HomeMy WebLinkAbout2006-P10483 - sewer connect i , , PERMIT j
CITY OF ORONO
2750 Keiley Parkway- PQ� Box 66 Permit Number: P10483
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water P rmit
(952)249-4600 Date Issued:
10/23/2006
SITE ADDRESS: ; 3145 Jamestown Rd Unit#
Long Lake,MN 55356 I
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P��� 28-118-23-33-0017 �
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DESCRIPTION:
Proposed Use: R�esidential
Pernut Class: eneral
Permit Type: ewer and Water Pernut Permit Sub-type(s): Sewer Connection�
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DETAILS:
Approved per resolution#: �
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Separate permits required:
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NOTICES/REMARK$:
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FEE SUMMARY: � Pernut Fee: $ 35.00 Valuation: $ 0.00 ��
State Surcharge Fee: $ 0.50
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TOTAL FEE: $ 35.50 i
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APPLICANT: Ritter Excavating OWNER: Morgan Nelson
7120 Vernon Street P.O.Box 577
Rockford,MN 55373 Long Lake,MN 5535
THE UNDERS GNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF ED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES ND STATE OF
MINNESOTA�UILDING CODE REQUIREMENTS.
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APPLI ANT PERMITEE SIGNATURE ISSUE Y SIGNA
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Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) i Page 1
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� FOR CITY,USE ONLY .
��� City of Or'ono DateReceived .` Permit# '
O� Q P.O.Box 66 �
2750 Kelley Parkway 0 In-House SAC Determination Form Complete
�`�> ,��. Crystal Bay,MN 55323
�'��� .��,ja o� (952)249-4600 Approved By(If Required);
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CITY OF ORONO—SEWER&WATER/ GENERAL PERMIT S`�� �
(*Note:Some permits may require approval by the Building Officiat and/or Public Works Department*)
(ALL PERMITS D4av be subiect to further review and mav not be issued when thc annlicution is received)
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GENERAL TNFORIVIATION
r '
erson
at the Ci
offices.
1. You may apply for uhhty penruts by mail o uz p ty
2. Mailed in applications are subject to die postage and handling fee shown below. Pernut cards ill
be sent by rehu7i mail within 2 busuiess days. �
3. Per�nits are not valid until you receive a permit card.
4. Woi'k must not begin unless the peinut card is available on the job site.
5. Urility comiection pernuts may be issued to licensed contractors only.
6. Contact the Public Works Department(952-249-4600)for utility stub as-built locarions. '�
DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without ex�'ress
approval of the Public Works Department. Issuance of a perniit does not grant this appro�ral.
7. All work must be done in accordance with State Code requirements. I
8. All work inust be inspected before it is covered. Call(952)249-4600,24+hour notice req ired.
. TYPE'OF PERYVIIT
� (GYieck Al1 That A ''ly)
❑Residential(May Require Approval) ❑ Commercial(Approval Requued)
�New Connecrion ❑Additional Connecrion ❑Re-Connection ❑Repairs ❑Disco ect
Job Site/ Owner Information: �i
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Site Ad�dress: � ��.� • �ti-���-�'�-,.�
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Ownerk�Z���� 4���-n- ���`— Mailing Address:
City: �i% k—��'���1�-- Zip: ����
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Home Phone:c/S�� � Gf�/9'— 9/.S4 Alternate Phone: �
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Contractor Information: �
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Contractor: v�� ���"Contact Pe so
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Address: ���U �,.�v��^ State License#: f /�z /�
City: Zip:�7 Expiration Date: � " 3 i ~ � �
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Phone: ���-�—�7 T�'��S`� Alternate Phone: �/2 �f c�'�� �
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h Y ' `�' DETER�II�TIN� RN1IT FEES " � � ` ''�` ���
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❑ SAC Charge(2005 Rate=$1,550.00) $
(SAC Charge must accompany all sewer pernut applications unless prepaid)
(Orono City Staff can determine if applicable)
(If not prepaid,a sewer connection permit will not be issued)
❑ Sewer Connection/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 uiches;material Schd 40 air tested; copper
. 1. SUBTOTAL of Pemut Requested: $
2. STATE SURCHARGE $ .50
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
ADDITIONAL INFORIVIATTON—WATER 1VIETERS
■ WATER METERS must be picked up and paid for at Orouo City Hall,these are on a separate 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 sixict 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,hue and correct.
Applicant: ��`�` �ti Date: f d � � � U �
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N,QTICE_ SCHEDULED
PERMIT NO. �1/ rZ,� ,S'S �i COMPLETED /IT����"`f� � `� .�
ADDRESS � '�I �j 'J ��fl�� � �?'L?�.Lr/✓
OWNER CONTR. I� � � f ��
TELEPHONE NO.
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 �_�3EVCEI�`}�i�OK-UP 06 PROGRESS
� 07 DEMO-SITE 2�7�5�EPT1 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:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED r; ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site: �
Inspector. ( .�(� � ��,� S
White Copyllnspector's File Canary Copy/Site Notice