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Home My WebLink About2003-P06870 - sewer/water permit . � R PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P06870 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pemut (952) 249-4600 Date Issued: io�s�2oo3 SITE ADDRESS: 3490 North Shore Dr Wayzata,NIN 55391 PID: 08-117-23-43-0014 DESCRIPTION: Proposed Use: Residential Permit Class: General Pernut Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: Sepazate 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 OWNER: John 7ones 265 Cty Rd 110 North 3490 North Shore Dr Mound,MN 55364 Wayzata MN 55391 Tf�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. � PLIC PERMITE IG TURE I SUED BY SIGNATURE Copies: 1-File(SiQnitures Required),1-A�licant, 1-Monthlv Revorts, 1-AssessinQ, 1-Finance Page 1 (iJpd ated 6/2/03) CITY OF ORONO APPLICATION FOR L-TILITY PERMITS - Box 66 (2750 Kelley Parkway) SEWER/�VATER& SAC Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for urility permits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shon�n below. Permit cards will be sent by rehun mail the same day the application is received. 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. Urility connection permits may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for urility stub as-built locarions. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public W'orks 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 honr notice required. JOB SITE ADDRESS: 3�°I� ��10��1-, Sh o re. �r�"v� Occupancy Type: �� Residential Commercial Owner's Name: � �'�h � )�.��, Phone Number: Mailing Address: �SCu _ City: Zip: Contractor's Name: ' Q l--1� U'D ' Phone Number: �Sa- �-�a-�1'a..a� Mailing Address: City: ►'�p��y1p� Zip: �".S (n � PERMIT TYPE �.Connections ❑Repairs ❑Disconnect (Check One) SAC Charge (2003 rate $1,275.00) $ (Set Rate) Sac Charge must accompany all�sewer permit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer Connection/Disconnect/Repair($35.00 per stub) $ pipe size�inches; material�� Schd 40 air tested: cast iron Municipal Water Connection/Disconnect/Repair($35.00 per stub) $ pipe size inches; material copper; other WATER METERS must be picked up and paid for at City Hall. Water meters must be set and sealed by Orono Water Department (952-249-4600) upon completion of ineter installation. REQUIRED minimum setbacks from drain field and septic tanks= 75' REQUIIZED setback from sewer line=20' PERMIT FEE CALCULATION 1. Subtotal of above permit requested $ 2. State Surchar�e $ .50 (Minimum) 'The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection permit requested. - 3. Posta�e &Handling (Only mail-in applications) $ 1.50 (Mail In Only) 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 wark 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. Signature of Applicant: Date: !� '� V DATE TIME CITY OF ORONO CALLED IN rU`�`f'�j INSPECTION NOTI � scHE�u�Eo �� -�-3 02 :vv �, PERMIT N0. O COMPLETED ADDRESS 7 �/�f� iC��l/�'TL� ��lc'✓�L ��• OWNER CONTR. f C�17�Q- ��(ia�� . TELEPHONENO. �� r�ZC� ��o� �� DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 1�(9IE8 - 17 SITE INSPECTION Q OS FINAL ; 14 SEWER HOOK-UP O6 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 PL G FINAL / 36 FOUNDATION/REMOVAL � OW CONTRACTOFi MEET YOU:�,(YES_NO � COMMEN : � W � � J O � � O � W � Q � ' Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContr site: Inspector. White Copy/lnspecfor's File Canary Copy/Site Notice /✓DATE TIME CITY OF ORONO ��7D CALLED IN ��'�� INSPECTION I E SCHEDULED ��-�D I% PERMIT N0. COMPLETED ADDRESS " �• s OWNER CONTR. ��- ��-e� TELEPHONE NO. S 2 Z�-0 (o Lg�p � DESCRIPTION �"f �- � � 01 FOOTING 11 MECHANICAL RI 18 AWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL ��ER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 3T SEPTIC MAINT. 21 COMPUUNT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: W � �� j � 0 � 0 � W � Q � 2 W � W � � a W� ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL REfURN ❑STOP OROER POSTED.CAIL INSPECTOR ❑CITATION ISSUED O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Ca11 forthe n xt inspection 2a hours in advance. (952) 249-4600 OwnedContr n site: Inspector. Whiie Copynnspector's File Canary Copy/Site Notke