HomeMy WebLinkAbout2004-P07166 - sewer disconnect CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�166
Crystal Bav, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 24�J-�600 Date Issued: 1�lai2oo4
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SITE ADDRESS: 1489 Shoreline Dr
Wayzata,MN 55391
PID: 11-117-23-23-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 35.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Thompson Plumbing OWNER: Raymond&Nylene Newkirk
15001 Minnetonka Ind. Rd. 1489 Shareline Dr
Minnetonka,MN 55345 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 PERM[TEE SIGNATURE ISSUGD BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
O�c-04-2001 12:44pm f rom-CITY OF ORONO +1522404616 T-YO7 P.001/001 F-305
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CITY OF ORONO A.PpLICATYON FQR UTILTTY PERNIITS
BaY 6d(275d KcUoy Parkwa,y) S�WER/WATER
Cryst�l Bxy,11SN SS323
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� GENERAL INFORMATYO�V
1. Yoa msy sppYy for utilhy pamits by ma(1 or i��persan at the Ciry offices.
2. Mai)ed!a�ppHcstioaa ere s�ebject to ttu postage and haa�in�fet st�own below. PaYxit cards will be cent by
return mail tha sama day tha appliauian is rec�:tved.
, 3. Pacmib are aot va1W uatil yon re�efve a petmit eard.
4. Waic must noc be�in unlesa t�e permit oard ia availablo on the)ob:ite.
S. CJtility connectian pamits may be isgued to liceased aoamscwrs only.
� 6. Contact the Public Works Faoge�eat (45?•249-�600} for utility awb �-built lncations. p0 NOT
@CCAVATE IN ANY STKEET AND DO NC�T TAP ANY MAIN withont express spproval of the Public
Warics I)egartmeat. Lssuence of a permft does na�ant thls approvnt.
7. All wark muet be done in accor�a with Sta e Code requiremeats.
, �. AA wask meist be inspeate4 before it is cov�ere�1. CaII(932)Z49-4600.
?A hour oatice reqtired.
Jas sr�,�wna�ss: l�l4a �no�Jl�,,..�,�e:�c.
OCoupfutCy T`ype; � R�idenHsl COmmei'Cial
�+ruer'�t N��; PLoae Nambee:
Ma��Addra�: . Cih,: � .
COntractor'iN�mC: n���.�Y.� ��.� P6oneN�bs:�-°�3�-�?-1�
Msilin�Addres�:15nn1�r�,���.� f2.A_ City:M:c�.re.�h,�wYw7�o: S —'
P�12MT'Y'7'YPE �:sc.a�.••�
.�Muaidpal Sewar C�ee�e�i�n(�35.00 per stub) $ •
11�� pipe sia inches; msterial Schcdulc 40 eir tested; cast iron
� SAC Charge(2000 rate�1�150.04)must accan�pnny nIl aewer ptrmit applications unless prepaid
�' � If not prepa�.d,a sew�er connec�lott permit will�wt be issu�d.
1Viunlcipal'1� ter Connscti n(x35.00 per stub) $
pipc s' in ea: matcrial copper; other
WATER ME m piclocd up and paisl for at City Hall.
Water meters mn: e sct snd eealed by (►rono Water Deputm�nt (952-?�49-4600) npon
oompledoa of inet txUation. .
REQ um sctbacks from drain field and septic t�nks=75'
REQ setb4c $om acwer line=z0' .
l. ' Subtotal of abave peruait requa�tcd $ . .
2 State Surcbeate $ .50
Tbe Steis Build'utg Code Dlvis�nn 9urc6a�ga o�'S.SO per persalt must be
i�olvded for e�oh weli,sewer and water eonne�tion permit rcquastcd.
3. Postage.&��aadl}ng(Orily mail-in appJications) � 1.50
4. 'POTAL PERMIT FEE(add linos 1-3 sbove) S
Tbc uaders�asd henby appli�s to thc City of thnno for issuancx of a Utility Permit,agrccs to do
ell worlc itt sttiet aocord�ttet with the a�diaan�:es of the Ciq+ and tbe rt�ulations of thc Statc of
Minnesota.aad carufies tl�at all statemeats made on this'epplicatfon are eomplete,true snd eorreet.
�Si�ns�u+eofApplic���'n �G.�s��'+ llaem� /`/3-0� _. ;
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� DATE TIME
CITY OF ORONO CALLED IN IS-
INSPECTION NOTI E SCHEDULED ' 'uD rl•)
PERMIT NO. COMPLETED I-iL-0`-'�
ADDRESS /�/�'1 �S�Qr� �%�-�n .
OWNER CONTR. //i0'i'`-sd n-
TELEPHONE NO.��•� �3� � 7��
� DESCRIPTION � '�(.Z�� U,�.S Cv�7 Ks��-f' ,
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI(ESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPUUNT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC F 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
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� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:__ '� Q� ��- p��
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�.��yIVORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W �9'�CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECANDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RERJRN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Con actor on site:
Inspector.
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