HomeMy WebLinkAbout2002 P05013 - sewer/water connect a11- PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05013
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 4/8/2002
SITE ADDRESS: 2040 Wayzata Blvd
Long Lake,MN 55356
PID: 34-118-23-21-0036
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: F.M.Frattalone Excavating OWNER: Orono Housing&Redevelopment Authority
3066 Spruce Street 2750 Kelley Pkwy
St.Paul,MN 55117 Crystal Bay,MN 55356
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.
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APPLICANT ITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Signitures Required). 1-Applicant, 1-Monthly Reports. 1-Assessin2, 1-Finance Page 1
I (Updated 2/12/01)
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) 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 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 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(952)249-4600.
24 hour notice required.
JOB SITE ADDRESS:
Occupancy Type: Residents l Commercial
Owner's Name: r_.e2 ,, <} Phone Number:
Mailing Address: City: Zip:
Contractor's Name: A.:x/4i,� ($2.i Phone Number:
Mailing Address: 3066 .5a,ep City: Zip:
X57/7
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size inches; material VOC Schedule 40 air tested; cast iron
SAC Charge(2002 rate$1,200.00)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 1t=.).P
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
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
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: ,g. Date: A- zs
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/� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED 5/-7 9.1)0
PERMIT NO. tSQ 13 COMPLETED
ADDRESS `() clo t' )Q AlLL`�-0 ,
OWNER CONTR.__b___Elf: JC)Ifie_
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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
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09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
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INSPECTION NOTICE SCHEDULED
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Z04 WALL BD. 2 ATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL v14 SEWER HOOK-UP 06 PROGRESS
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v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Call for the next inspection 24 hours in advance. (952) 249-4600
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -5%41 9' ,-3(
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" 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
1, 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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2 ours' adva e. (952) 249-4600
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CITY OF ORONO V CALLED IN DATE TIME
INSPECTIONIC SCHEDULED M O O . `.r'
PERMIT NO. V0 o 1,3 J(/ '�1COMPLETED ' •
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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
k, 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
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
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DATE TIME
CITY OF ORONO CALLED IN
INSPEgTION�TICE SCHEDULED
PERMIT NO. MS-6 C3 COMPLETED 5%, "02 3 a0
ADDRESS.c tofri A'r A 14
OWNER 0/9/21" fil `T CONTR. �, 77-/¢L 0/J4--
TELEPHONE NO.
DESCRIPTION
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
IQ PLUMBING ilEXT 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2 hour in adv.;/. e. (952) 249-4600
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Owner/Con • •n site:
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Mouse Ileatina Test Recor3
burb:
Address:• 010 t ,t`evJ IVO.: =Floor: C:ty. ® v, Su tz�if t-: �a�'
Occuupa 1 t: -0 /711,, ' Owner. 5 Heat loss: Iia 8--
• Electrical Work by:thk Gas line by:(otiN7�r5, *
Inst by_! �.,�/.r t•�Sold by._
Type o ieai GA. FA.: -.11W-• —Steam-- Space Htr. ZFnif f its. Other
Gas Design
Convercion
Make:
�� Make of Burner:
Model: _.__--
Model: 010
Serial: Max BTU Rating:
P �7Q1 �!E� MAKE OF FURNAC •
INPUT: /01 COO
Model: '
Controls I
Beat •►u�: 1 Vent Size:
Thermostat: i, , Size: `� None
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Valve: gilt Kind of Liner:
LimitIMMO, ' Draft Hood:• • alt!= Regulator I 1114t y,1 ft I.—
Limit Settting: r;0 Filters Size: 1 Argl Number: A 4
J
��rwr� Chimne Location Insi•e: ✓ tsidg:
Fan Setting: �t � / Chimney-Construction. /�
Pilot Type: n V' pil / Smoke Bomb:_✓-Wiring:
Pilot Make: _�•7[ �"`'`�"` Pilot Model:
SFr Test Tag:
Pilot Timing: � ' ' / bighting hist.: `•-•''''
L.W.Cut Off: Door Pressure:
4 V 6 Percent CO2: i/D Date Tested: `C-�-0�
Pressure: Com Z B •
0 Percent 02: (e(r? p
Input TeCFm: : WV - Percent CO, 0 Name of Tester: `
Stack Temp: II
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1-louse iieatinr Test Record
Address:jab V; w LA apt.: Floor: City: Oa.°O Suburb:
O cuupa t::-.I+ N' Owner. 5�0.4. Heat loss: 14YMa_DateHtg_ t.:1-1_,-
Inst.
.: -,_ -Inst.by:CotIM1 5i ck Sold by: 54P t Electrical Work by: OSS Gas line by _
Type of Heal GA :FA, -IW -Steam: - - Space Hti. Unit Htf. Other
Gas Design Converv;nn
Make: OCA w tJ Make of Burner:
Model: ✓. .� ati_ Model
I Serial: 0 II?ZWI : Max BTU Rating:
INPUT: I a 000 MAKE OF FURN• ► :
Model
Controls ,/
Thermostat: Ilea 'hi?: T 4
. � � Vent Size:
Valve: 3/4 '�02- Kind of Liner: ! - Size: 7 it None �_r
Limit: (( 7 C *(1CX Draft Hood: /!1£6 Regulator / '- __�__-
Limit Sett(in /O Filters Size: r . ,.VV'.A Number: t-
Fan Setting: LVPW d Chimney Location Inside: ✓ tside:
Pilot Type: i ,t Yr, Chimney Construction: , V
Pilot Makei U, " Pilot Model: Smoke Born Wiring:
Pilot Timing:t ; Graft: ✓ Test Tag: ✓
L.W.Cut Off Door Pressure: ✓ Lighting Inst.:,
Pressure: 3 .r 036” Percent CO2:__11 __ Date Tested: ' .3-0)
Input CFH: l Percent 02: ,(f Comp.T..,',;.%. ou ; Sr
Stack Temp: '�i g Percent COD Name of Tester: P ,
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