HomeMy WebLinkAbout2004-P08309 - sewer and water CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos3o9
Crystal Bay, Minnesota 55323 Pe►-mit Type: Sewer and water Permit
(9��2) 2�+�-4600 Date Issued: i2�2i�2ooa
SITE ADDRESS: 2300 Bayview Pl
Wayzata,MN 55391
P I D: 17-117-23-44-0096
DESCRI PTION:
Proposed Use: Residenrial
Pernut Class: General
Pernut Sub-type(s): � `.�� �� �Z� ����
Pernut Type: Sewer and Water Permit
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Barflcnecht Excavating(See Comments) OWNER: Clair Rood
9201 Co.Rd 26 2300 Bayview Pl
Maple Plain,MN 55359 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
/
� � � �/�i/
APPLICANT PERMITEE SIGNATURG SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
(Updated 1/5/04) E
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER & SAC
Crystal Bay, MN 55323
,�
GEl��ERAL INFOR'VIATION
1. You may apply for utility pemuts by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fee sho�m below. Peinut 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 pemut card is available on the job site.
5. Utility comiection pernuts may Ue issued to licensed contractors only.
6. �:-Eontact the Public Works Department(952-249-4600)for utility shiU as-built locations. DO NOT EXCAVATE IIvT ANY STREET AND
DO NOT TAP ANY MAIN�vithout e�cpress approval of the Public Works Department. Issuance of a pemut does not grant this approval.
7. All work must be done in accordance witli State Code requirements. �
�. All work must be inspected before it is covered. Call(9�2)249-4600,24 how-notice required. 4
JOB SITE ADDRESS: , (J �i � ' � ' �
Occupancy Type: � ✓ Reside tial Commercial
O��ner's Name:�;��,n� �f���� /�,�F�5� �� Phone Number:
Mailing Add►-ess:�^ City: Zip: -
Contractor's Name:��j�������.�,-Z- �c���.�-h nc.�. Phone Number:
Mailiug Address: �-f�� �(� ,/Z��-3(p � City: � �i�� 7ip:rj5,3 -r'�- �
PERMIT TYPE �Connections ❑Repairs ❑Disconnect (Check One)
SAC Cl�arge (2003 ►•ate $1,350.00) $ (Set Rate)
Sac Charge must accompany al] sewer pennit applications unless prepaid.
(If not pi•epaid, a sewer connection will not be issued)
Municipal Se�ve�• C nnection/Disconnect/Repair (�35.00 per stub) $
pipe size�inches; material '✓" Schd 40 air tested; cast iron
Municipal Water C.onnection/Disconnect/Re air ($35.00 per stub) $
pipe size �'--��� inches; material�opper; other
�
WATER METERS must be picked up and paid for at City Hall.
Water meters must be set and se�led by Orono Water Department
(952-249-4600) upon completion of ineter installation. _
REQUIRED minimum setbacks froin drain field and septic tanks = 75'
REQUIRED setback from sewer line = 20'
PERMIT FEE CALCULATION
1. SuUtotal of above pennit requested $
2. State Surcharae $ .50 (Minimtun) �
,
The State Building Code Division Surcharge of$.50 per pernut 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
accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements
made on this applicatioi e complete, tiue and conect.
Si��ature of Applicant: v � Date: -✓ �
�� �_' DA Ee / —� TIME �
CITY OF ORONO �� CALLEO IN � (�
WSPECTION NOTI E /� SCHEDULED �. ����
PERMIT NO. ��/ / COMPLETED
ADDRESS � 3� /�-x-wI CJ%�-v �
OWNER CON�TR.� ✓�/4.'-�y! i C.L
TELEPHONE NO. f�' �-O G�-� 4���-
� DESCRIPTION /'� �
� 01 FOOTING 11 MECHANICAL RI 18 EX /GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LA ESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:• YES_NO
� COMMENTS:
�
W
a
� O �O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED rl ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contrac r site:
Inspector.
White Copyllnspecto's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED lb�I� -�i �
ADDRESS Z.3d� �i4c¢ �i��r ���
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a �- Prl,o v ��6-e ���(�., �,✓� Ge�.� Y�}- s � c(� �
� s��r --�
0
'� ��2 T o�� G✓/t-
�
0
�
w
�
Q
ti
z
w
�
W
�
j
d
W ❑WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. �� pH0T0 TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor
Inspector.
Whit opyllnspector's File Canary Copy/Site Notice