HomeMy WebLinkAbout2000-P03085 - water connect L - PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Po3oas
Grystal Bay, Minnesota 55323 P21'1111t Typ@: Plumbing Water Meter
(612) 249-4600 Date Issued: ioiai2oo
SITE ADDRESS: 3382 Shoreline Dr
WAYZATA,MN 55391
PID: 17-117-23-44-0100
DESCRIPTION:
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Permit Class: Plumbing
Permit Type: Plumbing Water Meter Permit Sub-type(s): Water Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surchazge Fee: $ 0.50
TOTAL FEE: $35.50
APPLICANT: AL'S MASTER PLUMBING OWNER: ORONO LIQUOR INC
900 RED OAK LANE P.O.BOX 36 �
MOLJND,MN 55364 ORONO,MN 55392
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE'Tf-�E REAL IMPROVFIVIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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ISSUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
4 • CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GEPTERAL 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
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: �� ���_� ��N'� ��1'1 v �-�% i�J -� �/)a ✓t!�i r S�39/
Occupancy Type:y� Residential � Commercial
Owner's Name: �D l�e �e�s Phone Number:
Mailing Address:� a i� r �% �,�� City: � % Zip: -
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Contractor's Name: s c�5 �✓ U Phone Number:
Mailing Address: City: Zip:
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) , $
3� • O�
pipe size_3�� 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. Posta�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 that all statements made on this application are complete,true and correct.
Signature of Applicant: Date: