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Home My WebLink About2004-P08296 - sewer/water permit � � CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Pos296 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: i2�i6i2oo4 SITE ADDRESS: 3015 Casco Point Rd Wayzata,MN 55391 P I D: 20-117-23-34-0003 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Sewer&Water Connections Permit Type: Sewer and Water Permit 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: 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 STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �� -.-�-�.� r � �--- _ � � PPL[CANTPERMITEESIGNATURE [SSUEDBYSIGNATURE Copies: 1-File(Si�nitures Required), 1-Avolicant, 1-Monthlv Reports, 1-Assessing, 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 GE\ERAL INFORMATION L You may apply for utility pernvts by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and haudling fee sho��i below. Pemut cards will be sent by retuni inail 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 penlut card is available on the job site. 5. Utility comiection pernuts may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for utility snib 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 pemut does not grant this approval. 7. All work nuist be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Call(952)249-4600, 24 houi-notice required. JOB SITE ADDRESS: .��'lS� �-��f�v �% �'�'�� Occupancy Type: � Residential Commercial Owner's Name: '� � /1-•>��/'✓ Phone Number• �� -��'�� ' :��—'� i�=-- Mailing Address: City: Zip: Contractor's Name: Gc.=!�1,�� -�,��;,z..�„.,,,. `;�c� Phone Numbei: y.s� %:s�-`s�rl� . Mailiug Address: �y.�s�" �lz�l<< /-�"- City;��.f�s�"��<� 7ip: .�s=�.s� PERMIT TYPE ��'�oiinections ❑Repairs ❑Disconnect (Checic One) SAC Cliarge (2003 rate $1,350.00) � (Set Rate) Sac Ch.arge must accoinpany al] sewer pet7nit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Muuicip�l Sewer Connection/Disconnect/Repair ($35.00 per st��., �. pipe size_�iuches; inaterial /�hd 40 air tested; �ast iron Municipal Water Connection/Disconnect/Repair ($35.00 per stub) $ pipe size� inches; material�opper; other WATER METERS nnist be picked up and paid for at City Hall. Wate►• meters must be set and sealed by Orono Water Department (952-249-4600) upon completion of ineter installation. REQUIRED minimum setbacics from drain field and septic tanlcs = 7S REQUIRED setback from sewer line = 20' PERMIT FEE CALCULATION 1. SuUtotal of above pernlit requested $ 2. State Surchar�e $ .50 (Minimum) The State Building Code Division Surcharge of$.50 per perntit must be included for each well,sewer and water connection pernut 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 accardance with the ordinances of the City and the regulations of the State of Mim�esota, and certifies that all statements made on this application are complete, true and correct. Si�ature of Applicant � L/�—�-�.�--� Date: ��:l-:i,/ �.�" � D_Ay E TIME ✓ CITY OF ORONO CALLED IN �� ( � INSPECTION TICE SCHEDULED � ' � PERMIT NO. � � COMPLETED �- ` ,`�t � � � t/ ADDRESS �� (T?" OWNER CONTR. ��C�'W(�� TELEPHONE NO. ��Z g�S� 5D�0 � � DESCRIPTION ��e�GV`P�t�� w��t� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 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 O6 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/CONTRACTOH TO MEET YOU:�[YES_NO � COMMENTS: /` � ,:- � W — c� _. a ��''w C J � � � . �-� G',- j O � i r � � i"' f; , � � � � 4�� (' �. ��`. r `� c,� 't �� _ W � x � z Q .- c..� � r� z � �� w � •.r , � i � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED , ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. `� '�``.. r :.� .._._ _- White Copyllnspector's File Canary Copy/Site Notice �it_ ��' 16��.