (Gheck All That A '"`iY) ❑Residential(May Require Approval) ❑ Commercial(Approval Required) � New Connecrion ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect Job Site/ Owner Information: ' Site Address: �a �,c ,� � i�� Owner:�� .-�- �� Mailing Address: �d � ��2 City: �� ;2�/�- � Zip: �S�S-� Home Phone: �� G� 7� � 7�� Altemate Phone: Contractor Informatioii: �^ Contractor:�� /� ontact Person: �_ Address: �� /��. �' State License#: �`�� City: Zip:�� Expiration Date: � �� / ' o `c- Phone: 7C 3 f� 7 > ��G�`� Alternate Phone: ��/Z -`�/�-`�f G j � � r; ' .:v '�'� DBT'ER1ViI�TING P�RIVIIT FEES ' :, , ;; ' ' � ,�` ;;� ; _ , ,�. ❑SAC Charge(2005 Rate=$1,550.00) S (SAC CUarge must accompany all sewer pemiit applications unless prepaid) (Orono City Staff can deternline if applicable) (If not prepaid,a sewer connection permit rvill not be issued) �Sewer Conne�on/Disconnect/Repair($35.00(Per Stub) $ Pipe size�inclies;material Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper 1. SUBTOTAL of Peniut Requested: � 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applicadons) $ 1_.50 4. TOTAL PERMIT FEE(Add Liues 1-3 Above) $ ;ADDITIONAL Il�FORIVIATION—WATER 1VIETERS' ' ` ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arate pernut. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter installation. 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,true and correct. J r _ ' � - /� - oG Applicant:� Date: � k � � ��l,�e � DATE TIME CITY OF ORONO CALLED IN �d-�S�� INSPECTION NOTIC SCHEDULED /O �S-L�� U� PERMIT NO. �� COMPLETED I „ �t" ,�, �• ADDRESS � �� F� t ��-� �� '�' OWNER CONTR. -�� '� TELEPHONE NO. �� / �-,� r/ i' %�% (,; / � DESCRIPTION L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 FINA� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o I 3o t�s:� A ;r ��.�� C�N '� E- 1 �ti�S-�r,�, � � 0 � W � � � � �- �.` S"�` �/i I� 1� �tC � � s, 7,� .c I� — �� i 1 P c-� ��rr� � 5� ��-1,2 A S B�S`r" �� SS �' r3 l�. j GW�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ ORRECT WORK&PROCEED l7 ISSUE CERTIFICATE OF OCCUPANCY W � ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WlLL RETURN �� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on s�ite: ' ,�, i � Inspector. � �� White Copyllnspector's File Canary CopylSite Notice