HomeMy WebLinkAbout2003-P06212 - sewer connection ITY F R NO PERMIT
C O O O Permit Number:
2750 K�Iley Parkway- PO Box 66 Po62i2
Crystal F3ay,i�linnesota 55323 Permit Type: Sewer and water Permit
(952) 249-4600 Date Issued: ai2i�2oo3
SITE ADDRESS: 550 Park La
I,ong Lake,MN 55356
P I D: 06-117-23-41-0099
DESCRIPTION: �
Proposed Use: Residential � �-�'��
Pemrit Class: General
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Pernut Type: Sewer and Water Permit Pernut Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Plymouth Plumbing&Heating OWNER: Karen Duenow
6909 Winnetka Avenue N 550 Park Lane
Brooklyn Park,MN 55428 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESI'S 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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APPLICANT PERMITEE SIGNATURE ISSUE BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
bil l VI VI\VI\V '�' VIL`tfJVJIV V//L// /1 IJ.J/ �' .VL/VL 1\V.VJV
l:i't'Y Ur' U!t(3NU APPLICA�'ION FOR iJTII,ITY PERMITS
Boz Sb (275a K�Itcy P�r�cw�y) SEWEYt�wAT�R
Cryetal Bay, Ml� SS323
cFH��+�irv�c�#3�TJ,Q�Y
� 1. You rnay apply far utllity pormits by mail or in person at the City affic�s,
Z, Mailed in appl;cutions are subjrct ta thn postago�nd het�dling fccs srhown below. Pertnit cards wil!he s�nt hy
ratuth rpr�il thc aamo day tlso�pplication iY rccoived,
3. f'ermtt�err not vp11Q untft you recelve�t permtt eArd.
4. Wurk musl not bcgin unlese th�perniit card is availabla on thc job site.
'�. Utility cunnoction permits may be iss►ud to licensed canitactors only,
6. Loncs�ct the Public Works pepartment(473-7337j fox utility scub as-buflt lorations. DO NO'f�XCAVATF.
(N ANY S7'R�F.T AND DU NUT 7'AP ANY MAIN without exFraas approval of thc F'ublic Worica
Urpartrrlcnt. lsauanca o!'a pormis does not grw�t thu approvAi.
7. A11 work must bo done in eccordanco with Statc Codc requircmcnts.
8. All work must be in�pactec!beforc it ia covtrod. Call 473-7357.
24 hour aatJco requfred.
,�oesc-��rAnnx��.�:�C� ���v-I� (..��t�
nccupAncy Type: �R �Ident�al Commerci$1
Qw�er'� Name: —��a \ �L� ' Phone Num6er: —
M�Utag Addrea8:`1 t��j��- ' --, City:(�� I� . r J�
�ontractur's Nume: v • vi ;'v YhoAeNuraber: � �
Mulling A�dress: `' %� G� • f City. � k ��� a
PERMI, T TYP�:
Munlci�al S�wer Coan�ctiot�($35.00 per stub) / $
pi�r. hixe �—�" jnches; materi�J 1/ PVC (o�sand fifi); cast iron
SAC Charge($900.0())must accompteny tsll sewcr pcnnit applications unless prcpaid, If not pr�paid,
a scwcr cunn�ctian permit wil! tiot be issued.
1VYunicl�at Water C`onnection {$35.00�er stub} $
pipe size inches; matorial copper; ott�
WA1'LF�N1k,TERS must bc piekcd u}�ttnd psid f�r at City FIall. �T
(S/R" metcrs �$J 39.Op; 3/4" metcrs�S 191.OQ; 1"mflters=$247.Ofl)
Separatc Ylumbing Parmit issued fot watcr meter.
Water metcrs mu:t 6c set and ueAlyd�y Orono W�tcr Department(47i-73S�ppon complitjon
of ineter ia�t�llntlon.
}2�QUIRF.D msnimum set�acks from drainfield and septic tanks=75'
R.�QUIRED aetback fr��m s�wor iine a 20'
��T�`F���'e►�.rr��,AT�i?ri
1. Subtotal of ab+ovc permit requestcd �
Z� 5�tg_��,h�r e $_ 50
"f'ho State$ulldlr�g C'ode Uivi�ion 6urchar�e of 5.30 per perm)t must be —~�'
iacludcd far aAch walt,aewer and watrr aonnection petzult requoated,
3. pasta�c Harldlina{Only mail-in applioatic�n�) $ , 1.50
4. 'I'UTAI. PERMiT FkF(add lincs 1-3 ebove) $
Tha und�rsigned hemb�applic�to the Gity of Or,ono far issuancr of a Utility Per�mit,agrees to do
a11 wark yn st�ict accordancc with the ordinaiices of the City and the rcgulations of the St�ie of
�inr�esotn, and certifies that all�iattmea��tnade un this applicalion are complete, true and correct.
Signature af Arpli _ ��' � �� �:� � y
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ATE TIME v',
CITY OF ORONO CALLED IN �- �3
INSPECTION N(��4CE� �� Z SCHEDULED �_L
PERMIT N0. � COMPLETE
ADDRESS � c� �C�-��- 1---�
OWNER CONTR. � � uL�Fl ��V�i�
TELEPHONE NO. �� � - �� 3 ` Z� �- ��S�
�{ �l 103 -S33 --
� DESCRIPTION � �'1
� 01 FOOTING 11 MECHANICAL RI j'S�� ; 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL v� � 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNERICONTRACTORTOMEETYOU� YES NO
� COM NTS: � ��- � VIUUSP�'�
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46��
OwnedContrac�� it :
Inspector. `
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