HomeMy WebLinkAbout2000-P03135 - sewer/water connect G�ITY PERMIT
O F O RO N O Permit ►vumber:
Z750 Kelley Parkway- PO Box 66 P03135
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(612) 249�600 Date Issued: ion�i2o
SITE ADDRESS: 3741 LIVINGSTON CT
WAYZATA,MN 55391
P��' 17-117-23-34-0077
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection
Water Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIAMARY: Permit Fee: $ "70.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT• OWNER: EAGLE CREST NORTHWEST
PO 47333
� PLYMOUTH,MN 55447
TI�UNDERSIGNID 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 BUII..DING CODE REQUIREMENTS.
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UED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
' � CITY OF ORONO APPLICATION FOR UTILITY PERMITS �
Box 66 (2750 Kelley Parkway) SEWER/WATER 1�
� 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 posta?e and handling fees shown below. Permit cards will be sent
by retum mail the same day the application is received.
;. 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(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�rant 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 249-4600.
24 hour noti r�quired.
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JOB SITE ADDRESS: -� � �
Occupancy Type: Residenti 1 Commercial
O�vner's Name: Ce_� c�o� ° Phone Number:
Mailing Address: City: 7ap:
Contractor's Name: Phone N be • — S ��
Nlailing Address: O�� � City: Zip: �.��, �73
PERMIT TYPE
Nlunicipal Sewer Connection ($35.00 per stub) $
pipe size�inches; material �chedule 40 air tested; cast iron
SAC Charge (2000 rate $1,100.00) must accompany all sewer permit applications unless prepaid.
If not prepaid, a sewer connection permit will not be issued.
Municipal Water onnection ($35.00 per stub) $
pipe size�inches; material �copper; other
WATER METERS must be picked up and paid for at City Hall.
`Vater 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
1. Subtotal of above permit requested $
2. State Surcharee $ .50
The State Building Code Division Surcharge of$.50 per permit must be
included for each well,sewer and water connection permit requested.
3. PostaQe & Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
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: ` �� Date: �� �,���
DATE TIME /
CITY OF ORONO CALLED IN Q / o� �
INSPECTION T C SCHEDULED �
PERMITNO.�� �� COMPLETED � � - "'s , ry
ADDRESS �
OWNER � CONTR. lC��-�.-
TELEPHONE NO.
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 � �FRiFIREPLACE 34 TREE REMOVAL
Z 04 WALL B0. 12 WATER HOOK-UP �� 17 SITE INSPECTION
Q OS FINAL R HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED _ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Ci INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector. ���`��� �
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