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Home My WebLink About2001-P04680 - sewer/water permit PERMIT CIT`�!� OF ORONO 27��0 Kelley Parkway - PO Box 66 Permit Number: Po46go Crystal Bay, Minnesota 55323 Pe►-mit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 12�3�2001 SITE ADDRESS: 2200 Shadywood Rd Wayzata,MN 55391 PID: 17-117-23-42-0006 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-rype(s): Sewer& Water Connections DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Re-Hook up FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: Coppin Plumbing OWNER: Brenshell Dev. 5089 Shoreline Dr P.O. Box 125 Mound, MN 55364 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. ` � � " ` ��l Gc� APPLICANT PERMITEE SIGNATURE ISSUE BY SIGNATURE Cooies: 1-File(SiQnitures Reauired). 1-Applicant, 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1 (Ur:lated 1.�12�01� CITY OF ORONO APPLICATION FOR UTILITY PERIVIITS ��x 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 retum 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 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. Call(952)249-4600. 24 hour notice required. JOB SITE ADDRESS: 2-2-� v S�^H �} � .:; � .� `� ,� Occupancy Type: Residential Commercial Owner's Name: `�r�e.-.S�ei� ��v�� Phone Number: Mailing Address: City: 7�p: Contractor's Name: �p� �N � 9--�-..� Phone Number: °15�--•4-7� �-`�l v Mailing Address:S� �'°� �1,�� ..e �,- City: o�� n 7ip: �S 3(� -� PERMIT TYPE . Municipal Sewer Connection ($35.00 per stuJ�) $ pipe size �' inches; material `�� Schedule 40 air tested; cast iron SAC Charge (2000 rate $1,150.00) must accompany all sewer permit applications unless prepaid. If not prepaid, a sewer connection permit will not be issued. Municipal Wate� �C,�onnection ($35.00 per s�uJ�) $ 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' PERIVIIT 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. PostaQe & 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 tha all statements made on this application are complete,true and correct. Signature of Appli ` Date: � �-3 ' � / DATE TIME CITY OF ORONO CALL i� INSPECTIONN E/ j�',�i7�, SCHEDULED Z t�� r PERMIT NO. �7� U COMPLETED 'L� ! �� ADDRESS ' , ' �L � OWNER CONTR. � /� TELEPHONE NO. �D�� f 'g�'�� DESCRIPTION `�� ( �'f� - � 01 FOOTING MECHANICAL 18 EXCA�//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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT "� 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: � �vY 1 � ` .... � . ` .. n i J !- _ __...__-------- .� O � t � � -' C �' �. 1 a � � � �� Q �,,, ..,.........._.. _ _��,,,�...: . , f� � � ' ..i � i ..,...,d..._..... .. ._,. . - Q I� ! . J Wt W ;' � �` - �_.. j �` � �Il�/ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W(O�CORRECT WORK 8 PROCEED ❑ ISSUE CEATIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContracto on site: � � 1 Inspector. � �- ir � White Copy/lnspector's File Canary Copy/Site Notice / �'{/ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED �`> � � PERMIT N0. �"�� COMPLETED � �' ADDRESS �� t-�%�C,{� )2� OWNER CONTR. ��%��-�� TELEPHONE NO.__ [p I� - �C% � - �2 �� DESCRIPTION _ �'�'�2'�"� �' �C arfi�,n � Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � 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/CONTHACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � �WORKSATISFACTORY:PROCEED ,,,�ROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46�� OwnerlContract on site: Inspector. f� �� White Copyllnspector's File Canary Copy/Site Notice