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Home My WebLink About2005-P09199 - sewer connect � • PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09199 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952)249-4600 Date Issued: 9/20/2005 SITE ADDRESS: 2545 North Shore Dr Unit# Wayzata,MN 55391 PI D: 09-117-23-41-0003 DESCRIPTION: Proposed Use: Residential Permit Class: General Pemut Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer Connecrion DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: J S Stewart Companies,Inc. OWNER: Bradley&Cheryl Jones 5606 94th Avenue N 2545 North Shore Dr Greenfield,MN 55357 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF M TA BUILDING OD RE UIREMENTS. / :' : \�\� �-- � PLI ANT EE SIGNATURE ISSLTED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY�SE ONLY nv�/�y O,��O City of Orono Date Received: 1 l�'v'> Permit# � P.O.Bos 66 �; 27�0 Kelley Parkway ❑in-House SAC Determination Form Completed ��>�;e r � Crystal Bay,MN 55323 ��^ �T��M�.�o~ (952)249-4600 Approved By(If Required): ��sxa� CITY OF ORONO—SEWER & WATER/ GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (.4LL PERMITS- Mav be subiect to further review and mav not be issued when the anolication is reccived) 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. Pernut cards will be sent by return mail within 2 business days. 3. Permits are not valid until you receive a permit card. 4. Work must not begin unless the pemut card is available on the job site. 5. Utility connection perinits 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 espress approval of the Public Works Department. Issuance of a pennit 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. TYPE OF PERMIT (Check All That Apply) (�.Residential(May Require Approval) ❑ Commercial(Approval Required) ❑ New Connection ❑Additional Connection ❑ Re-Connection ❑ Repairs ❑ Disconnect Job Site/ Owner Information: Site Address: ,��y5 ��2/C��'�,�,� �� rno Owner: �j t SS��t 5�-�"�'�-°� �1VIai1 ng Address: City: (_�'/�K.0 j'(.(� Zip: Home Phone: Alternate Phone: Contractor Information: � C � � � Contractar: �:� - C��Le��42/ C �� Contact Person: ` �s5 ��G a �� Address: �� /� �`� State License #: City: �`%��n``e t � Zip;��3s7Expiration Date: Phone: ��3`"`��-�7�� Alternate Phone: DETERMINING PERMIT FEES ❑ SAC Charge(2005 Rate=$1,450.00) $ (SAC Charge must accompany all sewer perrnit applications unless prepaid) (Orono City Staff can deternune if applicable) (If not prepaid,a sewer connection permit will not be issued) �� }Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ �-5 Pipe size inches; material Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper 1. SUBTOTAL of Permit Requested: $ ,�S � 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 �y S� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `� `— ADDITIONAL INFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arate pernut. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter installation. 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, ertifies alT�sfa ments made on this application are, true and correct. i�.- _ c�. � � / Applicant: -- Date: Z� �S �� " " ��I� DAT TIME V CITY OF ORONO CALLED IN �'�� INSPECTION TICE SCHEDULED � ;� PERMIT N0. 9 COMPLETED y-28�.a� / =3�Z_ ADDRESS a5�� n��Zt-a� � OWNER CONTR. <I � ��(>�� TELEPHONE NO. �O� a ��D J�� DESCRIPTION c��CU�� C�C�ZP1,l ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WA�L 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 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C J 0 E � �C�to�n t C�t- � � C� S�- �'��' r2�..c� 0 � � ,�• � l�� 1��' 1 !J�,c-� �-.v G�jJ� ( 1�FJ �� Q z � • v • �.� S� �1i1Qc' w � W � � d , / � {�WORKSATISFACTORY:PROCEED L� PROJECTCOMPLETE . � W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI iNSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit Inspecto� � � �� White Copyllnspector's File Canary CopylSite Notice