HomeMy WebLinkAbout2008-P12143 - sewer/water permit PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P12143
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued:
6/6/2008
SITE ADDRESS: 2765 Wayzata Blvd W Unit#
Long Lake,MN 55356
PID: 33-118-23-13-0018
DESCRIPTION:
Proposed Use: Commercial-Business
Permit Class: General
Permit Type:
Sewer and Water Permit Permit Sub-type(s): Sewer&Water Disconnectic
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Pete's Water&Sewer,Inc. OWNER: Ryan Companies US,Inc.
800 Lowry Ave NE 50 South 10th. Street Suite 300
Minneapolis,MN 55418 Minneapolis,MN 55403
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.
W-{-/t_ 'On Leel
ICANT PE' ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
Olook. City of Orono Date Received: Permit 4
P.O.Box 66
2750 Kelley Parkway ❑In-House SAC Determination Form Completed
4 . . +• Crystal Bay,MN 55323
1.ot4x •
p4`"c' (952)249-4600 Approved By(If Required):
atis
CITY OF ORONO-SEWER& WATER/GENERAL PERMIT
(*Note:Some permits may require approval by the Building Official and/or Public Works Department 5)
(ALL PERMITS- May be subject to farther review and may not be issued when the application 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 utility 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 Apply)
®Residential(May Require Approval) ❑Commercial(Approval Required),(
®New Connection ❑Additional Connection 8 Re-Connection 0 Repairs 1�1 Disconnect
Job Site/Owner Information:
Site Address: a 17 (a 5 t') s f LU a'/ Z a. /a 1g1 VC
Owner: Ryan &r).-pn/'P s L/Tne__Mailing Address: 5o I D t1' CS'7. S.44 3o®
City: hip/5 Zip: h, h .
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 1}e s /tea i-e)L, E Seuxt Contact Person: I h e_ /11'1/
i
Address: 800 L-o w ry Ave. it/E State License#: C Sr 6 F a P.-+1
City: nip/s Zip: h,,1 Expiration Date: pec. 3 I , 2o0 8
Phone: /2 -7.79- 6/ 62 Alternate Phone: .Same_
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)
®Sewer Connection/ isconnect/Repair($35.00/Per Stub) $
Pipe size inches;material Schd 40 air tested; 0 cast iron
0 Water Connection/tisconneci)/Repair($35.00/Per StubL_
Pipe size inches;material Schd 40 air tested; copper
1. SUBTOTAL of Permit Requested: $
2. STATE SURCHARGE $ IQ
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
ADDITIONAL INFORMATION—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 meter 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: ` Q "1Z -�' Date: 6/2_/0 8'
Reset Form
DACE TIME
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CITY OF ORONO CALLED IN ( P/CD/o�
INSPECTION NOTICSCHEDULED
PERMIT NO. a/ COMPLETED
ADDRESS g (a5 (A 'a a 2 I/u^i/
OWNER- /i CONTR. a.i -P- ,
TELEPHONE-iI0. ``, ` 6, 3 -- O 890 dam''
DESCRIPTION 2 ' ?'711I
1...
Lk, ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
I) ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
1, ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
14.1 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
<--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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W�/y'WORK SATISFACTORY:PROCEED C7 PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: 1 C.k'S SW r � I'�,, t$
Inspector. ,-5-et 'i
White Copyllnspector's File Canary Copy/Site Notice