HomeMy WebLinkAbout2001-P04166 - sewer/water permit �
PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P04166
Crystal Bay, Minnesota 55323 Pe�mit Type: Sewerand WaterPermit
(952) 249-4600 Date Issued: si�i2oo�
SITE ADDRESS: 2060 Shadywood Rd
Wayzata, MN 55391
P I D: 17-117-23-31-9999
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer& Water Connection
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: Plymouth Plumbing& Heating OWNER: James Kline&Jacquelynn Kelly
6909 Winnetka Avenue N 2060 Shadywood Rd
Brooklyn Park, MN 55428 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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APPLI ANT PERMITGG SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signitures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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� , l:l`['Y Uh'Ukt3NU APPLICATION F()R t71'ILITY I'ERNiITS
Box 6b (275Q Kellcy Pr,trkw�y) SEWEI�ilWATER
Crystal Bay� MN SS3f3
GE;L��,A,l,[N�'OftMAT[ON
3. You rs�ay apply for utility pormits by mai]or in por�wn at the City offrc�s,
�. Mailed in appiicotinr�s are subjrct ta thc postago Rnd har�dling fecs yhawn betow, permit cnrds wil!bt scnt by
roturn rt�ail thc aama day tho appliceti�n is rcceived.
3. f'ermtt�are not vA1id until you recclro A permti c�1�d.
4. Work must not begin unles6 the pert»it card is aveilab{o on the job site.
'�. Utility connoctlon permits mey be issued ta licensed cantracEon only.
6: Cont:tct thc Public Worics Depariment(473-7357)fot utility atub as-yuiR locetians. DO NO'I'�XCAVAY'F
(N ANY SrR.�F.T AND DU NC�T 7'A}� ANY MAIN without expreas approvaI of t}�c Public Worica
Urpartnlcnt. lssuanca of n pormii does not gr�.nt ihu xpproval.
?. A1J work must bo dane in eccordtutee with Stat�Codc roquir4mcnts.
8. All work mu�t ba inapocud before ic is covtred. Cat1473-1357.
24 hour natkm reqafred.
,loes�z'T:ADDR.�S.�: • � �
C�ecupAncy Type: Residenti ! Commcr$ial
Qw�,er'e Name: l.�2 L `�^ P6onc Num 5c�- � -Q4�(�
M�iling Addreaa: ' � ,� City: i tUt r� 7�:��Ly�-�.
Coatr�ctor's Name: Phoue Numb� - ��
Malling Addresr: v� City. �cl ��� �
PERMIT TYI'E
Munlcipal S�wcr Coanection($35.00 per atub) �� $ ;�j����r
pip�hixe inchcs; rnateri�l � PVC (ot�sand fli); cesc imn
SAC Char�e($900,(xl)mu�t accom�ny all sewcr pern�it applicacions unless prcpaid, Tf not prtp�id,
a scwcr cuiinec;tion permit will not bc issued.
NYunirl�al Watec Cortnection ($35.00 per stub),,. $ •?�����,
pipe siz�_«____ inches; material,_ I copper; other
WA1�L}2.M�TERS must be picked up und paid fvr at City H�11. � T� �
(S/R" mctcr4 �$I39.00; 3/4" metc� ��191.OQ; 1"mot�rs=�247.00}
Stparatc Plumbing Pcrrrtit issued fot water mettr.
Water metara mu�t be set And aeAled hy Orono Watec Departmont(473-735�qpoa completion
oi meter inst�Il�tlan.
�L�QUIRF,D minimum sett�ack�from drainfieid atid septic tanks=7S'
R�QUIRED aetba�k Frc�m sewer line�20'
��T�'Fk��A1�.��,A'�[orr
1. Subtotal of abovc pertnit roquested � °��. �;�
Z� S at� � r�h r�e � S��
"C'ho State$uildlr�g Code Uivision 6urcharge of S.SO par permlt rtiust be
included far each watt,uwer and water aonnaciina pctmlt requo�ted,
3. pc�stau�,��dl�n,g(pnly mail-in applicatic�n�) � 1�L^
4. TUTA�. PERMiT FEF(add lines 1-3 abovc) $w� , ���
Tha und�rsigned hercby applies to the Gity of Oraao far issuancr of a Utility Permit,agrees to do
all wark in strict ace�rdance with the ordinaiices of the City and the regul$lions of the Statc nf
Minnesota, and certifies that al!�tatemen�s tnadt an this application are complete, true and correei.
s�gnacurt of Arpl, ����=,�t,ti�" � ���_`-��.
c�/�
�DP�T`,E, TIME
CITY OF ORONO CALLED IN � 0�
INSPECTION NO� SCHEDULED '
PERMIT NO. COMPLETED C�� 3- ��
ADDRESS � G� I/�� �
OWNER ONTR. • ����—•
TELEPHONE NO.__ �C �� ��C C� � ��
� DESCRIPTION �l/ � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GR DING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WA�I BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL, 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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��ORK SATISFACTORY:PROCE �ROJ ECT COM PLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP OFDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46Q�
OwnedContractor on site:
Inspector.T///�L��S
White Copyllnspector's File Canary Copy/Site Notice