HomeMy WebLinkAbout2000-P02369 - sewer/water permit - � - PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po2369
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(612) 249-4600 Date Issued: a�2aioo
SITE ADDRESS: 3713 LIVINGSTON AVE
WAYZATA,MN 55391 .
P I D: 17-117-23-34-0067
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 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
T'HE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE 1'HE REAL IMI'ROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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ISSUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
,. .CITY OF ORONO APPLICATION FOR UTILITY PERNIITS
Box 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for utility pemuts 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 pernut 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
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 n tice r�quired.
JOB SITE ADDRESS: `�7 �� ���
Occupancy Type: � Residen 'al Commercial
Owner's Name: � 4 Phone Number•
Mailing Address: City: 7ap:
Contractor's Name: � Phone Number: — ����
Mailing Address: - _ City: � ' �'�: �� � 7�
PERMIT TYPE 3�„ ,m c�
Municipal Sewer C nnection ($35.00 per stub $
pipe size inches; material �L-Schedule 40 air tested; cast iron
. SAC Charge ($1,0 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) $ 3-�
pipe size�_inches; material �opper; 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 CALCULATTON
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. Postage& Handling (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (add lines 1-3 above) $ �7C�. S G
The undersigned hereby applies to the City of Orono for issuance of a Utility Pernut, 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.
Signature of Applicant: �-c..� Date: 7` '� ���
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED `'" �E'�a' �
PERMIT NO. b� COMPLETED �' ` r U
ADDRESS ��]� �V����r �-
OWNER CONTR. � ? �
TELEPHONE NO. �� ��S
� DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WO /FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER H - 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
� OWNERICONTRACTOR TO ME YOU:_Y S_N
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W� �WORK SATISFACTORY:PROCEED L- PROJECT COMPLETE
w ❑ CORRECT WORK&PROCEED i-, ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIFED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlCont ctor on site:
Inspector. ��
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