HomeMy WebLinkAbout2000-P02365 - sewer/water permit � ' - PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Po236s
Crystal Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit
(612) 249-4600 Date Issued: a�2aioo
SITE ADDRESS: 3707 LIVINGSTON AVE
WAYZATA,MN 55391
P I D: 17-117-23-34-0069
DESCRIPTION: �
Proposed Use: Residential
Permit Class: General
Permit T e: Sewer and Water Permit Permit Sub-type(s): Sewer Connection
� Water Connection
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: Permit Fee: $ 70.00 Valuation• $ 0.00
State Surchazge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: K&K HEATING AND PLUMBING OWNER: EAGLE CREST NORTHWEST
6000 LONE OAK ROAD PO 47333
ROCKFORD,MN 55373 PLYMOUTH,MN 55447
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE'TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND
STATE OF MINNESOTA BUII..DING CODE REQUIREMENTS.
� �
D BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
„ .R-_ CITY OF ORONO APPLICATION FOR UTILITY PERIVIITS
Box 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. 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.
5. Utility connection pernuts may be issued to licensed contractors only.
6. Contact the Public Works Departrnent (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 pernut 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. Ca11249-4600.
24 hour notice rec�uired.
JOB SITE ADDRESS: 3 , � �`� � �`-� ��
Occupancy Type: � Reside tial. Commercial
Owner's Name: ��� '�, �� Phone Number:
Mailing Address: - City: 7ap:
Contractor's Name: � � Phone N mber: , G - � O
Mailing Address: D City: � /► 7.�p: �-4� 7.�
PERMIT TYPE
� E3 CJ
Municipal Sewer Co nection ($35.00 per stu� $ �S —
pipe size inches; material � Schedule 40 air tested; cast iron
SAC Charge ($1,0 0.00) must accompany all sewer pernut applications unless prepaid. If not
� prepaid, a sewer connection permit will not be issued. �
d C.-�
Municipal Water Connection ($35.00 per stub) $ � S
pipe size�mches; material copper; other -
WATER MET`ER� must be picked up and paid for at City Ha1L
(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 $_7�
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) $_70�� U
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 eonect.
f c ���-�
Signature of Applicant� �` Date:
DATE TIME
CITY OF ORONO CALLED IN 2s 2�
INSPECTION TICE � SCHEDULED �/�
PERMIT NO. �aa-3c�s COMPLETED �-2��� �
ADDRESS �J�IO� L(,'V� n�S�
OWNER CONTR. � � IG—
TELEPHONE NO. �-1-1Z-"�so�—
� DESCRIPTION
l� 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
Z04 WALL BD. 2 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 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:_Y _NO
� COMMENTS: S �
�
W
a
�
J
O
�
�
O
�
W
�
Q
� ��
Z
W
�
W
�
�
a
W� �WORKSATISFACTORY:PROCEED I PROJECTCOMPLETE
W CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN �
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.,,���-���n, c/I�
White Copyllnspector's File Canary CopylSite Notice