HomeMy WebLinkAbout2008-P11806 (sewer & water) PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley Parkway - PO Box 66 P11806
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit
(952) 249-4600
Date Issued: 1/14/2008
SITE ADDRESS: 2500 Casco Pt Rd Unit#
Wayzata,MN 553)1
PID: 20-117-23-21-0010
DESCRIPTION:
Proposed Usc: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Disconnecti�
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 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 STR[CT COMPL[ANCE WITH ALL C1TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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, '�I'PEI IT . GNATURIi ISSLiI:D 13Y SIGNATURE
Copies: 1-File(Signatures Requir-ed), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
�`,����,� Clty Of 01'ollo Date Received: Pennit#
�O "rp;, P O Box 66
i� x, � 2750 F:elley Parkway ❑In-House SAC Determination Form Completed
�,� i�� �-r �i Crystal Bay,MN 55323
�'x'�r ��G`J (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 thc Building Official and/or Public Works Department*)
(ALL PERMITS- Mav be subiect to further review and mav not be icsued when the aoplication 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. Utiliry eonnection 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. lssuance 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 "��Disconnect
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Job Site/Owner Information:
Site Address: � �(�� � Q ���,7� ���
Owner:�p�( (,a�� c��r�, Mailinb Address:
CitY� Zip:
Home Phone: Alternate Phone:
Contractor Information: �
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Contractor: �� �,�1��; C� Contact Person: ��('���✓[ �_���� �%
Address G�C�� �� � 15 State License #: ��f�G�1
Cit}': ��L'�C� Zip:���'YExpiration Date: I�- ��-� �
Phone: <��� �f7a-Y��� Alternate Phone: �d l� �y�- c7� S
DETERMINING PERMIT 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 Connec 'on ' nec Repair($35.00/Per Stub) $
Pipe size�inches;material Schd 40 air tested; � cast iron
❑ Water Con ction � ect/Repair($35.00/Per Stub) $
Pipe size�inches;material Schd 40 air tested; 0 copper
1. SLJBTOTAL of Permit Requested: $
2. STATE SURCHARGE $ .50
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMTT 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 V1'ater 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 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 th' a�plication are, true and correct.
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Applicant: ' �� - _ Date: � ���' � �
Reset Form
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DAT c�� TIME
ITY OF ORONO CALLED IN � � X
INSPECTION OTICE SCHEDULED [� /-` D�
PERMIT NO. ��� �� COMPLETED
ADDRESS ��D ��� �� �"�
OWNER CONTR. �/
TELEPHONE NO. �JS� — �7 a - ��S
� DESCRIPTION �/���' N ��� �S�"���
�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMEAJTS:
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W� �WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CdRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN r7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor site:
Inspector. '
White Copyllnspect 's File Canary Copy/Site Notice