HomeMy WebLinkAbout2002-P05863 - water connect PERMIT
CITY OF CARO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P05863
Crystal Bay, Minnesota 55323 Permit Type: Water Hookup
(952) 249-4600 . Date Issued: 12/4i2002
SITE ADDRESS: 2687 Wayzata Blvd W
Long Lake,MN 55356
PID: 33-118-23-13-0002
DESCRIPTION:
Proposed Use: Commercial
Permit Class: General
Permit Type: Water Hookup Permit Sub-type(s): Water Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Water connection is for fire sprinkler system only-Approved by 1
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Industrial Utilities Inc OWNER: Larry Palm
P.O. Box 76 5465 Hwy 169
Hugo,MN 55038 Plymouth,MN 55442
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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required). 1-ADDlicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1
(Updated 5/3/02)
CITY OF ORONO APPLICATION FOR UTILITY PERMITS 3
Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC r
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 norgrant 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)2494600,24 hour notice required.
JOB SITE ADDRESS: Z6 ft7 z4a." /Z F l d tiG L�.Ir-e, A
Occupancy Type: Residential P-' Commercial
Owner's Name: LA rz n L Phone Number: `763- 6,FY- 96,00
Mailing Address: S el 6 w /!o 9 City: ✓r4 Zip:
Contractor's Name: Zeal a sTK�.� U 7'r C..�.�s �`` Phone umber: ov 4S'1-47.6-Gr za
Mailing Address:P.0_ 13e 1., 7L City• v Zip: S-ro 3
PERMIT TYPE 5Connections ❑Repairs ❑Disconnect (Check One)
SAC Charge (2002 rate $1,200.00) $ (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/Repair($35.00 per stub) $
pipe size inches; material Schd 40 air tested; cast iron GO
i
Municipal Water C nnection/Disconnect/Repair($35.00 per stub) $
pipe size inches; material copper; other { fT^i04 aWlr
WATER METERS must be p' 'tcked up-Lq paid ro--riftCity HaIY: P
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 th egulation of the State of Minnesota, and certifies that all statements
made on this applicat' are compl te, e and orrect
Signature of Applic Date: 6 -2
Fire Marshal
11/27/2002
To; Mr. Phil Lind, c/o
Industrial Utilities
From; William Meyer,
Fire Marshal, City of Orono
Re; Water service for, 2687
West Wayzata Blvd.
Mr. Lind,
My review of the propose water service at the above mentioned address found that there
is an insufficient number of fire hydrants to get the required fire flow to protect this
property. Therefore I will require as per Minnesota Uniform Fire Code, section 903.2
(enclosed)that 1 fire hydrant be installed as part of this project. Also I will require that a
simple plan or layout of the project be submitted to myself or Lyle Oman to approve the
hydrant location.
I can be contacted at 612-640-5312 (pager) if you have any questions
Sincerely,
William Meyer, FM
City of Orono