HomeMy WebLinkAbout2007-P10923 - sewer connection PERMIT
CI�"Y UF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10923
Crystai Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued:
4/24/2007
SITE ADDRESS: 3605 North Shore Dr Unit#
Wayzata,MN 55391
PID: 08-117-23-34-0011
DESCRIPTION:
Proposed Use: Residential
Pernvt Class: General
Permit Type:
Sewer and Water Pernut Pemut Sub-type(s): Sewer Connection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: FreedomMechanical OWNER: MikeManey
11135 Hwy.7 3605 North Shore Dr
Watertown,MN 55388 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
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE I D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
• �
FOR CITY USE ONLY
��(��� City Of 01'ono Date Received: Pennit#
O 7 O P.O.Bo�66
,y;e. 2750 Kelley Parkway ❑In-House SAC Determinatioti Form Completed
�� yS�?1;r,�;: ,� Crystal Bay,MN 55323
L�,���o�a`o (952)249-4600 Approved By(If Required):
`�._.___.
CITY OF ORONO—SEWER& WATER/GENERAL PERMIT
(*Notc:Some permits may require approval by the Building Official and/or Public Works Department*)
(ALL PERMITS- M:�v be subicct to further review and m�rv not be issucdµ�hen the annlicAtion is received)
GENERAL 1NFORMATION '
1. You may apply for utility pennits 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 stu6 as-built locations.
DO NOT EXCAVATE 1N 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.
TYPC OF PERMIT '
Check All That A I )
�Residential(May Require Approval) � Commercial A roval Required)
�New Connection ❑Additional Conn on Re-Connection Repairs � Disconnect
Job Sitel Owner lnformation:
Site Addcess: �o��CJ� /C�F Si�.O�2e .��2
Owner: Mailing Address:
City: Zip:
Home Plzone: Alternate Phone:
Contractor Information:
Contractor: �i2� ��� Contact Person: �e!( �,�-�-ti.
Address: I/'�3�5 �I State License #: ���/Z-
City: �� fuf�/ Zip:�_�Expiration Date: f,P2�,�j�0 `7
Phone: IiS'o?"'�YG`F✓��y Altern�te Phone:
GI,2-3�3�/f`'8 /s'`
7� o0
' DETERNIININGPERMIT FEES
� SAC Cha►gc(2007 Rate=�1,G7�.00) �
(SAC Charge must accompany all se�ver permit applications unless prepaid)
(Orono City Staff can detcrmine if applicable)
(lf not prepaid,a sewer connection permit will not be issuecl)
�Se� er Connectio Disconnect/Repair(�35.00/Per Stub) $ �,� D O
Pi ' hes; material Schd 40 air tested; 0 cast iron
01 ���ater Connection/Disconnect/Repair(�3�.00/Pcr Stub) $
Pipe size inches; materiai_ Schd 40 air tested; � copper
1. SUI3TOTAL of Permit Requested: $
2. STf1TE SURCHARG� $ .�0
3. POSTAGE&HAIvDLiNG (Oniy on Ylaii-In Appiicacions) S 1.50
�0. TOTAL PE6ZlYI1T�EE (Add Lines 1-, Above) $
ADD[TIONAL INFORMATION —WATEK NI�TERS
� ��'ATER��IG7'ERS must be picked up and paid for at Orono City Hall,thcse are on a separate�ermit.
� �VA'['�R 1�1�TERS m�ust be set �nd sealed by Orono «'ater Dep�rtment {9�2) 2�19-dG00, upon
completion of ineter installation.
The undersigned hercby applies to the City of Orono for issuance of a Utility Permit, agrees to do
all ���ork in strict accordance �vith the ordinances of the City and tlle regulations of the State of
Minnesota, and certifies that all statements made on this application are, true and correct.
Applicant: ����/y�� Date: ��`l �!
Reset Form
���� �� g�Vl 11`� DATE TIME �
CITY OF ORONO CALIED IN <<0'O `�Z(O �''1
INSPECTION N TICE 2 SCHEDULED (tr t 7<�Q -�-1:��""
PERMIT NO. ZJ COMPLETED
ADDRESS � � �- � �
OWNER CONTR. � 1�►�� �'r��
TELEPHONE NO. �� �- � �lU� �-UJ I "t �
� DESCRIPTION �`�W V► �Y� � � �• W C���
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENT�
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W ORKSATISFACTORY:PROCEE ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the n xt inspection 24 hours in advance. (952� 249-46�0
OwnerlContr,�ctqr site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice