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Home My WebLink About2000-P02813 - sewer disconnect � � PERMIT CITY OF ORONO 2750.Kelley Parkway- PO Box 66 Permit Number: Po2si3 Cryst'�I Bay, Minnesota 55323 Permit Type: sewer and water Permit (612) 249�600 Date Issued: siiai2oo SITE ADDRESS: 3790 Shoreline Dr WAYZATA,MN 55391 P I D: 17-117-23-34-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 � TOTAL FEE: $35.50 APPLICANT: PETES WATER&SEWER OWNER: PAUL W LARSON 800 LOWREY AVE N.E. 3790 SHORELINE DR MINNEAPOLIS,MN 55418 WAYZATA MN 55391 THE UNDERSIGNID HEREBY REQUESTS PERNIISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. � � ISSUED BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 � �M CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Paxkway) 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 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: �� O� � �� ^ � � jZt Occupancy Type: �Residential Commercial Owner's Name: Phone Number: Mailing Address: City: 7�: Contractor's Name:�-�-�S (,�,�f� �- ��,✓��hone Number: �� 7�'� —�/6 � Mailing Address: '>�vD /.-�i.✓r'�v AT� l �� City: 7�p: �� PERMIT TYPE � t s C�nn��"(-' U/�fi-ef � s�r..�-✓£.� 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) $ 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(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 Buildin�Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection permit requested. 3. Postage & 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: �7/L'L� Date: �� o� �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED " ' PERMIT NO. ag I3 COMPLETED � '�� ADDRESS s. 7GID n//G�/�� ` OWNER CONTR. G�S SC%�tXl� TELEPHONE NO. ��3� 7�7�' � DESCRIPTION ��:C�-�1��lSG�Y'1� � r ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 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 J 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: � W � � � O � � O � W � Q � Z W � W � j d W� WORKSATISFACTORY:PROCEED OJECTCOMPLETE ❑CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlCon r tor on site• Inspecto White Copyllnspector's File Canary CopylSite Notice