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HomeMy WebLinkAbout2007 - P11200 - sewer/water permit PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11200 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 7/9/2007 SITE ADDRESS: 2120 Webber Hills Rd Unit# Wayzata,MN 55391 PID: 03-117-23-34-0010 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolution it: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Ritter Excavating OWNER: MARK SIMS&DEBORAH SIMS 7120 Vernon Street 2120 WEBBER HILLS RD Rockford,MN 55373 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. 1.4j COLO() (CMO rim CANT PERMITEE SIGNATURE IS UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r 4 FOR CITY USE ONLY d City of Orono Date Receive:FAO : Permit# P.O.Box 66 e © 2750 Kelley Parkway ❑In-House SAC Determination Form Completed w Crystal Bay,MN 55323 `,r.e (952)249-4600 Approved By(If Required): 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) ®Residential(May Require Approval) ® Commercial(Approval Required) New Connection ❑Additional Connection ®Re-Connection [❑Repairs ❑ Disconnect Job Site/Owner Information: Site Address: 2 / 2 0 �� X42 Owner __ 1- Mailing Address: Z- 1 2 6:, ----..-e----7--------, 7 % City: Zip: Home Phone: C75—Z Lf 71 ?'f W Alternate Phone: Contractor Information: Contractor Z.-,- Contact Person: 1--</e' .1_,- -�-,- Address: 7/2 2 69 r--- State License #: / Z / City: / Zip:2 ��/1xpiration Date: / 2 3 / 0 7 Phone: 1‘..7-1---/ 7 7"j~o LI? Alternate Phone: // 2 cl / 7` /9 6 SAC Charge(2007 Rate=$1,675.00) $ (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) ®Sewer Connection/Disconnect/Rep it($35.00/Per Stub) $ '- •b� Pipe size "1`inches;materials Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; I copper 1. SUBTOTAL of Permit Requested: $ •0 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �•?u 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ t . 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: � „/� /'2� Date: 7-7— O 7 c1 r. / &t '�-"� DATE TIME CITY OF ORONO . CALLED IN 1.1 INSPECTION NOTICE SCHEDULED '' 07 1 • PERMIT NO. 'P j 1 '?iT O COMPLETED G i /,� ADDRESS 2-1 21 L'KJC'b k er- 1-11 J I c Pri OWNER CONTR. a vfiL.Y1c- IZ I-f-f'Y` TELEPHONE NO. laigt t 0i - CII q -I L/tE?1 a xc DESCRIPTION E i - P 1'y-p Sc • 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 LtJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL <--- OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W C cc / 10 psi _ 41`r rc3T- 1 - , �v J {64_1 ccO Q TA Ne S 7 Pej 171 W Oc•"" ?Q 01 .7 .P /tel (� Ira-'0'J ' cc 1 o &)c_ LC KWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑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: 'V 6-41- Inspector. 435,S White Copyllnspector's File Canary Copy/Site Notice