HomeMy WebLinkAbout2007-P11379 - sewer disconnect PERMIT
C�T'Y bF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P11379
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952)249-4600 Date Issued:
8/28/2007
SITE ADDRESS: 1350 Rest Pt Cir Unit#
Mound,MN 55364
P��� 07-117-23-31-0024
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Sewer and Water Permit Pernut Sub-type(s): Sewer Disconnect
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 va�uation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Coppin Plumbing OWNER: T.H.Parker Inc.
5089 Shoreline Dr 201 Eastlake St
Mound,MN 55364 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
MINNESO BUILDING CODE REQUIREIWIENTS.
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APPLICANT PERMITEE SIGNATURE D BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CiTY O�'OltONO—SEWER&WA'I'ER/GE!VERAL PERMIT
(•Pa,e:suom pem+;u mas npe ap�'al by umBm7ding olRei�t a.u�at FuiGe wods uaratbn�'7
( 1 PF.RMITS Edn m 6wd te fxl�ar,��+„ies s�A wav mt ba Isget ahaa IAe aodiea�ion k raeeiradl
GENERAl.1NFORMATiON
1 Yon sey apply far utility peimits bv mail ac m petson at tha Citg oft�rs.
2. Adailed in applications sre sabjxt to ihe po�tage amd Lanlling fce sho�vn beiow. Pe�m�t carda will
ba scnt by retum maiI wimin 2 b�ai�rs�days.
3. P�its a�e aot Taiid aMi!yon meive a permit card.
4. Wort:must�at hegia wiless d�e pe�mit ca�d is availaAle an ihe job silc.
5. Ulility connection pa�niLa tnny be issucd Io Iu:ea9ed coatradors oaty. `
6. C�ntact thc Pub6c Wa�ics 1kPs�lmeat(952-24�1600)Cor Wility st�as-built locatiaz�s.
pp NpT YJCCAVATL IN MiY SI1tEET AND DO NO�I'TAP AIYY MAW witbont cipiess
appimai of the PabGc Works Dep��immt is�mooe o�a penait daas not�anR this app�oval.
7. Hll�arork m�t be dom in acxorda�aec with State Codc requi�emcn�s.
R. All work�t be it�►eclod before i!ic covened. Call(952)249-460U,7 DI1T OON[C 7CqUl1'lfJ.
TYPE OF PERIvIIT
(�edc A117hat A
�Reside�rtial(MAy Raquue ApplwaQ ❑Cammercnl(Appcovai Roqetired)
Q New Coaoeeaan []Additioesl Camoection [�Re-Cooax�tia� Q Repeiis �1?iseonnoe�
Job s�te�owt►a rnf«matioA:
Site Address: 1�f��E�'��,it�Cr l .,t(2C'.L.�
o.�r�: 9i5�_ .►�v�ttt.t n�iins aaa�: �14 �t.aC�tn1C-�'t�1 P�sti,'S�,
City: ��J Zip: �����
Horiu Phone:�L'�?8� Alt�nate Phane:
Contracxor tnformation:
(�A t
Contractor.
�;,%`��iS�T �:'" �ar��,�:� Cantact Pezson: �a.�.��-- �� ` �'�'��`
Address: �;-�� •+'"'�`- �i� �> State Licer�.se#: �,� ��
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�" C .ti '�' ;'rJ e j • �
Ciy: a�'j,YL�'�v ' � � Zig����>�-Expiration Date: � �• • C
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Phone: ��,�"'ti r �?�?`� Alternate Phone: iv����.�'�.L f�'t?`
I
Rus 24 07 02: 1Op Coppin 952*472*2316 p. l
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DETERMlNING PFRIIQT'�EES
a SAC CQac�ie(2007 Ra[e�Sl.fi7S.0� S
(SAC C�rge mutt aecompmy all sawa p�mit applirations unkycs prepaid)
(Ocono City Staff can det�tnine if applioable)
(If not prepAid,a sewer ooaseclian pe�it xil not be as�eA)
�s�c�o���cs�� .�� .. ` �v .��
, v ��-�;-�=
w�e 8i� �c m.ie�t s�,a���a���;�
(�'VPaler Conaat�o/Dkeobaect)Repair(S�OOIPe�gteb $
P��e si¢e mcl�e��ateria! scbd 40 air[eseed;�copp��
1, SU87'dfALofl�cimilRoqualud; S
2. STA7'Fs 5URCHARGE $ s� ^
3. NQSTAGF.dt�IANEHJiYa(Onh-an INail-in Appli�ttic�s) S 1.50
a. TOTAL PERMPI'FEE(Add Laxs I-3 Abm�e) S
wunmoN�v.,nv�o��ow-war��Rs
■ wATER�I�TERS must be P��uP e�F�d for at O�a�o ciry Iiall,lhCso are oa a�eDarsle ner,o�.
• R+A7E8 M�7'ERS�ast 6e set�d sesled by Oc+tao Watar Deps�cnt(95�Z49•46AU, qpon
aromPfetion�laaler iratullatio�.
Tlie uc�si�C1 hereb3'gPPlies co t}�City of Orano fo�issuaace ots UaalY pe�t.a�to do
af1 worb e�s�ict a�urdanc�w�rh the ord'ut�of the Gity��n�lati�s af the State of
Minnasota,rnd cesti!ies that aU sratenrmts made oa�s app}icadoa a�aue and coaoct.
n
Applicanr. ;��.'G3.:,.L.��r,.,,� Dabe: �'�.9 ��' s �
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Resst Form
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED __�
PERMIT NO. ���� COMPLETED
ADDRESS �35� /eQd� �Dl�-� �t�
OWNER CONTR. LlLN�2._ C����`'►'�
TELEPHONE NO. ��� �� �a�D
�
� DESCRIPTION « �I�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOI.LOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W W RK SATISFACT :PROCEE CI CO PLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (J52� 249-46��
OwnerlCon site:
Inspector.
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