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HomeMy WebLinkAbout2007-P10779 (sewer & water) PERMIT CITY OF ORONO 2750 Ke:!ey Parkway- PO Box 66 Permit Number: P10779 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952) 249-4600 Date Issued: 2/20/2007 SITE ADDRESS: 2590 Casco Pt Rd Unit# Wayzata,MN 55391 P��� 20-117-23-21-0034 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection ��-�n"`�� DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 70.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 72.00 APPLICANT: Final Grade,Inc OWNER: JimButts 3441 Bluff Dr 11266 Landing Road Jordan,MN 55352 Eden Prairie,MN 55347 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. < ` /-_ �-Y�%�"�l `'�' APPLICANT PERMITEE SIGNATURE [S D BY SIGNATURE Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 , FOR CITY USE ONLY Clty of Orono Date Received: Permit# O���O P.O.Box66 2750 Kelley Parkway ❑In-House SAC Determination Form Completed � ; "x- �+'' Crystal Bay,MN 55323 ''� '- '.yc`; (952)249-4600 Approved By(If Required): ..�C8Hp4�. �: 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 aaalicatian 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 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(952)249-4600,24+hour notice required. TYPE OF PERMIT (Check All That A ly) �Residential(May Require Approval) ❑Commercial(Approval Required) �New Connection ❑ Additional Connection �Re-Connection � Repairs ❑ Disconnect Job Site/Owner Information: Site Address: 2590 Casco Point Road Owner: On The Level Mailing Address: 2638 Shadow Lane Suite 100 Chaska 55318 City: Zip: Home Phone: Alternate Phone: �952) 368-4663 Contractor Information: Final Grade, Inc. Stephanie Fern Contractor: Contact Person: Address: 3441 Bluff Drive State License#: 1442 Jordan 55352 City: _ Zip: Expiration Date: (952) 492-5100 Phone: Alternate Phone: 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) 35.00 �Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size � inches;material X Schd 40 air tested; � cast iron �❑Water Connection/D:sconnect/Repair(�35.00/Per Stab� $ 35.00 Pipe size � inches;material X Schd 40 air tested; copper 1. SUBTOTAL of Permit Requested: $ 70.0� 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 72•0� 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. � Applicant: Date: � � Reset Form I'� �j: DATE TIME CITY OF ORONO CALLED IN INSPECTION NO CE L� SCHEDULED PERMIT NO. �`� � � J COMPLETED � � � ADDRESS ��-1� ��5�� -� � OWN ER CONTR. TELEPHONE NO. � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 1 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 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 � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: �'E � W C � r o � � 0 � W � � Q � Z W � W � j d W� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-4600 OwnerlCon n site: Inspector. White Copylinspector's File Canary CopylSite Notice