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Home My WebLink About2007-P11175 - sewer/water permit PERMIT CIT'� OF ORONO 2'50 Kelle Parkwa PO Box 66 Permit Number: p11175 t Y Y- Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 6/27/2007 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 Disconnect DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pemut Fee: $ 35.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: J.S. Stewart Companies OWNER: Jon&Janene Heidorn 11099 Lamont Ave. 3180 North Shore Dr Hanover,MN 55341 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MIN SOTA LDING CODE REQUIREMENTS. � � _. _` � � C PER E NATURE SSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page] FOR CITY USE ONLY ¢�� City of Orono Date Received: Permit# �' P.O.Box 66 �,,. �``, 2750 Kelley Pazkway ❑In-House SAC Determination Form Completed ��:+'''� ; Crystal Bay,MN 55323 �+�> `c, (952)249-4600 Approved By(If Required): \ �O� 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 anolication is received) 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. Permit 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 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 utiliry 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 PERMIT Check All That A 1 ) �Residential(May Require Approval) ❑Commercial(Approval Required) � New Connection ❑Additional Connection �Re-Connection � Repairs �Disconnect Job Site/Owner Information: Site Address: 3�� /�� >�� '> Owner: !7�/ dof'�t , Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: -t�,S, ��l�Ge��4/�7 �'o Contact Person: �us5 �►�L�Fi�czlL Address: ��`� L�-��c-��`� State License#: �� i City: �t9U�� z�pa �3�/ Expiration Date: Phone: ��3�`lZY- �r��a Alternate Phone: ��l Z� 3�(�•� .5�`6��j. DETERMINING PERMIT FEES � 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) �cc �-Sewer Connection Disconnect Repair($35.00/Per Stub) $ ;3�� Pipe size inches;mater�al 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 SURCNARGE $ .50 3. POSTAGE&f-IANDLING(Only on Mail-In Applications) $ ��- r � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ,�J ADDITIONAL 1NFORMATION-WATER METERS ■ 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 strict accordance with the ordinances of the City and the regulations of the State of Minnesota, a � ies�t�at� ents made on this application are,true and correct. � Applicant: '�G� Date: � c�7�� Reset Form � D TE TIME V CITY OF ORONO CALLED IN �� INSPECTION NO ICE �. SCHEDULED 7�'D7 -�� PERMIT NO. ll�7S COMPLETED ADDRESS „�/[�a /"�''yYl � `�� OWNER CONTR.�eS ST�cJ Qit.�'� TELEPHONENO. ��a ��O 5�� DESCRIPTION ,��-�P-W`�`� �LS�.�7'►�1��" l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 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 � OWNERICONTRACTOA TO MEET YOU:_YES_NO � COMMENTS: � W a o � �/� � (b �P � � 0 � W � Q � Z W � W � � GW �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on sit� Inspector. � White Copyllnspector's File Canary CopylSite Notice