HomeMy WebLinkAbout2004-P07770 - sewer/water disconnect ��
PERMIT
C��i- OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po���o
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit
(952) 249-4600 Date Issued: g�2�2ooa
SITE ADDRESS: 1740 Shadywood Rd
Wayzata,MN 55391
PID: i�-ii�-23-2i-oo2o
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Sewer and Water Permit Pernut Sub-type(s): Sewer&Water Disconnecric
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 70.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Thornpson Plumbing OWNER: Robert&Joanne Switz
15001 Minnetonka Ind.Rd. 1740 Shadywood Rd
Minnetonka,MN 55345 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PIItMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMINTS.
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PLICANT PERMITEE SIGNA ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Repuired), 1-Auplicant 1-Monthlv Reuorts, 1-Assessin�, 1-Finance Page 1
�D�c-04-2001 12:44pm From-CITY OF ORONO +1622404616 T-2oT P.001/001 F-305
�U�7YatR1 frltidUlJ
CITY OF ORONO APPL[CATION FQR UTI�TY PERMTfS
Box 66(2754 KcUey Perkway) S�WEIt/WATER
Cry9ta!�siy,MN SS3Z3
GENERAL INFdRMATYGN
1. Yaa msy appty for utilhy pamip by rnsll ar i��person at the City of�icas.
2, MaUad la�pplications ere aubjoct w tfia postage snd handling fee shown below. Pexmit ca�ds wilt be semt by
return mail iha same day the apptic�tion is rec�slved.
3. Permib art aot v�tfd uatil yan raoofva a peemit card.
4. Wak must not be�in unlesa the perrait aerd 1a avsllsblo an ehe job aite.
S. Ut�ltty connection permite may be issued to licensed mnuactors only.
6, Coatact the Public Works �eat (95?-?�t9,4600) for ut�ity �tub as-bvilt lacations. DQ NQT
@CCAYATE IN ANY STtLEET AND DO NC�T TAP ANY MAJN w�ithout express approval of tha Public
Waics Depertmeni. tssuauce of a permlt doas not�ant thls approval.
7. All wark must be done in accord�ce with Skue Code raquiroiaoats.
, 8. AA wodc must be inspoexed befo�e it is covere�l. C�lI(9S2)7�49-4400.
24 hour aotice raqdred.
.roa srr�,�n��s�: 1�l 4� ��o�cl�.�,�L � _ _
,�"r,r�
O�auPwu�''Iy'Pe: �R�idmtisl�� � Commercial
Ovra�r'�N�nt: ,�� — Phone N�bee:
Ma�ua��dr��:.l l��� Jr�, �,g� cit�: � .r�� Ss �
Contractor'aNa��: r�� P6oacNumbe�:�1�,°t3a-'��1�
Mstilfn�Addre=:: City:��__o� 2tp:���
,G�.�c�� P��'Y'7'YF�
�` �.i,� Mua�tdpal Sewer Conncction(�35.OU per etub) $ �
11� pipe size incl�s: matcrial �Sehe�ul�44�ir tasted; cast iron
+"""'� SAC Charge(240Q rate$1.150.00)must�tccoaupacry all sewqr permit applic;ations unless pnepaid.
�j ! If uot Pre�mid,a saw�er connectlon permit wiA�wt be issuad.
r ���:'G�iuntcipal'NVs�ter Connection{�35.00 per stub) $
�-�s pipe size inches; matcrial copper; other
WATER METE.R.S must bc picla�d up aud pai�l for at City Hall.
W�ter mebers mast be sct xa� sealed by (Irano Water Department (952-?,49-4600) apoa
compledon oi rneter lastxllatlon.
REQ[JIIt�minuaunt satbacics from dra.ia field and septic tanks=75'
REQCJIlt�setback$om sawer lin�=z0'
P�'����,��ALCULATION
1. 9ubtotal of above pcnuit requcstad $
�. sc��.s��� � .so
'I7�a stete auitding Code 1'�ivis�nn Surct�ge o,•$.SO per pamic must ba
inalvded for eaoh weB,sewer and water conaa 3;on pamit rrquastad.
3. postage&�analrng(Grily mail in applications> �� l.sa
4. TQTAL PERMIT FEE(�dd linos 1-3 abo�e} $
Tbe uadersi�ned her�by spplies to thc Ciry af t�roc�o for issuancx af a Utility Perniit,agrccs to do
ell wark itl 9ttiQt �OCOrdllttlCe With the ord+'nan., � of the C�ty end the regulatious of the Stste of
Miiincsota.and certifias that all statameuts mada on this'appllcation are eomplete,true and carrect.
Signature of Applic�l� ��p� Date: ��"0�
-�����c�c.c��.� -��. ex�s-� SZ.we,Y � ��-,,,� C�
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�DAj� _ TIME
CITY OF ORONO CALLED IN ��
INSPECTION G��� � SCHEDULED �� • ��
PERMIT NO. � COMPLETED
ADDRESS d--
OWNER C TR.�7'(,jj�'bt_A�(�'�
TELEPHONE NO. gSZ- �-� 77� 7
� DESCRIPTION <���tl�'�� � C�OYL�1„Q
� 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 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
c�., COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL REiURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra ite:
Inspector.
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