HomeMy WebLinkAbout2000-P02580 (Sewer/Water Connection) �'''�' PERMIT
C'ITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2sgo
Crystal Bay, Minnesota 55323 Pet'mit Type: Sewer and Water Permit
(612) 249-4600 Date Issued: 6i2oioo
SITE ADDRESS: 1392 Baldur Park Rd
WAYZATA,MN 55391
P I D: 0 8-117-23-31-0003
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
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TOTAL FEE: $ ��gg
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APPLICANT: PLUMBING PLUS INC OWNER: D LINDBERG& P R LINDBERG
340 MICHIGAN AVE 1392 BALDUR PARK RD
HUTCHINSON, MN 55350 WAYZATA MN 55391
THE UNDERS[GNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI1Y OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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A L ANT PERM EE SIGN TURE ISSUED BY SIGNATURE� �
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Copies: City,Applicant, Assessor, Finance Page 1
,� CITY OF ORONO APPLICATION FOR UTILITY PERNIITS
i Bog 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay,MN 55323 �� ;� ��L�
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 pernut 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
Departrnent. Issuance of a pernut 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. Ca11249-4600. �
24 hour notice required.
JOB SITE ADDRESS: !,3�1 Z IJ A I �V- ��r l� � O
Occupancy Type: ✓ Residential Commercial
Owner's Name: Phone Number:
Mailing Address: City: 7ap•
Contractor's Name: v� u5 � ,,��, Phone Number: 3� o S'� � �� �3 a
Mailing Address:�1 O r'V\�c_�� . ,�.J l�.�.A. City: ` 7�: �3�
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $�`�,c�°
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 ineter 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 Surchar�e $ .50
The State Building Code Division Surcharge of$.50 per permit must be
included for each well,sewer and water connection pernut requested.
3. Posta�e& 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. l I;
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Signature of Applicant: Date: ' O a� ;
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CITY OF ORONO CALLED IN (Q Dv�/—C p �IM��
INSPECTION N�ICE SCHEDULED ��-�°d �'�'
PERMIT NO. � �-�g� COMPLETED 1��� ��
ADDRESS .3 �-��- �� '�� ��
OWNE ��Yu�%G--�''� CONTR. -��� �"
TELEPHONENO. ���— �� �-j - ��-
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL _ 4 SEWER HOOK-UP� 06 PROGRESS
� 07 DEMO-SITE `� 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUN REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d ❑WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE
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� ORRECT WORK 8 PROCEED u ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
C7 CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
-; CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on ite:
Inspector. � �
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