HomeMy WebLinkAbout2000-P02366 - sewer/water permit � r* � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P02366
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit
(612) 249�600 Date Issued: ai2aioo
SITE ADDRESS: 3711 LNINGSTON AVE
WAYZATA,MN 55391
P I D: 17-117-23-34-0068
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#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIAMARY: Permit Fee: $ 70.00 Valuation• $ 0.00
State Surcharge 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
TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS.
,
ISSiTED Y SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
� „ , CITY OF ORONO APPLICATION FOR UTILITY PERIVIITS
Bog 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 permits 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
Departrnent. 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. Ca11249-4600.
24 hour n ice required.
JOB SITE ADDRESS: �-� ��� ��� � L�
Occupancy Type: Residen ia���� Commercial
Owner's Name: �� Phone Number:
Mailing Address: City: 7ap: ���-,5
Contractor's Name: ' - a Phone mber: — ��-�;""'''3'
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Mailing Address: � City: C� 7ap: '�5`��3
PERMIT TYPE o�
Municipal Sewer Connection ($35.00 per stub�,/ $ �.�
pipe size�inches; material f'�/�chedule 40 air tested; cast iron
SAC Charge ($1,050.00) must accompany all sewer pernut applications unless prepaid. If not
prepaid, a sewer connection permit will not be issued. �
Municipal Water C nnection ($35.00 per stub) $
�3Sa�'
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 PERNIIT FEE (add lines 1-3 above) $ 7d,S��
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 correct.
Signature of Applicant: ��>� Date: � ^ � ���
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �""Z��^ � ���
PERMIT N0. ���-���P COMPLETED Z7 '�� �
ADDRESS ��I� �-�v� '���—'��
OWNER CONTR. � � IC
TELEPHONE NO.
� DESCRIPTION ���I-�� S�.S—
l� 01 FOOTING 11 NIECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. WATER HOOK-U 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ��WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on s�t
inspector.��C.�-��
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