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Home My WebLink About2000-P02784 - water connection PERMIT C I T� O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po2�sa Crystal Bay, Minnesota 55323 Permit Type: sewer and Water Permit (612) 249-4600 Date Issued: s��i2000 SITE ADDRESS: 2673 Pheasant Rd EXCELSIOR,MN 55331 P 1 D: 21-117-23-23-0056 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit permit Sub-type(s): Water Connection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: -�1,100.00 Valuation: $ 0.00 State Surcharge Fee: $ 35.50 SAC Fee: TOTAL FEE: $ 35.50 APPLICANT: coPPirr PLUMBirrG OWNER: �c JONEs&J L.rorrEs 5089 SHORELINE DR 2673 PHEASANT RD MOUND,MN 55364 EXCELSIOR MN 55331 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. i� �/ �. n 1 �, (./-/'��!'�� t '/ ' APPLICANT I NA URE I EDBYSIGNATi1RE Copies: City,Applicant,Assessor,Finance Page 1 INSPECTION RECORD CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number. P02784 Crystal Bay, Minnesota 55323 (612) 249-4600 Date Issued: s��2o00 SITE ADDRESS: 2673 Pheasant Rd EXCELSIOR,NIN 55331 APPLICANT: COPPIN PLUMBING 5089 SHORELINE DR MOUND,MN 55364 Proposed Use: Residential ,,,._..:��__,. �_.......water Connection i�uu�uuv—a,yya+��). Perniit Class: �ener�u Pern►it Type: Sewer and Water Permit Separate inspections required: Building: General: W ater connection Plumbing: ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THLS CARD MCJST BE POSTED INA CONSPICUOUS PLACE ON TF�PREMISES ON WHICH THE WORK IS TO BE DONE. . 1 _ , CITY OF ORONO APPLICATION FOR UTILITY PERMITS � ' Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay,MN 55323 GE1�iERAL INFORMATION 1. You may apply for utility permits by mail or in person at the City offices. 2. Mailed in applications aze subject to the postage and handling fees 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. Wark 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 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. Ca11249-4600. 24 hour notice required. JOB SITE ADDRESS: `� � �� `��S �t�� Occupancy Type: v Residential Commercial Owner's Name: .: .�� T� ..�c 5 Phone Number:`-t� � - � 7� � I � Mailing Address: �,-� t�� .��.,�- '�Z City:�`;�-L �,,�� 7ip: Contractor's Name: C� �' 2 : ,.,_. Phone Number: �7 �, z�j �e, Mailing Address: S` `C `1��.;c .:�e�,.�. �,_ City: � Zip: � � �-, �..�.I / PERMIT TYPE Municipal Sewer Connection ($35.00 per stub) $ 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. Water 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' PERMIT FEE CALCULATION 1. Subtotal of above permit requested � 2. State Surchar�e $ .50 The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection permit requested. 3. Postag,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 th t all statements made on this application are complete,true and correct. I �� L -_., Signature of Applicant• � � �, � )ate: . � I DATE IME CITY OF ORONO CALLED IN �"7'�� '� INSPECTION TICE �( SCHEDULED �-lO,-v�.' ,;o� PERMIT NO. a � J COMPLETED '- O�[ � ADDRESS 3 OWNER � CONTR. � TELEPHON O. � —f 7.�- � �� — �'Y1 � 7or �� DESCRIPTION ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/ D BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP _�� 17 SITE INSPECTION Q 05 FINAL '�htx�K-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w � � �Dvt �-C �� S �-2 0 '' �1 D � � 0 � W �� Q � L z W � � W .r � � �,/ � ,�y� v � ❑WORKSATISFACTORY:PROCEED " �� vG PROJECTCOMPLETE � �CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlCont r on site• Inspector.��'G'�'e'� � White Copyllnspector's File Canary CopylSite Notice