HomeMy WebLinkAbout2001-P03893 - sewer/water permit PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3s93
Crystal Bay, Minnesota 55323 Pet'mit Type: Sewer and water Permit
(952) 249-4600 Date Issued: 6�s�2oot
SITE ADDRESS: 3710 Livingston Ave
Wayzata, MN 55391
P I D: 17-117-23-3 4-0060
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: K&K Heating&Plumbing OWNER: Eaglecrest N.W.
6000 Lone Oak Road P.O. Box 47333
Rockford, MN 55373 Plymouth,MN 55447
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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��SAP L ANT P IT I NATURE ISS" D B SIGNATiJRE
Copies: City,Applicant,Assessor,Finance Page 1
(Ur J�ted 2/12/O1)
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 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.
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 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 l G� �,; �) �`; r c, ;`��,-��y�—�
Occupancy Type: 1/'� Residential Commercial
Owner's Name: �,,����(►'�-'� �> `�t Jl.�. ���> Phone Number:
Mailing Address: City: � :.�L.- > � 7�p: �
Contractor's Name: �r' � `i �� .J� � Phone Ny}n e • ^� � �� � `-�Z� �
Mailing Address: � � 7 �7 - �/�. f'�.- City: d C°� -t� 7ip: j j �j
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PERMIT TYPE � � �� r�
Municipal Sewer Connection ($35.00 per stub) $ '
pipe size�mches; material ✓Schedule 40 air tested; cast iron
SAC Charge (2000 fate $l,l�0.00) must accompany all sewer permit applications unless prepaid.
If not prepaid, a sewer connection permit will not be issued.
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Municipal Water Connection ($35.00 per stub) $ �'> � C
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'
PERIVIIT FEE CALCULATION
1. Subtotal of above permit requested $ �L � �Z
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 & Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ �� ' �G
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 conect.
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Signature of Applican� '� L -Q� Date: � � � �
// DA E/ D` TI
CITY OF ORONO CALLED IN
INSPECTION NOTICF�����SCHEDULED /
PERMIT N0. / COMPLETED �
ADDRESS_� / � � �-� ���-C�
OWNER CONTR. �- � �L
TELEPHONENO. �����I �t� T7 �G -r�t G�
� DESCRIPTION ��O -3 �� / �� — �jOS
� Oi FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
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4��VORK SATISFACTORY:PROCEED �flOJ ECT COM PLETE
W��❑CORRECT WORK 8 PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContra tor on site:
Inspector. �� � 4�/���,
White Copy/lnspector's File Canary CopylSite Notice