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Home My WebLink About2005-P09294 - sewer connection PERMIT CIT� C�F ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po9294 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952) 249-4600 Date Issued: 10/13/2005 SITE ADDRESS: 740 North Arm Dr Unit# Mound,MN 55364 P�� 06-117-23-43-0006 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: SAC Paid#4271 - 11/17/75 FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Westonka Sewer&Water OWNER: G&L Land Investments 6501 Co.Rd IS 8659 Great Waters Alcove Mound,MN 55364 Eden Prairie,MN 55347 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. � % � �--'�'c (��'I'fC' (,�"1 �� APPL[CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: i-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I . FOR CITY USE ONLY 0�` Clty Of Ol'Ono Date Received: Permit# g' `�' P.O.Box 66 �� G� ��; O 27�0 Kelley Parkway ❑In-House SAC Determination Form Completed ' � ��'��'� � Crystal Bay,MN 55323 � yo27� ��-�,�..�o` (9�2)249-4600 Approved�By(If Required): � � �ssso$ ( � �/ 7�75 CITY OF ORONO—SEWER& WATER/ GENERAL PERMIT (*Note:Some permits may require approval by the Buildin�Official and/or Public Works Department*) (ALL PERMITS- Mav be subiect to fm•ther review and mav not be issued when the apnlication is received) 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 fee shown below. Peinut cards will be sent by return mail within 2 business days. 3. Permits are not valid until you receive a pernut card. 4. Work must not begin unless the peinut 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)far utility stub as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works Department. 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. Call(952)249-4600, 24+hour notice required. TYPE OF PERMIT (Check All That Apply) �Residential(May Require Approval) ❑ Commercial(Approval Required) ❑ New Connection ❑Additional Connection ❑ Re-Connection ❑ Repairs ❑ Disconnect Job Site/ Owner Information: Site Address: ��`7 /V�v T I "' ��^'� �< Owner:,M,�tn,� �� G G.�S�� `�"�Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��5��` � �J Contact Person: �5 d'r�.� C��✓� Address: K��I �� "� ) � State License #: �� City: Zip:�S3d�Expiration Date: l� � �� -65 Phone: � ��f 7��/�S 7 Alten�ate Phone: ��`� 1 7y�- �77� � DETERMINING PERMIT FEES ❑ SAC Charge(2005 Rate=$1,450.00) $ (SAC Charge must accompany all sewer pernut applications unless prepaid) (Orono City Staff can deternune if applicable) (If not prepaid,a sewer connection permit will not be issued) �Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size�inches;material�Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper 1. SUBTOTAL of Permit 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 1NFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono 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 al] 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, true and correct. � � Applicant: Date: � � J �� ,�� ATjE j/� TIME '✓ ��OF ORONO CALLED IN I ��/vJ INSPECTtON �TICE SCHEDULED I�� .� PERMIT NO. �9 a�4- COMPLETED ADDRESS ��C`J /`J • �� , OWNER CONTR. J,/ 1 � ��y�fCQti. TELEPHONE NO�.� �/�a - �9'Sg ��r�'`�' � �� DESCRIPTION � �c�7��'12� , � 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 05 FINAL 14 SEWER f�00K-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL '/ 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:JL YES_NO /i � COMMENTS: � W C � � O >. � O � W � Q � Z W � W � j d � WORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED '_- ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (952� 249-46�� OwnerlContra`��p�i si e'. Inspector. � White Copylinspector's File Canary CopylSite Notice