HomeMy WebLinkAbout2001-P04092 (sewer & water connect) } � ' PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po4o92
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit
(952) 249-4600
Date Issued: ��l�i2oo�
SITE ADDRESSe 3195 Casco Cir
Wazyata, MN 55391
P ID: 20-117-23-43-0023
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Sewer& Water Connection
Permit Type: Sewer and Water Permit
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Westonka Water& Sewer OWNER: 1'aul& Leann Hanssen
6501 County Rd 15 3195 Casco Cr
Mound, 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 C REQU[REMENTS.
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APPL ANT RM[ SIGNATURE ISSLTEDBYSIGNATURE �
Copies: 1-File(Signitures Required), 1-Appficant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
. � (U�:iated 2/12/O1)
CITY OF ORONO APPLICATION FOR UTILITY PER�VIITS
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 o�ces.
2. Mailed in applications are subject to the postage and handlin�fee 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 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(9�2)249-4600.
24 hour notice required.
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JOB SITE ADDRESS: S�� � C�SLD �o��� �( �C- P
Occupancy Type: _ � Residential Commercial
Owner's Name: 1.� /}�,� ��-4�t Se�l Phone Number:
Mailing Address: City: 7ip:
Contractor's Name: es�'o n . Phone Number: 5� � �f�-�� �
Mailing Address: (9��C Co� �2 , f S City: ��'u��c( 7�p: �'S.3'�5�
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub� _� $
pipe size�_inches; material �� Schedule 40 air tested; cast iron
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SAC Charge (2000 rate $1,150.00) 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 c pper; other
WATER METERS must be picked up and pa� Cin� Hall.
Water meters must be set and sealed by Orono `�'ater Department (952-249-4600) upon
completion of ineter installation.
REQUIRED minimum setbacks from drain field and septic tanks= 75'
REQUIRED setback from sewer line = 20'
PERMIT FE� CAL�ULATION
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 & Handlin� (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 wark in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on thi are complete,true and correct.
Signature of Applicant: Date: � / ?' ��
' / DATE TIME
CITY OF ORONO v CALLED IN
INSPECTION NOT E�/ SCHEDULED
PERMIT NO. O �`"���Z._COMPLETED 7'��'Q� �0
ADDRESS��`G � �� C-/�''
OWNER CONTR. '
TELEPHONE N0.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 HOOK-UP 17 SITE INSPECTION
Q OS FINAI WER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAI . 21 COMPIAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W�'VORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECT�ON REQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contr or on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice