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Home My WebLink About2002-P05238 - sewer connect CITY OF ORONO PERMIT 2750,,KQ,lley Parkway- PO Box 66 Permit Number: Pos23a Cry�tal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: s�3o�2002 SITE ADDRESS: 1516 Long Lake Blvd I.ong Lake,MN 55356 PID: 26-118-23-33-0004 DESCRIPTION: Proposed Use: Residenrial Permit Class: General Pernut Type: Sewer and Water Pemut Pernut Sub-type(s): Sewer Connec6on DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 0.00 State Surcharge Fee: $ 0.50 l�� SAC Fee: $ 1,200.00 �� TOTAL FEE: $ 1,235.50 APPLICANT: Sunset Construction Inc. OWNER: Cindy Fredrickson 1351 Cty.Rd. 83 1516 Long Lake Blvd Maple Plain,MN 55359 Long Lake MN 55356 THE LINDERSIGNED 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(SiQnitures Required), 1-Aunlicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 PERMIT CIT� OF ORONO permit Number: 275� K�Iley Parkway- PO Box 66 P05238 Cn�`stal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: si3oi2oo2 SITE ADDRESS: 1516 Long Lake Blvd Long Lake,MN 55356 PID: 26-118-23-33-0004 DESCRIPTION: Proposed Use: Residenrial Permit Class: General Permit Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 �� State Surcharge Fee: SAC Fee: $ 1,200.00 TOTAL F'EE: $ 1,235.00 APPLICANT: Sunset Construction Inc. OWNER: Cindy Fredrickson 1351 Cty.Rd. 83 1516 Long Lake Blvd Maple Plain,MN 55359 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. � 1 APP CANT PERMITEE SIGNATURE I D BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 (LTpdated 5/3/02) CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC � (�j� �j�'' Crystal�Bay, MN 55323 - �" 35• �d � � l�>c�r ti=„,- .S/i-e. GEP'�ERAL INFORMATION 1. You may apply for utility pemuts 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 permits may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for urility stub as-built locarions. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANl'MAIN without express approval of the Public Works Department. Issuance of a pernut 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. Call(952)249-4600,24 hour notice required. JOB SITE ADDRESS: �� L��?� �i� I��Y�- Occupancy Type: � Residential Commercial Owner's Name: C; , �%�sa�--- Phone Number: J.s�. <r � :3 9as�3 Mailing Address: i /G L�N � / %,�� City: U�,,,� Zip: Contractor's Name: �S y�s� _ �'o:,�s , h�. Phone Number: L3 �/7 %/v y y Nlailing Address: /��y ,�o/ �3 City: _yy/�T� � ,�;,, Zi ` 5 3 S�y P� � PERMIT TYPE [�'Connections ❑Repairs ❑Disconnect (Check One) SAC Charge (2002 rate $1,200.00) $ (Set Rate) Sac Charge must accompany all sewer permit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer Connection/Disconnect/Repair ($35.00 per stub) $ pipe size � inches; material � Schd 40 air tested; cast iron 1�Iunicipal Water Connection/Disconnect/Repair ($35.00 per stub) $ pipe size 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 Building Code Division Surcharge of$.50 per pernut must be included for each well,sewer and water connection pernut requested. 3. Posta�e & Handling (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 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 corre `-� - Signature of Applicant� �--�< � ��_ Date:c�'��- 6 y " DATE TIME CITY OF ORONO V CALLED IN INSPECTION NOT E SCHEDULED `' �/ '� D PERMIT N0. �G ��3� COMPLETED - -0 t'.3C, ADDRESS__ �J`�l� �G�� .c� F'L�- �l vc�• OWNER CONTR. ��Yl� TELEPHONE NO.___ Ll� �oZ- ?O I /�� DESCRIPTION c�--L�.�--' ��C� � 01 FOOTING 11 MECNANICAL 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL EWER HOOK-UP O6 PROGRESS � 07 OEMO-SITE 27 MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR T MEET YOU:_YES_NO � COMMENTS: � � r S U�— C o �,.,, ( a 6�C1 �� o — �� K-S -�:�\c � �' — ��1 S as �or IS r�:,c�s O � ° —' �efi5��kS °K W � _ C1f��.c✓�r Q � Z � [IM,,a�t- 5S o.� : C W � a � c�.,�t��:f� W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: S`�^��'-'�'� Inspector. �� White Copyllnspector's File Canary Copy/Site Notfce