HomeMy WebLinkAbout2000-P03296 - sewer connect PERMIT
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2750 Kelley Parkway - PO Box 66 Permit Number: Po�2�6
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(612) 249-4600 Date Issued: >>i2oi2o
SITE ADDRESS: 2135 Shevlin Dr
WAYZATA,MN 55391
P ID: 03-1 17-23-34-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Sewer Connection
Permit Type: Sewer and Water Permit
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 5,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: SULLIVAN'S UTILITY SERVICES OWNER: ERIC&JENNIFER MARTINUZZI
3660 HWY l01 S 2U5 SHEVLIN DR
WAYZATA, MN 55391 WAYZATA, MN 55391
TNE 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.
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APPL '1 PERMITEE. IGNATURE IS LTED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
OF ORONO APPLICATION FOR UTILITY PERMITS
c,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 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. 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 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: ���_�h f� �l�► /✓r� � �
Occupancy Type: 1�' Residential Commercial
O�vner'sName:^]�,�n� �.;.v }-�,,� v ZZ i' Phone Number: �S� -D6 S�IJ
Mailing Address: s��hi � City: C�►�v r� 0 71p: 55 3 S��
Contractor's Name: 5�//�u t✓i '� Phone Number: Y),3 �-�/�.3 o p
Mailing Address: �� �a S- /-/4,,.� /L?_/ C.�ty� �T z�l C. ZP�—��'3�/
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PERMIT TYPE � '�'Vv
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Municipal Sewer Connection ($35.00 per stub) 1 $
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.
NTunicipal 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 drainf'ield 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. 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 ���ork 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 aze complete,true and conect.
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Si�nature of Applicant: Date: I/- Z O ' C�C __
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