The URL can be used to link to this page

Home My WebLink About2003-P06537 - water/sewer connections ITY F R N PERMIT C �� Permit Number: 2750 Kelley Parkway- PO Box 66 P06537 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pemut (952) 249-4600 Date Issued: ��iai2oo3 SITE ADDRESS: 2765 Kelley Pkwy I.ong Lake,MN 55356 PID: 33-118-23-12-0002 DESCRIPTION: Proposed Use: Commercial-Busines Pernut Class: General Pernut Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolurion#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 70.00 Valuation• $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: V P Enteiprises OWNER: City of Orono(Vacant Land) P.O.Box 15 P.O.Box 66 Wayzata,MN 55391 Crystal Bay, MN 55323 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 MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Signitures Required), 1-AvnlicanL 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 ' A PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P06537 Crystal Bay, Minnesota 55323 � Per'mit Type: Sewer and water Permit (952) 249-4600 «,�� Date I ued: �iiai2oo3 �� SITE ADDRESS: 2 5 Kelley Pkwy �� - LONG LAKE,MN 55356 � PID: 33-118-23-12-0008 DESCRIPTION: Proposed Use: Commercial-Busines Permit Class: General Permit Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: v P Enterprises OWNER: WILLOW PROPERTIES P.O.Box 15 2745 KELLEY PKWY Wayzata,MN 55391 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � -- - � � �=�� APPUCANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 (iJpdated 6/2/03) CITY �F ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC Crystal bay, MN 55323 . GENERAL INFORMATION 1. You may apply for utility pernuts by mail or in person at the City offices. 2. Mailed in applications 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 permit card is available on the job site. 5. Utility connection pemuts may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)far utility stub as-built locarions. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works Department. Issuance of a pernut does not gzant 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 ice re uired. � JOB SITE ADDRESS: � ��/Z� S��''�� Occupancy Type: � Residential _ /v Commercial Owner's Name: � �` Phone N mu ber: Mailing Address: City: Zip: Contractor's Name: -� ,��r � c� l�'�� Phone Number: 5� 7 Mailing Address:�,�>. � /� City: (,��Z � - Zip:�'��`3 z/ PERMIT TYPE �Connections ❑Repairs ❑Disconnect (Check One) SAC Charge (2003 rate $1,275.00) $ `/11 (Set Rate) Sac Charge mt�st accompany all sewer permit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer Connection/Disconn epair($35.00 per stub) $ �t pipe size , `( inches; material�� Schd 40 air tested; cast iron Municipal Water Connection/Disconnect epair ($35.00 per stub) $ �7� C�C� pipe size Z— 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. REQUIRED 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 Buiiding Code Division Surcharge of$.50 per pernut must be included for each well,sewer and water connection pernut requested. 3. Posta�e &Handlin� (Only mail-in applications) $ 1.50 (Mail In Only) 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 �n �tri�t accardance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all staY�xri�nts made on this applicatio e complet true and c rrect. Signature of Appli nt: Date: �� '� �. d,i F�_ �S �. �. � � �� G � TIME CITY OF ORONO CALIED IN INSPECTION NO E �,. � SCHEDULED � �-� - � PERMIT NO. �� 3 COMPLETED � ADDRESS � ' � ��`- OWNER CONTR. � TELEPHONE NO. �� d` — l�/c� � ��Y � � DESCRIPTION ��—�-h-- � C/�-�� 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 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 SEPT C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � 4 1 � �� U'�� Ci✓� ;/�,, ��-�-�" - �� 0 a � � 0 � W � Q � 2 W � W � � � W� �S WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next�nspection 24 hours in advance. (952� 249-46�� OwnerlContr�on�ite: Inspector. � � �''''"�� White Copy/lnspector's File Canary CopylSite Notice