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Home My WebLink About2000-P03183 - sewer/water � � ., PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po3iss Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (612) 249-4600 Date Issued: ioi2�i2o SITE ADDRESS: 555 Oxford Rd LONG LAKE,MN 55356 P I D: OS-117-23-41-0024 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: �MER�� OWNER: CORNELIA D KLITZKE BOX 219 555 OXFORD RD ST.BONI,MN 55375 LONG LAKE MN 55356 Tf�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS. , � ISSUED BY SIGNAT Copies:City,Applicant,Assessor,Finance Page 1 . . � CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 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 o�ces. 2. Mailed in applications are subject to the posta;e and handlin�fees shown below. Permit cards will be sent by retum mail the same day the application is received. ;. 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(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 Department. Issuance of a permit does not jrant 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 249-4600. 24 hour notice required. �5 -�� `�' ` JOB SITE ADDRESS: S Occupancy Type: ��Reside ti Commercial O�vner'sName• PhoneN�er• �7�' —��d� Mailing Address: City: ��.�.�r�,� Z�: Contractor'sName: PhoneNumber: ��i-�� /�.,/9'y-- Mailing Address: City: Zip: .��-�� S ` PERNIIT TYPE Municipal Sewer Connection ($35.00 per stub) $ �D�a-- ' pipe size�inches; material � Schedule 40 air tested; cast iron SAC Charge (2000 rate $1,100.00) 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. `Vater meters must be set and sealed by Orono Water Department(249-4600)upon completion of ineter installation. REQUIRED minimum setbacks from drainfield and septic tanks= 75' REQUIRED setback from sewer line=20' PERIVIIT FEE CALCULATION ov 1. Subtotal of above permit requested $ �� 2. State Surchar�e $ .50 The State Buildin�Code Division Surchar�e of$.50 per permit must be included for each well,sewer and water connection permit requested. 3. Postaae & Handlin� (Only mail-in applications) $ � 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 �vork 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. Signature of Applicant: ' .z�� Date: �D "o��— �'i� DATE TIME CITY OF ORONO CALLED W � ��JJ INSPECTION NOJICE SCHEDULE��-� � ��-'-'d � PERMIT NO. �UC� 3 I � COMPLETED �� l7� ADDRESS �� L��-� �� OWNER � � � f��--��— CONTR. �'Jq ��lZ��C- TELEPHONE NO. ��`' �� g� � DESCRIPTION ��l.L�� IL. C.,l{� 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 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 S T. 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 � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: �(/' ��'�u r ��e � W a J — —�_. O a � O � W ' �" � ; �l�ijl. /r !� '��5+J Q � �� Q L7 �� j� Z W ,� � r W � � d W ❑WORK SATISFACTORY:PROCEED I ' PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION�SSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContr c r on site: Inspector.��'Z 2��G�-f White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �� „ INSPECTION NOTIC �j� SCHEDULED �� ' Jd PERMIT NO. d COMPLETED � ADDRESS �� X�t'r� � OWNER CONTR. ��rnP t� TELEPHONE NO. �� - DESCRIPTION ��'� r �/� �� ~ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL r 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_�yES_MO � � � COMMENT ' ".l _.��-=5 'fl � ;�.� ; W `� ___ � -- j ' � ---`. -1�-- O ' �' � �� W � Q .� � '� �, , � +- - �:,/��, f r1�*.*°'r=� Z W � W � � d � W �.�NORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W��CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN : GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContr tor on site: Inspector:�l��-� �� White Copyllnspector's File Canary CopylSite Notice