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Home My WebLink About2008-P12160 - sewer & water connect . —.. PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12160 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Perxnit (952)249-4600 Date Issued: 6/13/2008 SITE ADDRESS: 3534 Ivy Pl Unit# Wayzata,MN 55391 P�� 20-117-23-42-0019 DESCRIPTION: Proposed Use: Residential Permit Class: General Pemut Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Water&Sewer Connection FEE SUMMARY: Permit Fee: $ 70.00 valuation: $ 0.00 �State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: Coppin Plumbing OWNER: Ted&Nancy Capra 8460 County Rd 15 3534 Ivy Pl Minnetrista,MN 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. t /� ✓fif__ P ANT PE E SIGNATURE ISSUED BY SIGNATURE 1�� Copies: 1-File(Signatures Required), 1-Appiicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � , r F�R CI1'I'I1SE 17NI�X , �,��,� City of Orono Date�Recz�ved� PermiE# P.O.Box 66 ` � � 2750 Kelley Parkway �In-�Ioiise 5AC DetErni�nation�orrn Compietect � � �� Crystal Bay,MN 55323 �'� ' ��' ; ^; '� � (952)249-4600 Approved By(If Requiredj CITY OF ORONO-SEWER& WATER/GENERAL PERMIT (*Note:Some permits 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 aoulication is receivedl GEN�RAL Il�FURMAT�QI�; ' 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 approvai. 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�(3F PERlV�TT `: F;,_ : Gheck A�1 That A; � ): . Residential(May Require Approval) ❑ Commercial(Approval Required) �New Connection ❑Additional Connection �Re-Connection �Repairs ❑Disconnect Job Site/�Owner Tnf�rma�ian;. ` Site Address: �� C e, Owner:� ,� Mailing Address: City: Zip: Home Phone: Alternate Phone: Coritractor Info:rmatiori:: `' Contractor: �0 � Q � `S �� Contact Person: �� h��" Address: �� b0� � State License#: J �+7 �.� -� � City: '��.,n � (`',S Zip�� Expiration Date: �a^ � �� Phone: �S�'i�7 �- '�-3� � Alternate Phone: �o �� ,� b (o2�-C� . . . � 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/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; 0 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 PERMIT FEE(Add Lines 1-3 Above) $ ADD3TIDNAL>��RltilATI�UN=�VATE�R 1�T'ER� . ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. ■ 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. Applicant: �Q�•v�¢� ! Date: � —'� "�D b ,»�� , , i ��—� �� <� DA TIME CITY OF ORONO �LLED IN � � INSPECTION TIC SCHEDULED /e�D PERMIT NO,� � COMPL E ADDRESS � OWNER CONTR `y TELEPHONE NO. - — � � DESCRIPTION �` � —l/ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLIN Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL ; Z ❑ WALL BD. �WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL �EWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. p COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL • J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YO�S_NO c�., COMMENTS: � �l � a V �?/v "�-i� � St�/i 0 L� � i S �C � �C��d • � L,��;� B,�c,F�i�e ,� �oc�,�e sw �. 0 � W °� /�/G� � �'l � �i ��SDQ��Q r Q � z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHW HOURS. D PHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 � Owner►Contractor on site: �° � ^ �`�n Inspector. s White Copylinspector's File Canary CopylSite Notice ' D E TIME �/ ��OFORONO CALLEDIN �� INSPECTION NO� E SCHEDULED — � PERMIT NO. v�. CDU COMPLETED ADDRESS �� -- OWNER ' CONTR. T TELEPHONE NO. � O l o� "' a`tO - ��(1 � DESCRIPTION ��Q �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ EPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET _YES_NO c�., COMMENTS: � W a J �� O � � -�K.J twJ�S �c� � (�J A �� W � �c��.�c ��d Q � a W � W � � � f �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEAGCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � - White Copyllnspector's File Canary Copy/Site Notice