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Home My WebLink About2000-P03383 - sewer connect i PERMIT G�T�Y'- OF ORON'0 Permit Number: Po33s3 2750 Kelley Parkway- PO�ox 66 Crystal Bay, Minnesota 55 23 Permit Type: Sewer and Water Permit (612) 249-4600 Date Issued: 12iai2oo SITE ADDRESS: 2160 Shevlin Dr WAYZATA,MN 55391 P ID: 03-117-23-34-0019 DESCRIPTION: Proposed Use: Residentiall Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: ' Separate permits required: I Sew�Connection NOTICES/REMARKS: FEE SUMMARY: Perm�t Fee: $ 35.00 Valuation: $ 0.00 I State Surcharge Fee: S �.5� TOTAL FEE: $35.50 APPLICANT: �TTER EXCAVATING OWNER: F G LARSON&J M LARSON 7120 VERNON STREET 2160 SHEVLIN DR ROCKFORI�,MN 55373 WAYZATA MN 55391 ; THE UNDERSIGNID HE Y REQUESTS PERMISSION TO MAKE TI�REAL IMPROVIMENTS SPECIFIED AND AGREES TO DO ALL ORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA B DING CODE REQUIREMENTS. � �Yv��-1? � L ISSUED SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 ' p I I �:, �ITY OF ORONO APPLICATION FOR UTILITY PERMITS ' Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 55323 GEI�IERAL 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. Pe,rmits are not valid until you receive a permit card. 4. Work must not be�in 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 Deparhnent. 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: G � �' C� -/�%�v—C�` �/,�-�'`'- Occupancy Type: Residential Commercial Owner'sName: � -��'� `�l-��'='�� PhoneNumber: , �` Z Z �Iailing Address: U ��-�-z-� City: �.�v ., Zip� Contractor's Name: ,� ��-r�2, -.�y�G Phone Number:�/Z ��77-S`� � 9 NTailing Address: �/�t� �,��,��- City: ��r 7�:�5'S_3� PERIVIIT TYPE �� / � � / �-/� �/ l�lunicipal 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. l�Tunicipal `Vater Connection ($35.00 per stub) $ pipe size inches; material copper; other WATER METERS must be picked up and paid for at City Ha11. �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' PERi1�IIT 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. Posta7e & 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 that all statements made on this application are complete,true and correct. Signature of Applicant: �� . Date: �-" � - G d _ i. L i � Y i � DATE TIME CITY OF ORONO CALLED IN -�'/=�U INSPECTION NOTIC SCHEDULED — — PERMIT N0. COMPLETED _� ADDRESS �� ti �f� OWNER CONTR. �•�.. ; e ° , TELEPHONE N0. � DESCRIPTION � � 01 FOOTING 11 MECHANICAL RI 16 WEL4TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCqVIGRADINGIFILLING y 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHORFJVVETLANDS Z 04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL Q 05 FINAL I 13 METER SET/TURN ON 17 SI NSPECTIbN � 07 DEMO—SITE 14 SEWER HOOK-UP 08 PRO RESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COM LAINT i09 PLUMBING RI I 15 SEPTiC INSTALL 22 FOL -UP v 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO M ET YOU:_YES_NO c� COMMENTS: � a � � N 0 j --- OO o� ' o � � Q Y' �0.. 'e ' � s � r: � � - - � a � ❑WORKSATISFACTORV:P EED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROC ED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FpR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECOND�TIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REittRN ❑CITATION ISSUED ❑STOP ORDER POSTED.�L INSPECTOR ❑INSPECTION REQUIRED. LlTO ARRANGE ACCESS. i Call for the n t inspection 24 hours in advance.4T3-7357 OwnerlContra ite: '' Inspector. Whits CopyA Fik Canary Copy/Ske Notks DATE TIME CITY OF ORONO CALLED IN INSPECTION TIC SCHEDULED PERMIT NO. 3 COMPLETED � �s l!%30 ADDRESS 2«D 5I1eVl�h P�. OWNER CONTR. P�� TELEPHONE NO. � DESCRIPTION Sew�7p. Cov�nPu l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FI��ING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 1 SEWER HOOK- 06 PROGRESS � 07 DEMO-SITE 2 T. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO �' � COMMENTS: � f'9'hkS PNw��oj� CruS� �-�r�� -� a — E—�cy �ih� - �wo l;►�es o�v� ti o �. ��f-r'n � ,. „ . „Y,,�' o � `/ �� o h�p�t -f-ji.� fzvv /i►�es. � i 3 a-b o r�' �2''� .5�w.4� �-a-� �i H k to w•�c ds �'l� ra,� 0 � w � Q � � � Y" ��.�(Q Z � H�� W qn�,� � j � GW�WORKSATISFACTORY:PROCEED i PROJECTCOMPLETE � L CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for e next i ection 24 hours in advance. 249-46�� OwnerlCont ct Qn si : inspector. White Copyllnspector's File Canary CopylSite Notice