HomeMy WebLinkAbout2006-P10132 - sewer connection ` l ' PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10132
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut
(952) 249-4600 Date Issued:
7/24/2006
SITE ADDRESS: 3210 North Shore Dr Unit#
Wayzata,MN 55391
P��� 08-117-23-41-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Sewer and Water Pernut Pernvt Sub-type(s): Sewer Connecrion
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: Tonka Plumbing Heating&Cooling Inc. OWNER: Mark Finney
265 Cty Rd 110 North 3210 North Shore
Mound,MN 55364 Mound,MN 55364
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.
�
4
APPLICAN T SiG TURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
- FOR CITY:USE ONLY
��� City Of Orono Dafe Received: Permit# '
P.O.Box 66 �
�'� � 2750 Kelley Parkway ❑In-House SAC Determination Form Completed
� � t� Crystal Bay,MN 55323
�a��o,j�y�e' (952)249-4600 Approved By(If Required):
CITY OF ORONO-SEWER&WATER/GENERAL PERMIT
(*Note:Some permits may require approval by the Building O�cial and/or Public Works Department*)
(ALL PERMITS- Mav be subiect to further review and mav not be issued when the annlication is received)
GENERAL INFORIVIATION _
1. You may apply for utility pernuts 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 pernut card is available on the job site.
5. Urility connection pernuts may be issued to licensed contractors only.
6. Contact the Public Works Depariment(952-249-4600)for utility stub as-built locarions.
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 dus approval.
7. Al!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
(Gheck Al1 That Ap''ly) ; ,
�Residential(May Require Approval) ❑Commercial(Approval Required)
❑ New Connecrion �Additional Connecrion ❑Re-Connectiou ❑Repairs ❑Disconnect
Job Site/Owner Information:
Site Address: �a�0 !�o �-�.Sl�r e �r►,� �r 0�p.
Owner: o v� ` Mailing Address: �a�O 1'�✓�'�"jlti-�r1,�e �r��
City: �1�cX117 Zip: S�'3� �
Home Phone: �o't''����a�( Alternate Phone:
Contractor Information:
Contractor: `��/g �-� �co�ct Person: '�Y
�
Address: �� �, �,��1`�' State License#: ����
City: ��u Zip:553��Expiration Date: f D�
��� �
Phone: �'�- ���+112Q� Alternate Phone: C�P GI �a����o�
' .
w ;
"' �`"`� D�TERIVIINiNCSr P�RI�IIT.;FEES `` �' ' �` , ,��
;� �� =;'� �, . .�� ,f ti <E,.
. .;.... ,...,� ,s . . ..,<< ,., _ _ ..,
❑SAC Charge(2005 Rate=$1,550.00) $
(SAC Charge must accompany all sewer pernut applications unless prepaid)
(Orono City Staff can detemvne if applicable)
(If not prepaid,a sewer connection permit will not be issued)
�Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ J J' �O
Pi pe 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
O�
1. SUBTOTAL of Pernut Requested: $ �� �
2. STATE SURCHARGE $ .50
3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 1.50
5�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S ��
'ADDITIONAL INFORMATION—VJATER 1VIETERS
■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a senarate 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, and certifies that all statements made on this application are,true and correct.
Ap�licant: Date: �/Z�l�
���� �� AT IME
` CITY OF OR O CALLED IN
INSPECTION SCHEDULED ' � �
PERMIT N0. � � COMP�ETED
ADDRESS �
OWNER CONTR��J�(/1 .�.�Ll�.�
TELEPHONE NO. t��-���"��O�
� DESCRIPTION ��W� 1 )Y� (
ly 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
0 ��V l/V
a
�
� N/L C�.�(..� �
°� t�C i� i � �u.�
Q
�
z
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED [7 PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
p ❑ CORRECT WORK,CALL FOR REIN PECTIO TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -, CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe nex inspection 24 hours in advance. (952� 249-4600
OwnerlCon 't :
Inspector.
Whife Copyllnspector's File Canary CopylSite Notice