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HomeMy WebLinkAbout2000-P02283 - sewer connect � ; PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po22s3 Crystal Bay, Minnesota 55323 Pet'mit Type: Sewer and water Permit (612) 249-4600 Date Issued: 4�3�00 SITE ADDRESS: 2845 Little Orchard Way WAYZATA,MN 55391 P I D: 09-117-2 3-21-0011 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: Permit Fee: $ 35.00 Valuation: $ 0.00 srl-a.�l--e�wcha•gc • so TOTAL FEE: $35.50 APPLICANT: VOSON PLUMBING OWNER: ROGER J&SHIRLEY J WIKNER 1515 A STH STREET SOUTH 2845 LITTLE ORCHARD WAY HOPKINS,MN 55343 WAYZATA MN 55391 TI�UNDERSIGNID 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 BUII,DING CODE REQUIREMENTS. � P I TE I N ISSUED BY SIGNAT Copies:City,Applicant,Assessor,Finance Page 1 CITY OF ORONO APPLICATION FOR UTILITY PER1VdITS ' Boz 66 (2750 Kelley Parkway) SEWER/WATER 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 fees shown below. Pemut 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. 5. Utility connection pernuts may be issued to licensed contractors only. 6. Contact the Public Works Department(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 249-4600. 24 hour notice required. JOB SITE ADDRESS: ��/� ����� i�c:` � -� Occupancy Type: �� Residential Comm cial Owner's Name• �/,'����/� Phone Number: Mailing Address: � � City: 7�p: Contractor's Name: �oSO r� �'� Phone Number: ` � ��4'� Mailing Address:Lf/� ��7'��j. S .S, City: ti 7ap: S S � PERMIT TYPE Municipal Sewer Connection ($35.00 per stub) $ _� �P , ov pipe size�mches; material�G��Schedule 40 air tested; cast iron SAC Charge ($1,OS0.00) 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. (5/8" meters= $130.00; 3/4" meters= $180.00; 1" meters= $240.00) Separate Plumbing Permit issued for water meter. Water meters must be set and sealed by Orono Water Department(249-4600) upon completion of ineter installation. REQUIRED minimum setbacks from drainfield 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. Posta�?e&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 NI'innesota, and certifies that all statements made on this application are complete, true and correct. Signature of Applicant� Date: --3 � o DATE TIME CITY OF ORONO CALLED IN INSPECTION N TIC �j SCHEDULED ��'l� �—� 1�• �% PERMIT NO. � � ��V� COMPLETED � l-��L ADDRESS � � �-� ��� O✓��v�-i C�. OWNER CONTR. `� - ��� TELEPHONE NO. ��� ��� � DESCRIPTION LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/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 4 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE EPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET U:_YES_NO Z � COMMENTS: _ � � � a � - �� 2 0 '� G S� Gr ` � 0 � � � � Q , � z W � W � j d `��V RK SATISFACTORY:PROCEED �— PROJECT COMPLETE W � `C� CORRECT WORK&PROCEED i; ISSUE CERTIFICATE OF OCCUPANCY O C� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN INSPECTOR WILL RETURN C] STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED Ci INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor on site: Inspector. �1/i��.��.(,�1 White Copyllnspector's File Canary CopylSite Notice