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Home My WebLink About2004-P08108 - sewer connect 0 Ilk. PERMIT CITY OF ORONO permit Number: 2750 Kelley Parkway- PO Box 66 P08108 Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit (952) 249-4600 Date Issued: 10/21/2004 SITE ADDRESS: 1335 Tonkawa Rd Wayzata,MN 55391 PID: 08-117-23-42-0011 DESCRIPTION: Proposed Use: Residential Permit 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: Highview Plumbing Inc. OWNER: James D Render 4301 Highview PI 1315 Tonkawa Rd Minnetonka,MN 55345 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. LICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Siknitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1 -% (Updated 1/5/04) CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC 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 fee 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(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 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: r33 s .t rz�t= QL Occupancy Type: Residential Commercial Owner's Name: Phone Number: Mailing Address: City: Zip: Contractor's Name: Phone Number: IFS -Y 3 3 –26 06 Mailing Address: '1361 14-L;�� ee"L City: t)ttA-, Zip: SS3`eS PERMIT TYPE 10 Connections ❑Repairs ❑Disconnect (Check One) SAC Charge (2003 rate $1,350.00) $ (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/Rep air ($35.00 per stub) $ pipe size_-/inches; material P VCaSchd 40 air tested; cast iron Municipal Water Conn ection/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 meter installation. REQUIRED minimum setbacks from drain field and septic tanks = 75' REQUIRED setback from sewer line=20' PERMIT FEE CALCULATION 1. Subtotal of above permit requested $ 2. State Surcharge $ .50 (Minimum) The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection permit requested. 3. Postage &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 au complete, true and correct. f� Signature of Applicant. � �J4.P.�►.�1� Date: �6 —c2 1—)Y 05L� GATE TIME CITY OF ORONO CALLED IN O� INSPECTION NOT,If�E SCHEDULED Sl - PERMIT NO. )TO/02 COMPLETED ADDRESS 3,35 7_cv� OWNER /CONTR. TELEPHONE NO. 616. DESCRIPTION T� 01 FOOTING 11 MECHANICAL RI 18 XCAWGRADING/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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Lul 09 PLUMBING RI 23 SEPrlAL35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: _NO o COMMENTS: cc cc cc 0 U_ UAQC �I Q 5140 -PZ! 5 G1. -t-� CC Z) WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W 1 ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContracttW ontite.. 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