HomeMy WebLinkAbout2002-P05648 - sewer/water permit PERMIT
CITY )F ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P05648
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit
(952) 249-4600 Date Issued: 9/23/2002
SITE ADDRESS: 740 Willow Dr S
Wayzata,MN 55391
PID: 03-117-23-33-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Metro General Services,Inc. OWNER: Jeffrey&Leontyne Maxwell
5790 Quam Ave Northeast 740 Willow Dr S
Rogers,MN 55374 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 E EE SIGNATURE Istup&YSiGNATURE
Conies: 1-File(Sienitures Required). 1-Applicant, 1-Monthlv Reports. 1-Assessin2. 1-Finance Page 1
(Updated 5/3/02)
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 65 (270 Kelley Parkway) SEWER/WATER& SAC
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 itis covered. Call(952)249-4600,24 hour notice required.
JOB SITE ADDRESS: 7�o W ll� Or
Occupancy Type: X Residential Commercial
Owner's Name: l�.�t wte Phone Number: 4�52—,76 —Gib/o
Mailing Address: 15.9q ow3 r, Alk. City: 1(1» Zip: SS3�
Contractor's Name: P rO sle ( Phone umber:
Mailing Address: S7cf) aLLw , kc, City /*'/crllrnE Zip: 5,,�76�7
PERMIT TYPE \0 Connections ❑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 CQnnection/Disconnect/Repair($35.00 per stub) $
pipe size�_inches; material Schd 40 air tested; cast iron
Municipal Water Connection/Disconnect/Repair($35.00 per stub) $
pipe size inches; material copper; other
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 (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 the regulations of the State of Minnesota, and certifies that all statements
made on this application are co Tete, t e d correct.
Signature of Applican Date: 02� �o�
V/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI CHEDULED
PERMIT NO. ���' v'.PLETED U a
ADDRESS2
�Z
OWNER CONTR. � -
TELEPHONE NO. :Z� 3 Y.�L .
DESCRIPTION J C U a
01 FOOTING 11 MECHANICAL RI 18 CAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 17 SITE INSPECTION
Q 05 FINAL 14 SEWER�HOOK-UP 06 PROGRESS
07 DEMO-SITE 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
OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED C1ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Oi BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP 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/Contractorsite:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice