HomeMy WebLinkAbout2002-P04819 - sewer & water connections � PERMIT
CI�TY OF ORONO
2.i�0 Kelley Parkway - PO Box 66 Permit Number: Po4si9
Crystal Bay, Minnesota 55323 Permit Type: seWer ana water Pe�t
(952) 249-4600 Date Issued: vi�i2oo2
SITE ADDRESS: ls2o Bohns Point Rd
Wayzata,MN 55391
PID: 09-117-23-33-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: �eu Plumbing OWNER: David&7odi Dalvey
3260 Gorham Ave 1520 Bohns Point Rd
Minneapolis, MN 55426 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM E SIGNATURE ISSUE� BY SIGNATURE
Copies: 1-File(Sienitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
(IIpdated 2/12/O1)
CITY OF.ORONO APPLICATION FOR UTILITY PERMITS
Bo1:'66 (2750 Kelley Parkway) SEWER/WATER
Ciystal Bay, MN 55323
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 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 Deparhnent(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.
JOB SITE ADDRESS: j ��� ,�O�-.!dJ S �D i NT �O��j
Occupancy Type: �Residential Commercial
Owner's Name: �L,��J �y �;l;`,�! G�r��l�' Phone Number:
Mailing Address: ��ZA "�:�.a�S �; l�lj• City:�����R.�'� Zip: � 4
Contractor's Name: N,�vt 't�LJY=1�j j•1��. Phone Number: y5�yZ�-��,��r
Mailing Address: 3�c�' ��,p R}��,�''� �V13 City: ��t.' �.-6i�r z� Zip: �'��'y'Z�
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PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $ ��,+ �
pipe size�inches; material� Schedule 40 air tested; cast iron
SAC Charge (2002 rate $1,200.00) must accompany all sewer permit applications unless prepaid. If not prepaid, a sewer
connection permit will not be issued.
Municipal Water Connection ($35.00 per stub) $
pipe size inches; material copper; other
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'
REQUIRED setback from sewer line =20'
PERMIT FEE CALCULATION �
1. Subtotal of above permit requested $ � .��. �
2. State Surchar�e $ .50
The State Building Code Division Surcharge of$.50 per permit must be
included for each well, sewer and water connection permit requested.
3. Posta�e & Handlin� (Only mail-in applications) $ �9-
4. TOTAL PERMIT FEE (add lines 1-3 above) $ 3 �;: ,�c
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.
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Signature of Applicant: C�.'�it,.�. i���-��� Date: � /� OZ
�//���y
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N �C? E - / SCHEDULED ' � '�{�
PERMIT NO. �-' �( COMPLETED '�D ���
ADDRESS � � C% �� -�
OWNER � D'��-�r�� CONTR. -�� �
TELEPHONE N0. �SZ ���.�/ � � �'�
� DESCRIPTION ��`J'��"`� ��--���~�-
� Ot 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
Z 04 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
v 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 YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� �'CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDEfl POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
Owner/Contra t r on site:
Inspector.
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