HomeMy WebLinkAbout2000-P02812 - sewer connection '' � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2gi2
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(612) 249-4600 Date Issued: s�i4�2oo
SITE ADDRESS: 680 Brown Rd S
WAYZATA,MN 55391
P I D: 03-117-23-43-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Sewer Connection
Permit Type: Sewer and Water Permit
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,]35.50
APPLICANT: Thompson Plumbing OWNER: M J OTT&S B OTT
15001 Minnetonka Ind. Rd 680 BROWN RD S
Minnetonka,MN 55345 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WTTH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI ANT PERMI EE I NATU ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GENERAL INFORMATION
l. 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 cazd is available on the job site.
�. 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
Deparhnent. 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.
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JOB SITE ADDRESS:�o �U �'..�I�o�.��v i'S D.
Occupancy Type: — Residential Commercial
Owner's Name: �7�, Phone Number: Lj7y- � 7 7�
Mailing Address: City: 7�p:
Contractor's Name:�lc c:��•� lvr�?•iv,Yc �� Phone Number: � 3 3-) 7��
Mailing Address:�S�i �.m�,�,�K, �d 20 City:�t t•` �� 7ip: SS 3 YS
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size�_incl�ies; 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 that all statements made on this application are complete,true and correct.
Signature of Applica • �-�t "'� Date:�l�C�-�ooa
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION �OTICE SCHEDULED 11-i7—� `t��
PERMIT NO. � � I�� connP�ETE� �I`� �- ��-' y` `'�''
ADDRESS �� B��►'� QCP� �o��-
OWNER � CONTR.��PSOri /���9
TELEPHONE NO.
� DESCRIPTION S�l-dE� ��K"7'
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 tAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 4 EWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call fo e next in ection 24 hours in advance. 249-4600
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DATE TIME
CITY OF ORONO CALLED IN l�l�(-OO (2�00
INSPECTION �OTICE SCHEDULED I1-16-00 �l:3`t�
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TELEPHONE NO.
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Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Inspector. �
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PERMIT NO.`�'�`�� '� COMPLETED `
ADDRESS ��� ��6L`-�� � S .
OWNER CONTR���r�`—�����_
TELEPHONE N0. ��^77I�
� DESCRIPTION �'(�C- 5�wE2 �'v � �e�-(-1�07'�
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� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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� 07 DEMO-SITE MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE AC S .
Call for the next ins e ' �2 urs in advance. 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ��`'f-°� �/-�d
INSPECTION OTICE SCHEDULED g-�5-� � •�� �
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TELEPHONE NO.
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. -UP 17 SITE INSPECTION
Q OS FINAL 14 S ER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 IC MAINT. � 21 COMPLAINT
J 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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Call for the next' spection 24 hours in advance. 249-46��
OwnerlCon ac r on te•
Inspector.
White Copyllnspector's File Canary CopylSite Notice