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Home My WebLink About2007-P11675 - sewer connect PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P11675 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 11/13/2007 SITE ADDRESS: 845 Willow Dr S Unit# Wayata,MN 55391 PID: 10-117-23-22-0002 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: SAC Pd P06144,4-11-03 FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Widmer Construction LLC OWNER: Robert&Jordana Williams 9455 County Rd. 15 845 Willow Drive S Maple Plain,MN 55359 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. Ic"(wi APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 FOR CIT USE ONLY 0 City of Orono Date Received: �(1' Permit# O P.O.Box 66 2750 Kelley Parkway EJIn-House SAC Determination Form Completed Crystal Bay,MN 55323 (952)249-4600 Approved By(If Required): 1. 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 8 Re-Connection ®Repairs ❑Disconnect Job'Site/Owner Information: Site Address: 0 y- C�/l�a�.✓ �-A- Owner: vOwner: I-I/K (<,,,. 5- Mailing Address: City: O2c—o _ Zip: Home Phone: Alternate Phone: Contractor Information Contractor: %dam cam,- cif=war= Contact Person: ��s l//�✓%f� '�'� < Address: �r�ir State License#: City: ��«��„�r,� Zip: -Tr. -:' xpiration Date: Phone: Alternate Phone: G/�Tf6bG 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/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; = cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub $ Pipe size inches;material Schd 40 air tested; copper 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 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: Date: CITY OF ORONO CALLED IN DATE TIME INSPECTION N TICE i SCHEDULED PERMIT NO. IJM _Xb COMPLETED It-1%1-0'1 ADDRESS ^ II o 1^ OWNER CONTR.JA If TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 1 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL EWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT j 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: C CL ccJ - — — - O cc O U_ W k Q At �� W CC OW ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W t'/ ElCORRECT WORK&PROCEED 17ISSUE CERTIFICATE OF OCCUPANCY ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52) 249-4600 Ownedco tract of " I i Inspector �' -� 'White Copy/Inspector's File Canary Copy/Site Notice DAT TIME V CITY OF ORONO CALLED IN INSPECTION NOT C SCHEDULED 114 cel 1000 PERMIT NO. COMPLETE ADDRESS 1 tow OWNER CONTR. W' TELEPHONE NO. (0 (.0X0 DESCRIPTIONc ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O A--1- 1 ccO LL w QC L z C o, tg PSe.A, l2vtA,,2,Hr W W CC Z) O W WxWORK SATISFACTORY.PROCEED ❑ PROJECTCOMPLETE W W 11CORRECT WORK&PROCEED F-1ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � .—f�,—i L� S White Copy/Inspector's File Canary Copy/Site Notice r-- q 5e4— DATE TIME , CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED 42:_22 AM PERMIT NO. f!! 2& LETED �- ADDRESS XT-S 4O 10 �'n"�J• OWNER CONTR. 1 TELEPHONE NO. - �7 �- 70 - ) 0 DESCRIPTION _ C/ tU ❑ FOOTING ❑ MECHANICAL RI E] EXCAV/GRADING/FILLING Q ❑ FRAMING „MECHANICAL FINAL ❑ LAKESHORE/WETLANDS h ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS 1-1DEMO-SITE ElSEPTIC MAINT. El COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W a f AJQ QC 0 W cc Q z W Z W QC d WU ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si t,4 _ Inspector. E White CopyMspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTISCHEDULED PERMIT NO. COMPLETED ADDRESS 94r, S ' OWNER gcb CONTR. TELEPHONE NO. 70 q3902� DESCRIPTION �l FI naX ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W CL cc J O cc O UL W cc Q Z W W CC d WCC ARK SATISFACTORY:PROCEED 1-1 PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CA LTO ARRANGE ACCESS. Call for the next nspection 24 hours in advance. (952) 249-4600 Owner/Con r it Inspector. White Copy/Inspector's File Canary Copy/Site Notice