The URL can be used to link to this page

Home My WebLink About2000-P02739 (Sewer Connection) � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po2�39 Crystal Bay, Minnesota 55323 Pe►'mit Type: Sewer and Water Permit (612) 249-4600 Date Issued: ��26�200 SITE ADDRESS: 1449 Bay Ridge Rd WAYZATA,MN 55391 P I D: 10-117-23-34-0003 DESCRIPTION: Proposed Use: 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: coPPIN PLUMB�rr� OWNER: ��& �s wESTBv 5089 SHORELINE DR 1449 BAY RIDGE RD MOLIND, MN 55364 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. �- � ��, ��.�1 APPLICANT EE SIGNATURE ISSUED BY SIGNATURE 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 cazds 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 Deparhnent(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. Ca11249-4600. 24 hour notice required. JOB SITE ADDRESS: � ��`��~ �1� �'�` �� ° '��`�'� Occupancy Type: �/ Residential Commercial Owner's Name: j Y� � C ' �, �f ti � � `, ,r,� �Phone Number: Mailing Address: City: 7�p: Contractor's Name:LL ;' � ', �: �� -,,-, : ;.-- Phone Number: �-{-� a. �-'�1 �� Mailing Address:�`� ��, �1-,�� l�, �� City: ,ti )�..��,�,�, Zip:"h� PERMIT TYPE Municipal Sewer Connection ($35.00 per stub) $ pipe size�inches; material ��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 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 permit 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 t t all statements made on this application are complete,true and correct. -� �� ' �� Signature of Applican : �.� Date: DATE TIME CITY OF ORONO CALLED IN 7~��`v� INSPECTION NOTICE SCHEDULED ��r � ��. ��'� PERMIT NO. POs�-?<�`� COMPLETED `E�F-�--- / ADDRESS /Y��.Y °''�'X�� OWNER CONTR. �.�D�� TELEPHONE NO. �7�� DESCRIPTION ly� 01 FOOTWG 11 NIECHANICAL 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. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL EWER HOOK-U i'�G-(��(� O6 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � � Z W � W � � GW�WORK SATISFACTORY:PROCEED �/PROJECT COMPLETE �� ❑CORRECT WORK 8 PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. 249-460� OwnerlContr or on site: Inspector. //l__ ��, S White Copyllnspector's File Canary CopylSite Notice `-�� DATE TIME CITY OF ORONO CALLED IN g �• �� INSPECTION NOTICE SCHEDULED �� .`G?� PERMIT NO. ��r� �� " COMPLETED ADDRESS � � , p.� � � OWNER �-�'� CO TR. �-L�2�� -c-��r�co� TELEPHONE NO. �7 7� - � � 7<Y � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 �IIf�IIP'—�� 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU: • YES_NO Z � COMMENTS: � � � � _ � . . a � 1� � O • ; � O � W � Q � Z W � � �' � d ❑WORKSATISFACTORY:PROCEED n PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WiLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor o '" Inspector. � White Copylinspector's File Canary Copy/Site Notice