HomeMy WebLinkAbout2000-P02370 - sewer/water permit ' - � �� PERMIT
GITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P02370
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(612) 249-4600 Date Issued: ai2aioo
SITE ADDRESS: 3715 LIVINGSTON AVE
WAYZATA,MN 55391
P I D: 17-117-23-34-0066
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 SUIIIIMARY: 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
THE UNDERSIGNID HEREBY REQUESTS PERNIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO�O ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII..DING CODE REQUIREMENTS.
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I ISSLTED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
_ _ CITY OF ORONO APPLICATION FOR UTILITY PERNIITS
� Bog 66 (2750 Kelley Parkway) SEWER/WATER
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for utility pernuts 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
retum 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 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 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: ��/`J � L
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Occupancy Type: _�Residenti 1 Commercial
Owner's Name: f c��L� ��;u, �-- ��,��, Phone Number:
Mailing Address: ' � City: 7ap:
Contractor's Name: Phone Number: ��7� - -- "p`�`
Mailing Address• ��(� fJ City: 7�: ���J�
PERMIT TYPE �,��
Municipal Sewer�onnection ($35.00 per stub) $ � �
pipe size �- inches; material � Schedule 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 Connection ($35.00 per stub) $
�.� `�c�
pipe size�inches; material ✓copper; other •
WATER METERS must be picked up and paid for at City Hall.
(5/S" 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 ' �o
1. Subtotal of above permit requested $ 70
2. State Surchar�e $ .50
T'he 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) $ �7�;S�v
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 Applicant: '��--� Date:
DATE TIME
CITY OF ORONO CALLED IN �I^ ' �v
INSPECTION N TI SCHEDULED
PERMIT NO. ��3,� COMPLETED �� �
ADDRESS �J�I ,j L4 V�fr1¢��'�
OWNER CONTR. l'� ?' �
TELEPHONE NO. y �������
� DESCRIPTION
L� 01 FOOTING 11 tviECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/2 NER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEP . 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 -��9,6 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO yET OU:_ ES_NO �
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W ORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnedContr r on site:
Inspector. G��'��
White Copyllnspector's File Canary CopylSite Notice