HomeMy WebLinkAbout2000 - P02550 - sewer line moved out of bldg PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P02550
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(612) 249-4600 Date Issued: 6/13/00
SITE ADDRESS: 1074 Wildhurst Tr
MOUND,MN 55364
PID: 07-117-23-24-0046
DESCRIPTION:
Proposed Use:
Permit Class: General („ yu f rvwu-e.9
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection e F 3L(06
rAo
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
S1&fr ; chi . 5"0
TOTAL FEE: $ 35.00
APPLICANT: WIDMER INC OWNER: R&I CONST OF BLOOMINGTON INC
BOX 219 1074 WILDHURST TR
ST. BONI,MN 55375 MOUND MN 55364
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.
PPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE 'e
Copies: City,Applicant,Assessor, Finance Page 1
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 fees 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(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 249-4600.
24 hour notice required.
JOB SITE ADDRESS: %O 2/ &cl./c 'Y S/
Occupancy Type: Residential Commercial
Owner's Name: 44 441.9-r1 _.._ Phone Number:
Mailing Address: City: Zap:
Contractor's Name: tod-cl .-- Phone Number:
Mailing Address: /o ,g0 2v7 City: Si" /ga.�,' c Zap:
PERMIT TYPE L art ( Au�n
Municipal Sewerbeaten ($35.00 per stub) $
pipe size inches; material Schedule 40 air tested; cast iron
SAC Charge ($1,050.00) 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 .
WATER METERS must be picked up and paid for at City Hall.
(5/8" meters= $130.00; 3/4" meters= $180.00; 1" meters= $240.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Water Department(249-4600)upon completion
of meter installation.
REQUIRED minimum setbacks from drainfield 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: l/ ��� �� Date:
5 2 w e L 11.4-,- o u�� da 8 Lii P A ff•