HomeMy WebLinkAbout2007-P11325 - sewer connection � '
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11325
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: 8/13/2007
SITE ADDRESS: 3180 North Shore Dr Unit#
Wayzata,MN 55391
PID: 09-117-23-32-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: J.S. Stewart Companies OWNER: Jon&Janene Heidorn
ll 099 Lamont Ave. 3180 North Shore Dr
Hanover,MN 55341 Wayzata,MN 55391
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
MINNFSQ A BUILDING COF�E REQUIREMENTS.
_.- _.__ -_.. �
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PERMITEE SIGNATURE ISSUED BY SIGNATURE
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Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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�D1i CPi`]'�USE ONLY
�„�(��O City of Orono Date Received; • Pemcif#
P.O.Box 66
2750 Kelley Pazkway ❑In-�Iouse SAC Deterraination F�rrm-Compteted��
� ' � Crystal Bay,MN 55323 � ' '' ';
� (952)249-4600 AppYo�ed By(�fRequired):
CITY OF ORONO—SEWER& WATER/GENERAL PERMIT
("Note:Some permits may require approval by the Building Official and/or Public Works Department*)
(ALL PERMITS- Mav be subiect to further review and mav not be issued when the Aunlication is received)
GENERAZ;INF+L�I�IVIATI�� `
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. Permit cards will
be sent by return mail within 2 business days.
3. Permits are not valid until you receive a perrttit 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.
TYPE OF'PER1�fIT
: Check��1'That� 1
�,Residential(May Require Approval) ❑ Commercial(Approval Required)
��ew Connection ❑Additional Connection �Re-Connection �Repairs ❑Disconnect
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�ob�Sitel�OvvnerIz�formation; �, � �
Site Address: �J �� /v�n-�� S �alze ��
Owner: Mailing Address:
City: Zip;
Home Phone: Alternate Phone:
C�ritractor Inforrnatiori:
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Contractor: � S� �����7 Contact Per n• C��SS
s� .
Address: ���� Z-vq-t�'�� �`� State License#: ��
City: d�� Zip: J3�`" Expiration Date:
Phone: 7�3-`�Z`� �7��7� Alternate Phone: (Q!Z�3��5���
� •
�SAC Charge(2007 Rate=$1,675.00) $
(SAC Charge must accompany all sewer permit applications unless prepaid)
(Orono City Staff can determine if applicable)
(If not prepaid,a sewer connection permit will not be issued)
pD
�}'3ewer Conne tion/Disconnect/Repair($35.00/Per Stub) $ ���•
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: $
2. STATE SURCHARGE $ .50
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
ADDI�TONAL INFORMATI�N'-WA'I'ER 1VIETERS
■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit.
■ 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 st ' ccordance with the ordinances of the City and the regulations of the State of
Minn and ce ifies that a ents made on this application are,true and correct.
�
Applicant: Date: � �3 �
,,,
�/ DATE TI �
\ CI Y OF ORONO CALLED W ,�� �,I�.� �
INSPECTION NQ ��� SCHEDULED __iLL`L11� :OO
PERMIT NO. ����-�'"""" OMPLETED
ADDRESS d���� + " � r�� �' �Y�
OWN ER CONTR.
TELEPHONE NO. � ( 2- � _"-)���' .���
� DESCRIPTION
� + �/ �1 ��
l� 01 FOOTING 11 MEC ICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMiNG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 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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� ,�'vVORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE
W 'O L�'ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. Cj pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �-�CITATION ISSUED
❑ INSPECTION RE�U�RED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site•
Inspector. �'7��J _ __ ___
White Copyllnspector's File Canary CopylSite Notice