HomeMy WebLinkAbout2005 - P08995 - sewer connect PERMIT
CITY OF ORONO
?75DKelley Parkway- PO Box 66 Permit Number: P08995
Crystal Bay, Minnesota 55323 Permit Type:
Sewer and Water Permit
(952) 249-4600 Date Issued: 7/25/2005
SITE ADDRESS: 2090 Webber Hills Rd Unit#
Wayzata,MN 55391
PID: 03-117-23-34-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Sewer Connection
Permit Type: Sewer and Water Permit
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
SAC Paid-#2851 -07/25/73
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Atco Utility Services OWNER: K M KRUEGER&P K KRUEGER TR
3660 County Rd/ 101 S 2090 WEBBER HILLS RD
Minnetonka,MN 55391 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 ERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
I
FOR CITY USE ONLY
City of Orono Date Received: Permit#
P.O.Box 66
�To, 2750 Kelley Parkway ❑In-House SAC Determination Form Completed
1;�^ Crystal Bay,MN 55323
;� o (952)249-4600 Approved By(If Required):
aero*
CITY OF ORONO-SEWER& WATER/GENERAL PERMIT
(*Note:Some permits may require approval by the Building Official and/or Public Works Department*)
(ALL PERMITS- May be subject to further review and may not be issued when the application is received)
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 within 2 business days.
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.
TYPE OF PERMIT
(Check All That Apply)
JZ.Residential(May Require Approval) ❑ Commercial(Approval Required)
New Connection ❑Additional Connection ❑Re-Connection ❑ Repairs ❑ Disconnect
Job Site/ Owner Information:
Site Address: 020 90 Be -Wee. - s /?d
Owner: wimv �ii2w Mailing Address: a96)2.0 ��s )fW
City: t2n o,J.v-, Zip: S-S`39/
Home Phone: 95-.2- /76- 10761/ Alternate Phone:
Contractor Information:
Contractor: x-7-60 &-zot,LContact Person: /Z,),47.
Address: /0/ State License#:
City: /4/642- Zip: 5;391 Expiration Date:
Phone: 9S-,7 1/73? 7� '7 Alternate Phone: �"/-a 5��=1p/9Y
DETa-MNI ST6PERMITFEES
❑ SAC Charge(2005 Rate=$1,450.00) $
(SAC Charge must accompany all sewer permit applications unless prepaid)
(Orono City Staff can determine if applicable)
(If not prepaid,a sewer connection permit will not be{ issued)
5f� .v
Sewer Connection/Disconnect/Repair($35.00/Per Stub) $
Pipe size I i/ inches;material Schd 40 air tested; cast iron
pe,S514
❑Water Connection/Disconnect/Repair($35.00/Per Stub) $
Pipe size inches;material Schd 40 air tested; copper
1. SUBTOTAL of Permit Requested: $ 3S
2. STATE SURCHARGE $ .50
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
ADDITIONAL INFORMATION WATER METERS
• WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit.
• WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon
completion of meter installation.
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,true and correct.
Applicant: ,�_ Date: 7/2,/�—
i,
C.' tioD T TIME
CITY OF ORONO CALLED IN ` �
INSPECTION N¢rl� ��� SCHEDULED — _ :UCU.
PERMIT NO. ((� COMPLETED 2 (-= .2C R/II
ADDRESS �� 9 90 }-7! //S ��•
OWNER /CONTR.ref //e/ () Of,/�.
TELEPHONE NO. 9S /Y 73 / 7 7
DESCRIPTION , �� SUre_ l f �re-/AC4'f' le/A-0
44 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Ci) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL _
Y4-SEWER H001 06 PROGRESS
07 DEMO-SITE '27"3!PT—ttCMATNT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNERICONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
cc
cc j ) !lie'5.S', ie %c'S ► — / .- /l1,i(S
0
W
cc
Q
z
W
z
W
.
Lu *WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑ 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
Owner/Contractor on site:
T-
Inspector. �, r .c
White Copy/Inspector's File Canary Copy/Site Notice
)1i2-)
DATE /
TIME k./
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 7 fa-7/oS o?. 0/
PERMIT NO. Pc ' Q93 COMPLETED
ADDRESS CI<) (.(.,c p /2 Vi--Le-e.5 0
OWNER CONTR. 6-1/701) /1.174 ,
TELEPHONE NO. Q 5,d -y7_ '-7c97
DESCRIPTION S.2 '`ems 61 /t
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
cc cc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: (ES NO
o CO MENTS:
cc
Lu 4 I r- i 5e wc�y'e c-io
ccO
cc
r2) ?rte 53. re --re s +- ,a
z 3 6) 1D , /-)4r-5 Cu Ii
Lu
cc
a
2 RK SATISFACTORY:PROCEED LlPROJECT COMPLETE
W DICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
DISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:� ��� �
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice