HomeMy WebLinkAbout2007-P10872 - sewer connect �
` PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p1o872
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued:
4/6/2007
SITE ADDRESS: 1580 Long Lake Blvd Unit#
Long Lake,MN 55356
P��� 26-118-23-33-0031
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Pernut Permit Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Sepazate pemuts required:
NOTICES/REMARKS:
SAC Pd 10/27/98
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Up North Mechanical(See Comments) OWNER: Shawn Hendrickson
43900 Elmcrest Ave.N. 1580 Long Lake Blvd
Harris,MN 55032 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.
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APPLIC PE E SIGNATURE S UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
.
@4/85/2097 16:66 7632635912 ADVANCE WAL.t_ SYSTEMS PAGE 82/93
Ft?k CT!.l►S�ON1;X
p� City of Orono i�ed; . Perm;tµ
' �.0.Bax 66
�� � 27501Csllcy porFvnry n- .ne 5AC;Deoerininacion Form C mple!cd
� � }���,�1�''. Ctyatnl 8try.MN 53323
�''���� (952)249-4600 ' By(If IlCquircO): _
CITY OF ORO1V0—SEWER t�WA R G ERAL P�RM1T
(•Norr.Some permitc m�y�uirc apprcrnl by[he kluildin� ici 1 n r Public wrxks Deportmcrn•)
P�RMT - r S� r hrrr v ' � { )'
CEN$.RAI.l.NFO.Rri�FATlON
l. You may apply fprutility perniits by maif or i�i per ¢I e I offices.
2. hiafled in appl�catfons nre subjeci[a the posrnge an n ng e shown belpw. Pennit c rds will
be sent by rciurn mait within 2 business days.
3. Permits nrc not valid until ynu recetve n ue�riit
' � . 4. Work must siot Geqin unless the permlt card.F avai e ih � b sit�.
5. Ucilicy canncc[ion permirs may bc issucd io liccnsc n only.
6. �oncact:he Pub[ic Works Depnrtment(452-249-46 f ��til stub as-built lxntions.
DO IV07'E:CCAVAI'E IN ANY STREET AfVD T P ANY MAIN witltous xpr�.cs
' approvAJ of the Public Wo�ks Departmcnt. Issu �p r it does nOt gr�n��hiS np rpval.
� 7. Afl wArk mirct hr dnne in Ar.r.nrrlrnr.r.wiih S1afP(,:, r. iri.t .+fp,
8. All�vork must Ue inap�cted beforc it is covsred. C 4 2 4G00,24+hour no(ite r uirod.
� � r��F�or•.�a� �; .. . . . _ .
' � . ChccIc All Thaf l �
Residzntial{May Require App�oval) ❑Co� er hl( provt�l Rcqiiired)
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�New Co�tnectlon �Addl�lonal Connac�ton �R n ti �ReNAirs ❑flisc nnect
.I�h Cite/.ncvi�:Pr Tn'f,pnn�t'innr .
Site Address_ �,��Q -- l..ON (7 �..�• � fl _�
pwner:�✓ � �Yy/iG�s� Ma'tl' k�r / —t�vJ t9�,B/y�
City: O/'74ND Zip: � I
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Home Phone: Alter o : '
Contractor lnforination:
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Contractor: ��-t� ��r'.����C(n �✓11�h Cont P o� : �'�,
Address: _:U�X �3 �_ StFte e e L��•�i)(c
City• �r.tY�' • ) Z.ir: 5���✓�F.rpi, g � a ^Q
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Plionc: � ��/ �7 7 •�S I 5 �lter' o� : � � �� 7
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94/05l2B07 I0:66 7632635912 ADVANCE WALL SYSTEMS PAGE 03l83
Tt. �:,.J y �s:''ty"�',.�"`x��K+ �".f �fv +.�'Y:�i�lTh.'tl!f ' 4'"c. �F
� � �'�r,��.r�. �;����. ���,�.�[':�i. t :Y%„pl.?"S J y�C �,
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. ❑SAC Chnrge(2007 Rate=F1,675.p0)' S
(5AC Ch0.rso�nuet aeeon�pm�y nII.ewer p p ot a unlc��prCpaid)
(Orono Cit��Staffca»determinc iFxpplioable
(!f not prepaid.a sewcr connection permit i ued)
�Scwer Conrtectian I Diseonnect/RcpAir(S3 /P S ) $
Pipe size Inthes;matcrial 5clid ir te ; � east iron
Q�Water Cannection/.Uisconneet J Repnir•($3 S i 1 S '
Pipe size inthe�;mntetiaf Sthd ir st ;�copper
1. SUBTOTAL of Perinit Requested: S
�. S'ra�'�.suRr_HaR.r,E . $�„
3. POSTAGE&H�NDL[NG(Only on Mail-In i n S 1. 6
4. 'COTAI.PERMI'F F'�E(Add Lirtes]-3 Abov S '
� " ADD!"fIONAi:��FORMAT"(fl METERS� � . � �
■ WA'l�R NiETERS must be picked up and paid fo�at n it all,thcse are on a • ' ennit.
• W.�TCR IYIETERS•mast bc aet nnd xslcd hy Oro �w� ¢��a+luiriil (952)Z49-�6 0,jupOn
cot»plCtion of ineter iostallaiion.
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The undersigncd hercby applies to the City a£Orono s c f a Utility Permit,agr es t�do
all work in•st�•ict accmda�ice with the ordinances of t C a tlio regutatsons of the State�f
Minneeota,�+d certifie�,thnt all statemcnt;inwdc ozt th p ca n t+re,t�•ue and wr,rzr:t_
. �/ � � � � � .
Applicnnt: ✓ ate: � �- �
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K/f '�— `� � ATE TIME �
CITY OF ORONO CALLED IN '
INSPECTION N TI� �/ SCHEDULED - -B �
PERMIT NO. l � ` COMPLETED
ADDRESS �5�� `"�' �l`�
OWNER CONTR. U'� �
TELEPHONE N0. ��a ��s ����
� DESCRIPTION S�� ��`�"J
ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
h� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 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
� 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
v�, COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on s te:
Inspector. �y-� �� �� � �
White Copyllnspector's Flle Canary CopylSlte Notice