The URL can be used to link to this page

Home My WebLink About2007-P11410 - sewer disconnect PERMIT �CIT�Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11410 Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit (952) 249-4600 Date Issued: 9/10/2007 SITE ADDRESS: 1450 Bracketts Pt Rd Unit# Wayzata,MN 55391 PID: 11-117-23-33-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: TOTAL FEE: $ 35.50 APPLICANT: Metro General Services, Inc. OWNER: A1&Martha Reed 5790 Quam Avenue NE 1450 Bracketts Pt Rd St. Michael,MN 55376 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. 14-ee �f c�� APPLICANT PERMITEE SIGNATURE S ED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page l PERMIT .CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11410 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952) 249-4600 Date Issued: 9/7/2007 SITE ADDRESS: 1450 Bracketts Pt Rd Unit# Wayzata,MN 55391 PID: 11-117-23-33-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 0.00 S�� ,5° TOTAL FEE: $ 35;$0 APPLICANT: Metro General Services,Inc. OWNER: A1&Martha Reed 5790 Quam Avenue NE 1450 Bracketts Pt Rd St. Michael,MN 55376 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. I � � % / �� !t�_� APPLICA T PERMITEE SI NATU S UED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l � FOR CITI'USE ONLY "~�� Clty of Or'ono Date Received: Permit# �O��Q� P.O.Box 66 � �,�„ � 2750 Kelley Parkway ❑In-House SAC Determinat�on Form Completed �� i�'�,";. � Crystal Bay,MN 55323 �A �;�`,, ��,�.c; (952)249-4600 Approved By(If Required): ��,l�.,� `l�o� CITY OF ORONO– SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approvai by the Building Official and/or Public Works Uepartment*) (ALL PERMIT5- Mav be subiect to further review and mav not be issued when the application 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 Thaf A 1 �) �Residential(May Require Approval) � Commercial(Approval Required) 6 ` � New Connection � Additional Connection �Re-Connection � Repairs �'Disconnect � � Job Site/ Owner Information: Site Address: �� ! ��t�'��e-� �� d� � Owner: Mailing Address: City: ��l�N�� Zip: Home Phone: Alternate Phone: Contractor Information: . � , � �' l 'LG_�=v cL' r�'-�'-z� � /� Contractor: /y��/ ``G C.i�st.��'�"� Contact Person: � � Z �" `�/ � � Address:,.,j'� �Q ��' State License #: n� - / ��7 T�= / City: s�'//`�L� ci�'F Zip:�7�� ' Expiration Date: 6 Z .� �-,�� Phone: �� ^ y� � � �J?g Alternate Phone: L'�C`-��Z �t�,��`—��lG � �x � �� ' ' �` DETERMINING PER:11!II F��°� 'u ; � ,.,� . ,. �� 5 �� .�� ,;<,�� ' ,: � � 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) �Sewer Connection isconnect epair($35.00/Per Stub) $ Pipe size i , er�a Schd 40 air tested; 0 cast iron ❑ Water Connection �s e epair ($35.00/Per Stub) $ ' Pipe size inc , ria Schd 40 air tested; 0 copper 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ADDITIONAL INFORMATION -WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate vermit. ■ 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. / � �7 Applicant: Date: L � Reset Form �� \y � � G� � DAT TIME � C�TY OF ORONO �` CALLED IN � ��'�` T`� INSPECTION N TICE scHE�u�E� ' "' PERMIT NO. I � � COMPLETED ADDRESS � �S� ��'C�C)�� {�S � ��C� OWNER CONTR. ��P f�? C—�'��'1G'� , TELEPHONE NO. f � � � �t�� — I �;��C ��-'' � DESCRIPTION �'L�� S�C��I�C.� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL r 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOFi TO MEET YOU:�YES_NO � COMMENTS: � W a � J O >. � O � W � Q � � � Z W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8�PROCEED � W _ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Cail for th next inspection 24 hours in advance. (952� 249-4600 OwnerlContr�.efe n site: Inspector. White Copylinspect r's File Canary CopylSite Notice