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Home My WebLink About2002-P04817 - sewer connection PERMIT CITY OF ORONO Permit Number: - 2750 Kelley Parkway - PO Box 66 Po4si� Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 1i1v2oo2 SITE ADDRESS: 4365 North Shore Dr Mound,MN 55364 PID: 07-117-23-43-0031 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 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Metro General Services, Inc. OWNER: William& Laura Stoddard 5790 Quam Ave Northeast 4365 North Shore Dr Rogers, MN 55374 Mound, MN 55364 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. �'� r�� ` � � ( �� ,� ��/� C��Z,/� G � �1� (� { l�� { L-1'`J APPLICANT PERMITEE SIGNATURE ISSUED Y SIGNATURE � ��?��'�� Copies: 1-File(Sienitures Reauired). 1-Apolicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 (L'pdated 2/12/O1) . CIT�' OF ORONO APPLICATION FOR UTILITY PERMITS Bo�66 (2750 Kelley Parkway) SEWER/WATER • Crystal Bay, MN 55323 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. 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 utility stub as-built locations. DO NOT EXCAVATE IN ANY STREET AND ; DO NOT TAP ANY MAIN without express approval ofthe Public Warks Department. Issuance of a permit 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: �%��iS r�`!-'� ,�lL +�C .`.� /� � Occupancy Type: ' Reside tial Commercial Owner's Name: �� . 1C�✓'� �`�^-2� Phone Number: � Mailing Address: City: Zip• Contractor's Name: �= � �� t�t<<. ��t,��-� ` Phone�umber: ��(� �� . �� 3 g Mailing Address: 7�C: � U;,� City: ��r � Zip• .��-j7 PERMIT TYPE Municipal Sewer C nnection ($35.00 per stub) $ pipe size�inches; material `,v.�. Schedule 40 air tested; cast iron SAC Charge (2002 rate $1,200.00)must accompany all sewer permit 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. 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 The State Building Code Division Surchar�e of$.50 per permit must be included for each well, sewer and water connection permit requested. 3. Posta�e & Handlin� (Only mail-in applications) $ 1.50 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 correct. � � Si nature of A licant: �- �r� � � . �`rJ� CJ� g pp Date. DATE TIME CITY OF ORONO � CALLED IN INSPECTION N ICE SCHEDULED PERMIT NO. r,' `-� � COMPLETED / /a oZ /�m o /`�'M ADDRESS � 3� cs /�/p. S �.c v- 2, �v�'vL OWNER CONTR. TELEPHONE NO.__ ��0 3 ��S �i�.3 � ! C . � DESCRIPTION 1 � f Z J�� C r �al,� ..L 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. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 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�/6 W0. 0 0 9- /i�.',. f� s � o� �. r3 � �� /�' '' o� � S e� �e r. v�g.•� ••�, f o H t �..� � s�Lbu.�-G � i\ �L W � Q � Z W � W � j d f�WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE W � Ci CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY W O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector. � -�-�-r . White Copylinspector's File Canary CopylSite Notice � �� I�� DATE IME ��/G CITY OF ORONO �' LED IN INSPECTION OTICE SCHEDULED �� PERMIT N0. � r I � COMPLETED ��-11�— . C�J�'� ADDRESS_�/��r? � ��i�il . � ,�f� OWNER CONTR. TELEPHONE NO. - � � � DESCRIPTION - �-� G�-��C � 01 FOOTING 11 MECHANICAL RI 8 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINA� 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PIUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � �+'�M �� _---, � ".` _ � a �� / J _.. O a � O ( W � Q � 2 W � W � j W �/ORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE �❑�ORRECT WORK 8 PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN �NSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContr r on site: Inspector.,�/�`��" White Copyllnspector's File Canary CopylSite Notice