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Home My WebLink About2000-P02427 - sewer connect w � PERMIT � CITY OF ORONO � =�� 2750 Kelle,y Parkway - PO Box 66 Permit Number: �� P02427 Cryst�l Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit*�� (612) 249-4600 Date Issued: sisioo �`�� SITE ADDRESS: 345 Leaf St LONG LAKE, NIN 55356 PID: OS-117-23-14-0003 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: Permit Fee: $ 35.00 Valuation: $ 0.00 � ,�. .��, :ch�.�-�._ , TOTAL FEE: -$�35:99� ��>'. _�� APPLICANT: coPPtN PLUNtaiNG OWNER: C C DEVOR&J W DEVOR 5089 SHORELINE DR 345 LEAF ST MOUND,MN 55364 LONG LAKE MN 55356 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. �, � � � PPLI ANT PERMIT NATURE - S D BY SIGNATURE J��` /•- Copies: City,Applicant,Assessor,Finance Page 1 • CITY OF ORONO APPLICATION FOR UTILITY PERNIITS ' Bog 66 (2750 Kelley Parkway) SEWER/WATER � • �rystal Bay, MN 55323 �� ' V�,� GENERAL 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. Pernut 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 pernut card is available on the job site. 5. Utility connection pernuts may be issued to licensed contractors only. 6. Contact the Public Works Departrnent (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 Departrnent. Issuance of a pemut 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. Ca11249-4600. 24 hour notice required. JOB SITE ADDRESS: �y � t'`e c'� S� Occupancy Type: Residential Commercial Owner's Name: ��l �.J�-gS ��-�� Phone Number: Mailing Address: City: 7�p: Contractor's Name: QC� � � �►-v Phone Number: �-C-'?;L•�-3 � l�, Mailing Address: S O `�. �>-�--��-. !�- City:_�'1�v�,v�) 7�:�'=�3 b� PERMIT TYPE Municipal Sewer C nnection ($35.00 per stub) $ pipe size inches; material ' c ed� air tested; cast iron , SAC Charge ($1,0 0.00) must accompany all sewer pernut 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. (5/8" meters= $130.00; 3/4" meters= $180.00; 1" meters= $240.00) Separate Plumbing Permit issued for water meter. Water meters must be set and sealed by Orono Water Department(249-4600) upon completion of ineter installation. REQUIRED minimum setbacks from drainfield and s�ptic tanks= 75' REQUIRED setback from sewer line=20' PERMIT FEE CALCULATION � 1. Subtotal of above permit requested $ 2. State Surcharse $ .50 The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water conneciion permit requested. 3. Postage& Handling (Only mail-in applications) $ 1.50 4. TOTAL PERNIIT 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 City and the regulations of the State of Minnesota, and certifies that 1 statements made on this application are complete, true and correct. / 4 Signature of Applican . Date: �� DATE TIME CITY(9F ORONO CALLED IN INSPECTION NO CE SCHEDULED `� '� PERMIT NO. �� COMPLETED '� �^ � •� _� ADDRESS �Li S �"C�� ' � _ . � OWNER CONTR. C o{�►� �('t,cx'�✓ �(it,(��t� TELEPHONE NO. �6 �� 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 4 SEWER HOOK-UP ) 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � j � '/ O �. � � O � �" C � Q � c� Z W � W � j d a W��ORK SATISFACTORY:PROCEED -� P OJECT COMPLETE W� ❑ CORRECT WORK R PROCEED f= ISSUE CERTIFICATE OF OCCUPANCY 0 G CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.� �/��,�� White Copyllnspector's File Canary CopylSite Notice TE TIME CITY OF ORC1N0 CALLED IN On INSP�CTION NOTICE SCHEDULED ��; � PERMIT N0. �� COMPLETED ADDRESS '�S � OWN ER CONTR. � TELEPHONE NO. �O l - �`I•� 3 y � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. WA - 17 SITE INSPECTION Z Q 05 FINAL 4 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENT� � � �v �- � J O a � O � W � Q � Z W � W � j d ❑WORKSATISFACTORY:PROCEED C1 PROJECTCOMPLETE W � ❑ CORRECT WORK R PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY W O �'PCORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �-, pHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector. /U l. ��—�� White Copyllnspector's File Canary CopylSite Notice