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Home My WebLink About2004-P08147 - sewer/water disconnect CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Posi4� � Grystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit (952) 249-4600 Date Issued: li�t�2oo4 SITE ADDRESS: 3015 Casco Point Rd Wayzata,MN 55391 P I D: 20-117-23-34-0003 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Disconnecti� DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 1.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: Widmer Construction LLC OWNER: R Laurie 9455 County Rd. 15 3015 Casco Point Rd Maple Plain,MN 55359 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 SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. —� i /� ��t� ,�—��'n � `�� l� APPL[CANTPERM[TEESIGNATURE ISSJ DBYSIGNATURE Cooies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 (Updated 1/5/04) CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER& SAC Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply far utility percnits by mail or in person at the City offices. � 2. Mailed in applications are subject to the postage and handling fee shown below. Pernut 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 Deparhnent. 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. JOB SITE ADDRESS: s v�-� C�=��, � c��-1�- Occupancy Type: l�Residential Commercial Owner's Name: Phone Number: Mailing Address: City: Zip: Contractor's Name: Gc%d�� c��S'r��-cr��,�� Phone Number: �'.��--9s'S"�o G� MailingAddress: -1�/,S',S' �-�v�iy /��i,= City:��?.i��- Zip: s sJ�� PERMIT TYPE ❑Connections ❑Repairs �bisconnect (Check One) SAC Charge (2003 rate $1,350.00) $ (Set Rate) Sac Charge must accompany all sewer permit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer Connection/Disconnect/Repair ($35.00 per stub) $ pipe size Ll inches; material �chd 40 air tested; cast iron Municipal Water Connection/Disconnect/Repair ($35.00 per stub) $ pipe size �� inches; material ��opper; other s WATER METERS must be picked up and paid for at City Hall. Water meters must be set and sealed by Orono Water Department (952-249-4600) upon completion of ineter installation. REQUIRED minimum setbacks from drain field and septic tanks = 75' REQU]RED setback from sewer line= 20' PERMIT FEE CALCULATION 1. Subtotal of above permit requested $ 2. State Surchar�e $ .50 (Minimum) The State Building Code Division Surcharge of$.50 per pernut must be included for each well, sewer and water connection permit requested. 3. Posta�e &Handlin� (Only mail-in applications) $ 1.50 (Mail In Only) 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 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 complete, true and correct. ,� Signature of Applicant: „� �� Date: ///—v�/ R �i�� DATE TIME � CITY OF ORONO CALLED w INSPECTION NOT CEQ �i SCHEDULED `` S-C7�� PERMIT NO. (i' / COMPLETED ADDRESS ��l S C��---5�" v ' �T- OWNER CONTR. L�/Y?1�1��'�Y12l� TELEPHONE N0. �(� � ��< '�...>?C! C1 � DESCRIPTION �V'� �"�I�'�: �� C � t/�i,1s�y, . lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �F � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07�EfG1�-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAI 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 � COMM�[,1TS: a �--5 Su C C � � � J o �'� s � � `� � � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REfNSPECTION �TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next in pection 24 hours in advance. �95Z� 249-46�� OwnerlContractor it : Inspector. �, White Copyllnspector's File Canary CopylSite Notice C'1" DAT /,� TIME � CITY OF ORONO �rv l� / / �v/ INSPECTION NOTICE '/ —7 SCHEDULED ///��f � PERMIT NO.��I T' / COMPLETED ADDRESS �l � �,��J �" OWNER CONTR. �� , i�„��Dlt� —�_-� TELEPHONE N0. � � �� Q Z � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 YO�YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED [i PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on si�e: Inspector. White Copyllnspector's File Canary CopylSite Notice