HomeMy WebLinkAbout2001-P03890 - sewer/water connect r-
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PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3s90
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 6�s�2ooi
SITE ADDRESS: 3�i6 LivnvGSTON avE
WAYZATA,MN 55391
PID: 17-117-23-34-0057
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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APPLI ANT P ITEE �URE l SUED BY SIGNATURE �
Copies: City,Applicant,Assessor,Finance Page l
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' _ _ (Ur�i ited 2/12/O1)
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
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. P ' ards 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: y v � /�� S 9-r ��—
Occupancy Type: , �/� Residential' ; Commercial
Owner's Name: �'�, G E' L t'P 5�f" � t"t�l)�L'�'S � Phone Number:
Mailing Address: �r` City: f S � Zip:� ,,,�
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Contractor's Name: � ` ��'� U.�1 � �,-Phone N ber: "l% � ��'�'"> �C� �
Mailing Address: C� � Ci ' � ._;� �J%
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PERMIT TYPE , C=
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Municipal Sewer onnection ($35.00 per stub) $ � "�
pipe size inches; material �� Schedule 40 air tested; cast iron
SAC Charge (200 rate $1,150.00) 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) $ '�� �
pipe size � inches; material L--�opper; 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 r� �-� �
1. Subtotal of above permit requested $ / � '
2. State Surchar�e $ .50
The State Buildin�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) $ ` C% ` � �
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 Applicant•. ' (,i-,4-Lr, ��
Date:
,DAT �/�/ TIM�
CITY OF ORONO CALLED IN � '
INSPECTION NO IC� Q� SCHEDULED �G ` ls
PERMIT N0. v ` � COMPLETED — r� r+
ADDRESS ���7�� �� ��/���� ��
OWNER CONTR. � � �
TELEPHONE N0. ��3 �Z �7" `J����
� DESCRIPTION ���2 `� �!
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GR DING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOO FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEW 06 PROGRESS
� 07 OEMO-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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �IORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REDUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector. /0���.�.�-�����
White Copyllnspector's File Canary Copy/Site Notice