Loading...
HomeMy WebLinkAbout2000-P03320 - sewer/water connect PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P03320 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (612) 249-4600 Date Issued: 11/28/20 SITE ADDRESS: 3705 TOGO RD WAYZATA,MN 55391 PID: 17-117-23-31 li�y DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Sewer Connection Permit Type: Sewer and Water Permit Water Connection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 70.00 Valuation: S 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: WESTONKA SEWER&WATER OWNER: MIKE BARTH 6501 COUNTY RD 15 3705 TOGO RD MOUND,MN 55364 WAYZATA,MN 55391 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 CODE REQUIREMENTS. /? APPLICANT PERMITdEFSINATUREf ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Pagel CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 55323 GENERAL INFORMATION 14V 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 Department. 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. Call 249-4600. 24 hournnotice required. S JOB SITE ADDRESS: �y ",� O Occupancy Type: Residential Commercial Owner's Name: ��G�eS (��-/` r Phone Number: 14'7/-F/ 7:5 Mailing Address: City: zip: Contractor's Name: k>--S �� ..� Phone Number: Mailing Address: hs-01 "fo, ,,e � � City: Zip: r PERMIT TYPE Municipal Sewer Connection ($35.00 per stu $ �® 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 Winches; materialopper; other WATER METERS must be picked up and pai for at City Hall. Water meters must be set and sealed by Orono Water Department(249-4600)upon completion of meter 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 Surcharge $ .50 The State Building Code Division Surcharge of S.50 per permit must be included for each well,sewer and water connection permit requested. 3. Postage & Handling (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: ��—_23 DATE TIME CITY OF ORONO CALLED IN I I a-00 a`CX)1q(^ INSPECTION140TICE SCHEDULED j 1"09-C)C) 0 -spry-, PERMIT NO.F1 3 2?21��' COMPLETED 'eV 2—' ADDRESS I� � 2c,1 OWNER 1 LA(+k , _ CONTR. L' St C►�IL0. S l V TELEPHONE NO. 7 y) c1� 9 N w SDESeftPM �C_ W ,-01 FOOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 2�MAINT 17 SITE INSPECTION Q 05 FINAL 14 06 PROGRESS 07 DEMO-SITE SEPTIC . 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 Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z o COMMENTS: cc 141a cc J O a cc O `c 8 Q C/7 W Z W QC O d WORK SATISFACTORY.PROCEED ROJECTCOMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- PHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED F1 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contracto on site: Inspector. C White Copy/Inspector's File Canary Copy/Site Notice