HomeMy WebLinkAbout2001-P04244 - sewer/water permit Y F R NO PERMIT
�'�T � � � Permit Number:
2750 Kelley Parkway- PO Box 66 P04244
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: si2si2ooi
SITE ADDRESS: 3722 Livingston Avenue
Wayzata,MN 55391
P ID: 17-117-23-34-0055
DESCRIPTION:
Proposed Use: Other
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00
State Surchazge 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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APPLIC P ITEESIGNATURE ISS BYSIGNATURE
Conies: 1-File(Sisnitures Required). 1-Annlicant, 1-Monthlv Reoorts. 1-A�essin¢, 1-Finance Page 1
FROM : PHONE N0. : 612 477 6208 Aug. 28 2001 08:31AM P2
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. GErT��NFORMATIUN . ,. , .
'' ' ' j: "�'"� -'`You xnay'`apply for utility perimits by inail or in�ierson.at tbe Ciry offxces'..`,. -
� 2; Mailed.in applications are subjeec to the postage and handling fee.shown betow. Perzz�it cards will be sent by
� �return mail the same day the application is received.
� 3; . permits are not vslid until you receive a per�'►t card.
4: Wor1c must not begin unless the perniit card is ayailable on the job site.
5. . Utiliry connection perrn�its may be issued fo licensed contraetors only:
G. Contact the Public Works bepartment (952-249-4600) for utitiry stub as-built locacions. DO NOT h
�XCAVATE IN AN�,' ST�ET.AND DO NOT TAP ANY N�.AIN without express approval of the public
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'Works bepartment. Issuance of a permit does not grant this approvaL �
7. 'All.wock must be done in accordance witb.StaCe Code requirements-: - CL� � \1�
8. . All.wor.k must be inspected beforc it is covered. Cal�(952)249-4600: � � �`
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� 24 hour notice required. �
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JOB SXTE ADDRESS: 7� � / � ;�'l S �{'-
� Occupancy Ty�e: � Residential Commercia
Ow�ner's.Name: � �Cv Phoue N be� � � ��� �
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� Mailing A.ddress: - .3 City: 5 7�: 5S`r�y
Goz�tractor's Name: � �' Phone�T �e : (o� ���"G � '��'
Mailix�g Address: /��t�D �07�,P �cL /C� CitS':. � Z�; ..5,5�7 3
pERMIT TYPE
Municipal Sewer Connection($35.00 per stub) � $ 3 J ��v
, , . p i p e s i z e � i n c h e s; r x�a te r ial e-�'�hedule 40 air tested; cast iron
SAC Gharge(2000 xate $1,150.00) must accoz�r�pany all sewer pe�nit applications unless pzepaid.
If not prepaid, a sewer connection permit wial not be issued.
1Vlunicipal Water Connection ($35.00 per stub) $ J��- ��
pipe size�_inches; material �copper; other
WATE�t METERS must be picked u� and paid for. at City Hall:
Wa'ter meters must be set and sealed b�► Orono Water Department (952-249-4600) upon
com.pletion of ineter installation.
REQUIRED minimurz�setbacks from�drain field and septic tanks =75'
REQUIRED setback.from sewer line=20'
PERMIT FEE CALCYJLAT�ON ' �d ��
1. Subtotal of above permit requested $
. � 2: State SuxcharQe $ .50
. The State Suilding Code Division Surcharge of�.50 per permit must be �
included for eAch well,sewer.and water connecCion permit requested.
3:. : osta e & andlin (Only mail-in applications) $ �� .
4.. ..�.� TOT'AL PERNZZ?FEE (add lines 1=3 above) $ �"fD • ��J
The undersigned hereby applies to the City of Orono �oz issuance of a Utility Fermit, agrees to do
all work in strict accorda�ee with the ordiz�az�ces of the City and the regulations o�the State of
Minnesota, and certifies that aIl statements znade on this application are.cozx�,plete,true and conect.
Si�nature of Applicant: _ + ` Date: ���� ��
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI (/ CHEDULED t� -00
PERMIT N0. 7 �OMPLETED -���r�~2'�=` :d C1
ADDRESS ~'� � �
OWNER CONTR. `� � lL- � �
TELEPHONE N0. 7�����—�?[��
� DESCRIPTION C C,t.�G�t.�
� 01 FOOTING 11 MECHANICAL RI 18 E CAY/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� l�WORKSATISFACTORY: CEED �PROJECTCOMPLETE
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W 'O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46Q�
OwnedContr r on site:
Inspector. �
White Copylinspector's File Canary Copy/Site Notice