HomeMy WebLinkAbout2001-P03892 - sewer/water permit � � '� � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po3s92
Crystal Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 6is�2oot
SITE ADDRESS: 3714 Livingston Ave
Wayzata, MN 55391
P I D: 17-117-23-34-0058
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Sewer&Water Disc ecti
Permit Type: Sewer and Water Permit
DETAILS:
Approved per resolution#:
Separate permits required:
NOTIC ES/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 SPECIFTED
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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PPLI ANT PERM/ EE U ,iSSUED BY SIGNATURE �
Copies: City,Applicant,Assessor,Finance Page 1
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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 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(952)249-4600.
24 hour notice required.
JOB SITE ADDRESS: �`�I� � L-I � t �1�t S�z y-� TT y'--�--
Occupancy Type: t/ Residential � Commercial
Owner's Name: �c,�; �F �i��5��Z.'�,���,�r�fi Phone Number:
Mailing Addres� _ City: / S Zip: ' �
Contractor's Name: � � Phone N ber (�-� -.���� �
Mailing Address: (� > City: L r'C7ip: �'� 3 7�
PERMIT TYPE � U
._ �, __.
Municipal Sewer Connection ($35.00 per stub) $ � �
pipe size z� inches; material ���Schedule 40 air tested; cast iron
SAC Charge (2000 rate $1,150.00) 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 � oc pper; 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'
PERMIT FEE CALCULATION �
1. Subtotal of above permit requested $ �l ��
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 correct.
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Signature of Applicantf'� �'� � � Date: �Y � ��
� �� _ ��- /��O I ' n I S DATE TIME
CITY OF ORONO v CALLED IN ���-��
INSPECTION NO C SCHEDULED / � O ti(
PERMIT N0. a COMPLETED � �� •`�
ADDRESS .3�I �-I L/I//NGS77��v /�C'
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OWNER CONTR. 1�� � ��Uw�i nq
TELEPHONE NO. �Co� �-I 7� C�a O c� o� S s��
� DESCRIPTION_ � ��-�"' y- ��'�.� ��� �c U�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
w ❑�COflRECT WORK 8 PROCEED � ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINCa PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnedContra o on site:
Inspector. ��rL�� .S
White Copyllnspector's File Canary Copy/Site Notice