HomeMy WebLinkAbout2002-P05083 - sewer connect PERMIT
C,�T�!. O F O RO N O Permit Number:
27 0 Kelley Parkway - PO Box 66 Posos3
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit
(952) 249-4600 Date Issued: ai24izoo2
SITE ADDRESS: 1180 Heritage La Aly
Wayzata,MN 55391
P I D: 10-117-2 3-13-0002
DESCRI PTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Pernut Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Highview Plumbing Inc. (See Comments) OWNER: Lowe117anke
4301 Highview Pl 1180 Heritage La
Minnetonka,MN 55345 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.
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APPL[CANT PERMITEE SIGNATURE ED BY S[GNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�l.;pdated 2/12/O1)
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Bo� 66'�2�150 Kelley Parkway) SEWER/WATER � b
Crystal 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.
�. 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 ofthe Public Works Deparhnent. 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: I � � P�'.
Occupancy Type: Residential Commercial
Owner's Name:_�o�✓��� � i�h�rc<<� J�N��� Phone Number:_y,�� -y 7,3 -Q 7,Z�
Mailing Address: �1�'O i-1�,R � ��1 c�� ,t���' City: G(:��v�� Zip• ,5-1'3 ��'�
Contractor's Name: }{lv H U��w �'�!� Phone Number: �5�-4.3 3�;�6 vc=;
Mailing Address: �-c 3c� l�-1 u�� U�r�u ('�.J��� City: rn�-«>� Zip: ,��3`�J
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size�_inches; material 7J�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. Postage & Handling (Only mail-in applications) $ 1.50
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 application are complete, true and correct.
Signature of Applican � ` � ���-�.-•�� Date: � ��/ —U�
� `����L�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION�T,�v � SCHEDULED - -�� //. 30
PERMIT NO. � COMPLETED " S-�'�' I�'•.C'U
ADDRESS � %�� °t�
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OWNER CONTR. � ^
TELEPHONE N0. __�S� — �.� -�— g�o �� ,v
� DESCRIPTION �e�`��� ��'�IC` �-'p
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-� 17 SITE INSPECTION
Q 05 FINAL `14 SEWER HOOK-UP�� O6 PROGRESS
� 07 DEMO-SITE PTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVEF REMOVAL
J 10 PLUMBING FINAL 36 FOUN�ATION/REMOVAL
Z OWNER/CONTRACTORTOMEETYOU:�YES_NO ,� -�it� -�
� COMMENTS: �'�L� t�:�,k5 ��Mp��� �. l�-�t� �'1e� ,
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� ❑WORKSATiSFACTORY:PROCEED �PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 952) 249-46�0
OwnerlContractor on site: u'`'��`'��•-- f ��^^ i�
Inspector.��r�� ��'�
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