HomeMy WebLinkAbout2006-P09909 - sewer connect PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P099o9
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4�`(i0 Date Issued:
r 5/26/2006
SITE ADDRESS: 1190 Heritage La Unit#
Wayzata,MN 55391
PID: 10-117-23-42-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Sewer and Water Permit Permit Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 vatuation: $ 0.00
State Surcharge Fee: $ 0.50
SAC Fee: $ 1,550.00
TOTAL FEE: $ 1,585.50
APPLICANT: Highview Plumbing Inc. OWNER: Bruce&Melanie Flessner
4301 Highview Pl 1190 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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APPLICANT PERMITGE SIGNATURE ISSUED BY SIGNATliRE
Copies: 1-File(Signatures Reguired), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
FOR C1TY USE ONLY
^ ,1� City of Orono Date Received: Pemut ti
� ¢O`�` P.O_Boxb6 _
�' � '`�r ��. 4 1 2750 Kelley Parkway ~ ❑In-House SAC Determination Form Completed
, :��,' '- r Grystul BAY.MN S>323
' �'_ �.:_'-' � �' ' A oved By t Re uired):
1 � -. G� (y52)249-46(x� PPI (�' 4
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CITY OF ORONO—SEWER& WATER/GENERAL PERMIT
("Note:Some pennits may require approval by the Building Official and/or Public Works Department•)
(ALL PERMITS- Mav be subiect to further review and mav not be issued when the aonlication 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 wili
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 PERNIIT
Check All That A 1
�Residential(May Require Approval) ❑Commercial(Approval Required)
�New Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect
Job Site/Owner Information:
Site Address: ? � � � 17��'(f� �t��_�� l/' --�
Owner:�'rl�°LC�u e �CS�j���/' Mailing Address:
,-
c�ry: �v �n U Z�p: S s3 y l
Home Phone: � �� � C � � �f(-3 SAlternate Phone: (��l�- ��S -y S 3 �
Contractor Information:
,
Contractor: � � �����`� ��Un;�/� 5 Contact Person: � �� �����5�� 1�7
Address: �_�r/r��I1�IP.�.��''14� � State License#: �I�� �J�j��
City:
�/n�1�����t Zip����Expiration Date: �3� ��U �'
Phone: (./��� � `1� �`1 y� Alternate Phone: �� ��-�� ��� v
DETER.MINING PERMIT FEES
I r� �
_ SAC Charge(2005 Rate=$1,550.00) S �C� G�L�' `i'V/�'Z�[.cJ�J �''�
(SAC Charge must accompany all sewer permit applications unless prepaid)
(Orono City Staff can determine if applicable)
(If not ' a�er connection permit will not be issued)
,
�ewer nec ' isconnect/Re ir($3 . � er Stub) $
Pipe size !%,�inches;material Schd 40 a tested; cast iron
Water Connection/Disconnect/Repair($35.00/Per Stub) $
Pipe size inches;material Schd 40 air tested; copper
1. SUBTOTAL of Permit Requested: $
2. STATE SURCHARGE $ .50
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMI'I'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 nermit.
■ 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 accor e with the ordin � of the City and the regulations of the 5tate of
Minnesota,and cert� �e at all stat ents a on this application are,true and correct.
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Applicant: �������Date: � O�.(� � �
�
Reset Form
DATE TIME `�
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED
PERMIT NO. �C COMPLETED - Ci '��� � �- 3['�
ADDRESS l I �t� �-��� i-�1�C ` .d,L%�
OWNER CONTR. i-1:n [-� tl��L'�.,J j�l�u.ti.3 •
TELEPHONE NO. G�i,�' ( �(� ' �",�`t �
� DESCRIPTION
� 01 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL �EWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �W+ORKSATISFACTORY PROCEED f7 PROJECTCOMPLETE
W ❑CORRECT WORK&P OCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,C LL FOR REiNS CTION TEMPORARY
V BEFORECOVERI PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAL�INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. W dt��^ � t�S
White Copyllnspector's File Canary CopylSite Notice