HomeMy WebLinkAbout2008-P12087 (sewer and water) • �
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12087
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut
(952) 249-4600 Date Issued:
5/20/2008
SITE ADDRESS: 2500 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-21-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
New water&sewer connection
FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Westonka Sewer&Water OWNER: Ronald&Suzanne Vanacora
6501 Co.Rd 15 2500 Casco Pt Rd
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 CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURG ISSUED BY SIGNATURE
Copies: 1-File(Sigr�atures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITl'USE ONLY
f�J(�"���\ City of Orono Date Received: Pcrmit#
„O `�`Q�,; P O.Box 66
� �a tl 2750 Kelley Parkway ❑In-House SAC Determinat�on Form Completed
���1d ,l�`��- �� Crystal Bay,MN 55323
���� r.,V,�G`� (952)249-4600 Approved By(If Required):
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CITY OF ORONO— SEWER & WATER/GENERAL PERMIT
(*Note:Some permits may require approval by the Building Official and/or Public Works Department*)
(ALL PERMITS- Mav be subiect to further review and mav not be issued when the application is received)
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 fee shown below. Permit cards will
be sent by return mail within 2 business days.
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 ANI'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 (952)249-4600,24+hour notice required.
TYPE OF PERMIT
(Check All That A 1 ) �
�Residential(May Require Approval) � Commercial(Approval Required)
� New Connection ❑Additional Connection �Re-Connection � Repairs � Disconneet
Job Sife/ Owner Information:
Site Address: � �UC� �.�c;S�� T��i�� ���:
Owner: ,%�� v1 c, �a f�� Mailing Address:
City: Zip:
Nome Phone: Alternate Phone:
Contractor Information:
Contractor: w� ✓��''` Y' �`� Contact Person: ��i-� ����-%�' �
Address: �j�`�( �� ,�'c� (� State License #: 1��y/��''�
City: �1r�t�"��C�� Zip:S� -�'YExpiration Date: ����3��C��
Phone: ��'TS-� I �7�' �g S7 Alternate Phone: �(O �a �`�� " � � � /
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DETERMINING 1'ERIVIIT FEES
� SAC Charge(2007 Rate=$1,675.00) $
(SAC Charge must accompany all sewer permit applications unless prepaid)
(Orono City Staff can determine if applicable)
(If not prepaid,a sewer connection permit will not be issued)
�Sewer Conne ►on/Disconnect/R�ep�+r($35.00/Per Stub) $
Pipe size�inches;material 7� Schd 40 air tested; 0 cast iron
�Water Conne tion/Disconnect/Repair($35.00/Per Stub) $
Pipe size�inches;material Schd 40 air tested; � copper
1. SUBTOTAL of Permit Requested: $
2. STATE SURCHARGE $ .50
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
ADDITIONAL INFORMATION -WATER METERS
■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit.
• WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon
completion of ineter installation.
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, true and correct.
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Applicant: � Date: �� �'j �
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CITY OF ORONO �cALLED IN 20 O
INSPECTION TICE/� SCHEDULED D �3: B'O
PERMIT NO. � v COMPLETED
ADDRESS
OWNER CONTR. (�i/ �-S
TELEPHONE NO. ` "' �`� ` ��l ' �7
� DESCRIPTION �
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� WALL BD. WATER HOOK-UP
Z ❑ � ❑ SITE INSPECTION
Q ❑ FINAL �SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE �❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�WORKSATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETl1RN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours irt advance. �952� Z49-4600
OwnerlContractor on site:
Inspector. �
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White Copyllnspector's File ��Q v l Canary CopylSite Notice
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�ATE O� TIME
CITY OF ORONO CALLED IN ul ,,/
INSPECTIO^�OTICE}�'�] SCHEDULED � v6 a-�—�
PERMIT NIJ� v I COMPLETED
ADDRESS 0�5� � -
OWNER - CONTR. ._
TELEPHONE NO. � ��0�-7`������ S�`
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� DESCRIPTION
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ OOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL EWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W .� I WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑COFRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46�0
Owner/Contractor o sit :
Inspector_ ���-
White Copyllnspector's File Canary CopylSite Notice