HomeMy WebLinkAbout2006-P10300 - sewer/water connections PERMIT
CITI' OF ORONO
2750 Ke�!�:y�Parkway- PO Box 66 Permit Number: P1030o
Crys'.�I Bay, Minnesota 55323 Permit Type:
Sewer and Water Pernut
(952) 249-4600 Date Issued: 9/12/2006
SITE ADDRESS: 2445 Dunwoody Ave Unit#
Wayzata,MN 55391
P��� 20-117-23-22-0011
DESCRIPTION:
Proposcd Use: Residential
Permit Class: General
Permit 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: $ 70.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: J S Stewart Companies, Inc. OWNER: Mark Schuehle
11099 Lamont Ave NE 2445 Dunwoody Ave
Hanover,MN 55341 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
MII��IESOTA BUILDING CODE REQUIREMENTS.
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PLICANT'PERMITEE SIGNATURE � ��
( ISSUED B SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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` FOR CI�'Y USE ONLY
��� City of Orono Date Received: ��1� Permit# �L��L
P.O.Box 66
��;;.�,,, � 2750 Kelley Parkway '❑In-House SAC Determination Form Completed
a j?s%�z�L � Crystal Bay,MN 55323
��l�'����i���o` (952)249-4600 Approved By(If Required):
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CITY OF ORONO -S�WER& WATER/ GENERAL PERMIT
(*Note:Some permits may require approval by the Building Ofticial and/or Public Works Department*)
(A1 L PERMITS- MaV be subiect to further review and mav not be issued�vhen the annlication is received)
GENERAL INFORMATION
1. You may apply for utility pennits 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 rehirn mail within 2 business days.
3. Permits are not valid until you receive a pernut card.
4. Work must not begin unless the permit card is available on the job site.
5. Utility connection pernuts may be issued to licensed conri-actors only.
6. Contact the Public Works Department(952-249-4600)for utility shtb 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 That Apply)
Residential(May Require Approval) ❑ Conunercial(Approval Required)
❑ New Connection ❑Additional Coimecrion �Re-Connection ❑Repairs ❑Disconnect
Job Site/ Owner Information:
Site Address: �--���� ,1J�K- �� � � �`-�1� � �Z
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
--� �- _ ��` �
Contractor: ��, � � S C�w��� Contact Person: �S S �
�
Address: ��U�J L �"^��-��"5tate License #: C���
City: �-�6�'�� Zip: '���L��Expiration Date:
Phone: �(o�"L�z�`�lU �U Alternate Phone: ��z - 3� � `���
�' DETERIVIINING PERIVIIT FEES- �
❑ SAC Charge(2005 Rate=$1,550.00) $
(SAC Charge must accompany all sewer pernut applications unless prepaid)
(Orono City Staff can determine if applicable)
(If not prepaid,a sewer connection permit will not be issued)
�Sewer Connection/Disconnect/Repair($35.00/Per Stub) $
Pipe size�inches;material�_C�chd 40 air tested; cast iron
�Water Connection/Disconnect/Rnepair($35.00/Per Stub) $
Pipe size / inches; inaterial ro�� Schd 40 air tested; copper
l. SUBTOTAL of Pernut 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 1�V1"ETERS
■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arate perniit.
■ 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 accord w' the ordinances of the City and the regulations of the State of
Min ota, and c tifie that all stat ents�ade on this application are,true and conelf.
;
Applicant: Datc:
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DATE TIME
CITY OF ORONO CALLED IN G�" � 'L"�
INSPECTIONN TI/C�E SCHEDULED �-��-G� — ' U �
PERMIT NO. �+''�UL� COMPLETED
ADDRESS w �"� � � W��-1c�
OWNER CONTR. _�- S Sfi.zw�.% r
TELEPHONE NO. C—� � � J� �� ����7
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� DESCRIPTION _ i !� S,(�k. �`('v � ��L��l u
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 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
Q 05 FINAL �SEWER�HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 b'EFi AINT. 21 COMPLAINT
J 07 DEMO-FINAI. 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW f�WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W �O CORRECT WORK&PROCEED ��ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTIONREQUIRED.CAL�TOARRANGEACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-46��
OwnerlCont ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
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� DAT TIME �
CITY OF ORONO CALLED IN ,
INSPECTION NOTIC SCHEDULED �
PERMIT NO. p I�:��� COMPIETED �
ADDRESS a�Ys U�1Wo���C 1� •
OWNER CONTR. � �1�'�`�
TELEPHONE NO. �(� � J?G��o � S � ��
� DESCRIPTION 5���lJ�'���t' /�hJ� �d�i����h
l� 01 FOOTING 11 ME HANICAL RI 18 EXCAV/GRADING/FILLING
� 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
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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED C:� PROJECTCOMPLEfE
� �Cl CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CAL TO ARRANGE ACCESS.
Call for the nex i spection 24 hours in advance. (952� 249-46��
OwnerlContrac si e
Inspector.
White Copyllnspector's File Canary CopylSite Notice