The URL can be used to link to this page

Home My WebLink About2002-P05779 - sewer connect � �' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P05779 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: ioi29i2oo2 SITE ADDRESS: 110 SmithAve Wayzata,MN 55391 P I D: 02-117-23-21-0026 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Atco Utility Services OWNER: 7ames&Jennifer Fisk 3660 County Rd/ 101 S 110 Smith Ave Minnetonka,MN 55391 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. i� / �� - � ".�1� /'��u.�----_ C �L� � � APPLICANT PERM[T SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1 (Updated 5/3/02) CITY �F ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWERIWATER& SAC Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for utility pemuts by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown below. Pemut 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. �. Work must not begin unless the pemvt card is available on the job site. 5. Utility connection pemuts 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 ANl'STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works Depariment. Issuance of a pemut 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. Call(952)249-4600,24 hour notice required. JOB SITE ADDRESS: �� l�9/7� J�C Occupancy Type: � Residential Commercial Owner's Name: .5,� �'si�- Phone Number: y'S��'7� -��53 Mailing Address: City: Zip: Contractor's Name: �'C� r,��t� .�v�z��s Phone Number: i sa-Y�s �ay� , Mailing Address: 3/�v �'.� /� /O/" 5, City: /'�,—�t,�- Zip:_,�",5,�,?j PERMIT T�'PE �Connections ❑Repairs ❑Disconnect (Check One) SAC Charge (2002 rate $1,200.00) $ (Set Rate) Sac Charge must accompany all sewer permit 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 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' PERMIT FEE CALCULATION 1. Subtotal of above permit requested $ 2. State Surchar�e $ .50 (Minimum) The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection pemut requested. 3. Posta�e & Handling(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 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 corre�t. � /. Signature of Applicant: f Date: �d a a�;c-, DATE TIM CITY OF ORONO CALLED IN INSPECTION NO�ICE SCHEDULED IU~�3 I 'L�Z. �< 't� PERMIT NO. � G�7�ct COMPLETED ADDRESS C_� OWNER CONTR. ''� � � �` ��¢� / S�>� TELEPHONE NO. �S .�- �I7 3 -7�y� � DESCRIPTIONc�,�clt/1 �lr"Yl/t�c/�c.r� � 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 Wq�E�H001-UP 17 SITE INSPECTION Q OS FINAL ''��14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE ��' 2 EPTIC 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 � COMMENTS: � W a � J O � � O � W � Q � ` _ ` � uCllvl' � W , . � __._ W � � � C7 1'1��.� • W� �'GVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEiE W�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContr site: f Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE ��►'imc CITY OF ORONO CALLEO IN INSPECTION NOTICE SCHEDULED PERMITNO. PpS��9 COMPLETED 'O' 1-0�: �: ADDRESS s�'^• �� OWNER CONTR. ''st C� TELEPHONENO. � SZ� 4�3 - 7o�t'I� � DESCRIPTION Sew t� �d d� v i � 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 ER 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 � COMMENTS: a — o �c� ��I�S C � �Sif �� .11 � J O �. � O � W � Q � W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION IS�UED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-460� OwnerlContr or on site: Inspector. White Copyll�spector's File Canary CopylSite Notice