HomeMy WebLinkAbout2000 - P02953 - sewer connect S.
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P02953
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(612) 249-4600 Date Issued: 9/13/200
SITE ADDRESS: 1230 Woodhill Ave
WAYZATA,MN 55391
PID: 02-117-23-21-0007
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
SAC Fee: $ 1,100.00
TOTAL FEE: $ 1,135.50
APPLICANT: SULLIVAN'S UTILITY SERVICES OWNER: MICHAEL D WOOD
3660 HWY 101 S 1230 WOODHILL AVE
WAYZATA,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.
3v1It'v 01; ir„
APPLICANT P ' ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
4
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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: )c ) eyr-) 01}--4--
Occupancy
- --
Occupancy Type: ii Residential Commercial
Owner's Name: -dL Phone Number:X73— 9 o S'z/
Mailing Addre . /, 4 6 iii.)- 0 0City: 0„,__„,,,,,e) Zip: ,553 9/
Contractor's Name: 4, ,p0,,,... Phone N liber: 417,j-- /-?-c�
Mailing Address:;36 6 o taw! /G/ City: A * : Zip: 573-3 7/
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size inches; material P L Schedule 40 air tested; cast iron
SAC Charge (2000 rate $1,100.00) 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.
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 certifie 1 statements made on this application are complete,true and correct.
Signature of Applicant: eli. -
g ' k Date: 9- /3-- da
DATE TIME
CITY OF ORONO CALLED IN e,--2.q-no / )C Pm
INSPECTION NOTICE SCHEDULED /c - z_-CO 3
PERMIT NO. P0 295 COMPLETED 10— 2— -U
ADDRESS jc;2 �. '_
3G Lc'ono /1
OWNER tuDO D CONTR. S LI / I, J(1-I1 S
TELEPHONE NO.
31. DESCRIPTION /---/1°A)E "'t. k7 "
Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
LI-
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 D BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SE OK-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU: YES NO
• COMMENTS: I- S-e
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LU• NORK SATISFACTORY:PROC - 1 ROJECT COMPLETE
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❑CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING
PERMANENT
0 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. 249-4600
Owner/Contractor on site:
Inspector. V' OGt4//S
White Copyllnspector's File Canary Copy/Site Notice