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Home My WebLink About2007-P11727 - sewer repair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11727 Crysta'P Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut �852) 249-4600 Date Issued: 12/3/2007 SITE ADDRESS: 3570 North Shore Dr Unit# Wayzata,MN 55391 PID: 08-117-23-34-0019 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Pernut Permit Sub-type(s): Sewer Repair 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: Sunset Construction Inc. OWNER: Thomas&Marylou Lutz 1351 Cty.Rd. 83 258 Cygnet Pl Maple Plain,MN 55359 Long Lake,MN 55356 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. � APPLICANT EE SIGNATU ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . f� FOR CITY USE ONLY � �' � \ City of Orono Date Received: Permit# ;i 0� �0" P O.Box 66 �� n; �� 2750 Kelley Parkway ❑In-House SAC Determination Fotm Completed �� ;X`� �;• �� Crystal Bay,MN 55323 ��E,¢,�� (9�2)249-4600 Approved By(If Required): i'�z�o*j CITY OF ORONO— SEWER & WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) � (ALI.PERMITS- Mav bc subiect to further review and mav not be issued when the aoplication is received) GENERAL INFORMATION l. 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 utility stub as-built locations. DO NOT EXCAVATE 1N AN�'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 it� 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 ) esidential(May Require Approval) � Commercial(Approval Required) � � New Connection ❑Additional Connection �"[�e-Connection epairs ❑ Disconnect Job Site/Owner Information: Site Address: �S 7� Owner:_��/s� ��Z Mailing Address: SQ�r-�P City: (�N�► � Zip: Home Phone: Cf s��1 ��3y Alternate Phone: Contractor Information: Contractor: -�u;�;'�'�c�,e� �-�"�'i! � Contact Person: B�' /LG' Address: � �� State License#: City: �1� " Zip:�s�� Expiration Date: Phone: ��' �j`� y/v �l y Alternate Phone: �/�- �G�'/ �39 ♦ �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) �-Sewer Connection/Disconnect/R r($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; 0 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) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ADDITIONAL INFO1tMATION-WATER IvIETERS ■ 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, and certifies that all statements made on this application are,true and correct. Applicant: Date:_�� .�! d� �f'�I � . �f�� D TE /� TIME / CITY OF ORONO CALLED IN 'Z� v� INSPECTION NyO�TICE SCHEDULED b� � PERMIT NO. r� � � Z-� COMPLETED ADDRESS :�5�7 l� N . �4-�or� �� • OWNER CONTR.C��-I- C�YI�-I-- , TELEPHONENO. i `� � C� `� � � � DESCRIPTION ,�, � I � —�I 0 � C'«�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�.YES_NO � COMMENTS: � W C o �(' �2S a � 0 � W � Q � z W � W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. Cj pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the ne t inspection 24 hours in advance. (J52� 24J-4600 OwnerlContr 'te: Inspector. r White Copyllnspector's File Canary CopylSite Notice