HomeMy WebLinkAbout2007-P10787 (sewer & water connection) PERMIT
C�TY OF ORONO
27�50 Kelley Parkway- PO Box 66 Permit Number: P10787
G4ystai Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued:
2/26/2007
SITE ADDRESS: 3295 Carman Rd Unit#
Excelsior,MN 55331
PID: 20-117-23-14-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 70.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Freedom Mechanical OWNER: Mr. &Mrs. Thomas Lowe
11135 Hwy. 7 3295 Carman Rd
Watertown,MN 55388 Excelsior MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE �
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
P'0�2 CITY LiSL ONI.1' (�'
/:�0"� City Of Orono Date Rcceived:�" �U� Pcnnit# �/�7Q �
/, � ����� P.O.Bo�66
1,�,, �\i� 27�0 Kelley Parkway ❑In-House SAC Detennination Form Completed
�� i�``'�� �*�� Crystal Bay,MN»323
��s ��, �r c! (9>2)249-4600 Approved By([f Requircd):
\`�''kFax��E'
C1TY OF ORONO—SCW�R & WATER/GEN�RAL P�RMIT
('`Note Somc permits inay requirc approvll bv thc[3uildin�O1�Cicial and/or Public Works Depnrtincnt*)
(ALL PfR14I7'S- biav bc subicct to ftn'thcr rc��iew�ind m;rv not be issuctl�ti-hen Ihc o-�nqlication is rccciced)
GENERAL 1NFORMATION
1. You may apply for utility permits by mail or in person at the City offices.
2. Mai(ed in applications are subject to the�ostage and handlin� fee sho�vn belo��. Permit cards���ill
be sent by return mail �vithin 2 business days.
3. Permits�re not valid �uitil you receive a permit c�rd.
�i. Work must not begin unless the pertnit card is available on the job site.
5. Utility connection permits may be issued to licensed contractors only.
� � 6. Contact the Public �Vorks Departil�ent(952-249-4600)for utility shib as-built locations.
DO \'O"T E\CAVA7'E IN ANY STR�ET AND ll0 NOT 7'AP ANl' 1�'If1IN withoirt express
approv�l of the Public �Vo�9cs Department Issuancc of a permit does not grant this approval.
7. All work must bc done in accocdance with State Code requirements.
3. All �vorl:must be inspected before it is covered. Call(952)2�9-=�600,24+how�notice required.
TYPC OF PERNIIT
(Check All That Apply)
�Residential(May Require Approval) � Commercial (Approral Required)
�, New Connection � Additional Connection �Re-Connection �� Repairs C] Disconnect
Job Site/Owner Infor►nation: I
Site Addcess: c�o2 �,j ��u-yu>-v �l
O���ner: U�C �77r�=-5 ivlailin� Address:
City: 7ip:
Home Phone: 1\Iternate Phone:
Contractor Information:
Contractor: }�'�2.��10-v� /�C� Contict Person: �c
Acldress: / / State Liceilse +: �—�0��Z
City: �i1/�it-���� _7,ip: 5��'E�pil-ation Date:
Phone: �ola 363 �1��' rllternite Phonc:
DETERMINING PERMIT FEES
[� SAC Chai•ge(2007 Rate=�1,67�.00) $
(SAC Charge must accompany all sewcr permit applicatio�ls unless prepaid)
(Orono City Staff can detcrmine if applicable)
� (If not prepaid,a se�ver connection ��ermit will not be issuccl) �
�Sew r Connecti /Disconnect/Itepair($35.00/Per Stub) �
pip inches; material Schd 40 air tested; 0 cast iron
�Wate•Connecti Disconnect/Repair(�35.00/Per Stul�) $
Pipe size inches; material__Schd 40 air tested; � copper
1. SUI3TOTAL of Permit Rec�uested: $
2. STA7'L-' SURCHAIZGE � •���
3. POSCAGE& HANDLING (Only on ivtail-In Applications) S 1.50
a. TOTAL PE121VIiT FEE (Add Lines 1-� Above) $
ADDITIONAL INFORMATION - WATER NILTERS
■ V1'A1'ER�IETERS must be picked up and paid for at Orono City Hall,these are on a separate permit.
� !Vf!'I'�R h'�FT'ERS m��sk be set and sealec� by Oirono Wate►� De���rtment (9�2) 2�t9-4600, upon
completion of inetcr install�tion.
The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrces 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: ��.�,�'�/ �GZ-. Date: � ,�2 -��
Reset Form
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� DAT �� TIME�/��
CITY OF ORONO CALIED IN ����
INSPECTION NO CE SCHEDULED ��(�) � •'�21
PERMIT NO. � � ���� COMPLETED
ADDRESS ��� �) L- Ci,'��'Yl GC��1 ��.
OWNER CONTR. F'-'��c.CG vc,+, .�'1�c�,� .
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-U 17 SITE INSPECTION
Q OS FINAL 14 SEyJER HOO - 06 PROGRESS
� 07 DEMO-SITE �SEPTIC MAINT. 21 COMPLAINT
� 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 MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL{NSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContr ite:
Inspector. ��
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