HomeMy WebLinkAbout2004-P07584 - sewer/water permit � - •� PERMIT
� CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P07584
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut
(952) 249-4600 Date Issued: 6i9i2ooa
SITE ADDRESS: 3607 Shoreline Dr(Budget Rent A Car)
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Wayzata,MN 55391
P I D: 20-117-23-21-0029
DESCRIPTION:
Proposed Use: Commercial-Busines
Permit Class: General
Permit Sub-type(s):
Permit Type: Sewer and Water Pernut
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
Fire Sprinkler Line
FEE SUMMARY: PermitFee: $ 70.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT' Westonka Water&Sewer OWNER' Budget Group Inc.Attn:Nardine Panek
� 6501 County Rd 15 � 6251 Chancellor Drive
Mound,MN 55364 Orlando,FL 32809 �
R-� � ��� ld �n�
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 E REQUIREMENTS.
PLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Revorts, 1-Assessins, 1-Finance Page 1
(Updated 1/5/04) �
CITY OF�RONO APPLICATION FOR UTILITY PERMITS \
Box�6 (2750 Kelley Parkway) SEWER/WATER& SAC
Crystal Bay, MN 55323
GENER�L INFORMATION
1. You may apply for utility pernuts by mail or in person at the City offices.
2. �Iailed in applicarions are subject to the postage and handling fee shown below. Pernut cards will be sent by return mail the same day
the applicarion 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 pernuts 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 pernut does not grant this approval.
7. All w•ork must be done in accordance with State Code requirements.
8. All work must be inspected before it is co�-ered. Call(952)249-4600,24 hour notice required.
JOB SITE ADDRESS: �O� �(.iorelr1✓�� 1�/�.
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Occupancy Type: Residential _� Commercial
Owner's Name: 5 �� ,�—.,J�s n�J' /�f�1 �n�tl) Phone Number:�`��� �(7�- y 7�
Mailing Address: City: Zip:
Contractor's Name: e �G Phone Number �.� - �/
Mailing Address: �p � City: t2vou��� Zip:_sS-365�
PERi'�IIT TYPE �Connections ❑Repairs ❑Disconnect (Check One)
SAC Charge (2003 rate $1,350.00) $ (Set Rate)
Sac Charge must accompany all sewer pernut applications unless prepaid.
(If not prepaid, a sewer connection will not be issued)
Municipal Sewer Connection/Disconnect/Repair ($35.00 per stub) $
pipe size�inches; material�Schd 40 air tested; cast iron
Municipal Water Connection/Disconnect/Repair($35.00 per stub) $
pipe size_(�inches; material copper; �other ��h'!P �ro,�
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'
REQUIlZED setback from sewer line=20'
PERI�IIT FEE CALCULATION
l. Subtotal of above permit requested $
2. State Surchar�e $ .50 (Minimum)
The State Building Code Division Surcharse of$.50 per permit must be
included for each well,sewer and water connection pernut requested.
3. Postaae & Handlin� (Only mail-in applications) $ 1.50 (Mail In Only)
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�vith 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 rr
c
Signature of Applicant: Date: O �
DATE TIME �
CITY OF ORONO PO 1 '�j� `���
� CALLEDIN ��,d
INSPECTION ICE SCHEDULED b—�"` ��
PERMIT NO. conn LETED
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ADDRESS � � �►�
OWNER 3�7 CONTR.
TELEPHONE N0.
� DESCRIPTION NGIJ c��re ���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 05 FINAL �WER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next i,spection 24 hours in advance. (952) 249-4600
OwnerlContra s te
Inspector.
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� D TE TIME V
CITY OF ORONO CALLED IN �D a
INSPECTION NOTICE SCHEDULED Z. .��
PERMIT NO. COMPLE�ED
ADDRESS �7 �` �� /
OWNER CONTR. C!�
TELEPHONE NO. l0/nZ ^�� ^ ����
� DESCRIPTION ���
� 01 FOOTING 11 ME HANICAL RI 18 EXCAV/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
v 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
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952) 249-46��
OwnedContrac�r ite:
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White Copy/lnspector File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN IO-�
INSPECTION N TICE SCHEDULED O' -O O.'
PERMIT NO. COMPIETED
ADDRESS .3�007 S �/
OWNER CONTR.(���c.K�
TELEPHONE NO. �o%� 50� I100 � O1 ����
� DESCRIPTION ' / �'l ��/"�''�
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/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 05 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr n e:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice