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Home My WebLink AboutP05715 Sewer & Water PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P05715 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 10/8/2002 SITE ADDRESS: 2795 Pheasant Rd Excelsior,MN 55331 PID: 21-117-23-32-0002 DESCRIPTION: Proposed Use: Permit Class: General Permit Sub-type(s): Sewer&Water Connections Pei ,it Type: Sewer and Water Permit 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: Thompson Plumbing OWNER: Richard Marzan 15001 Minnetonka Ind.Rd. 2795 Pheasant Rd Minnetonka,MN 55345 Excelsior,MN 55331 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. ,WYP PL ' ITEE SIG ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 'O►sc-04-2001 12:44pm From-CITY OF ORONO +05224134616 1-217 P.001/001 F-305 tVpull meu 41LhlU1) CITY OF ORONO APPLICATION FOR UTILITY PERMITS Box 66(2750 Kelley Parkway) SEWER/WATER Crystal Bay,MN 55323 GENERAL INFORMATION I. 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 the same day the application is recaived. 3. Permits arc 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. AU work must be done in accordance with Stu a Code requirements. 5. AR work must be inspected before it is covered. Call(952)249-4600. 24 hour notice required. JOB SITE ADDRESS: (-9)f1 Occupancy Type: X. Residential Commercial Owner's Name -- -1 .' Phone Number: Mailing Address: \ • City:( r, tip: Contractor's Nath . , C.. Phone Number: ci °133-'7'717 Mailing Address: -e 1 •Y .s: ) City: PERMIT TYPE Municipal Sewer Connection($35.00 per stub) $ Ver 1_ pipe size inches; material.. Schedule 40 air tested; cast iron SAC Charge (2000 rate$1,150.00)must accompany all sewer permit applications unless prepaid. V.)1 A If not prepaid,a sewer connection permit will not be issued. aQu Municipal Water Connection($35.00 per stub) $ .56 Chc pipe size I inches; material k copper; other WATER METERS must be picked up and paid for at City Hall. Water meters must be act and sealed by Orono Water Department (952-249-4600) upon completion of meter installation. • REQUIRED minimum setbacks from drain field and septic tanks=75' REQUIRE])setback from sewer line=20' PEIMI i 'EE CALCULATION I. Subtotal of above permit requested $.1.c.1 •aM 2. • . State Surcharge $ . .50 The State Building Codc Division Surcharge oi'$.50 per permit must be- included for each well,sewer and water conne<tion permit requested. 3. Postage&_Handling(Only mail-in applications) 1.50• ti • 4. 'TOTAL PERMIT FEE(add lines 1-3 above) $ 'l 0 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 complete,true and correct. Signature of Applicant�,'2-)-1et c (a- o Date: 9- \/ DATE TIME CITY OF ORONO C—VCALLED IN INSPECTION NOTICE SCHEDULED iO/q/Cf2 ,:: '`OO PERMIT NO. PO5-7IG', COMPLETED ADDRESS ,-'-) ct S P 7'l9-c- C --" f" OWNER CONTR. T crcn-, TELEPHONE NO. 9*- 93 - -"? / -7 P ,-n6 • DESCRIPTION P" "' SQ�ut , 1.7-1-/2 N6(- lu 4.. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS CI) 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 i09 PLUMBING RI 2 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL a 3 F U D T EMOV Z OWNER/CONTRACTOR TO MEET YO YES_NO 1 • COMMENTS: nLioic • ., ,... 01 kJ � V 0 cc Is+- lQlf -Poo" �u s o `��`T'vc — t t �c o C-0•01. 'edr- LLJ C Q W Z W CC 2 ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contractor site: Inspector. White Copyllnspector's lie Canary Copy/Site Notice Vfi C U" DATE T ft CITY OF ORONO CALLED IN INSPECTION NOTIcp70 /,,/� SCHEDULED43r� iiiit� Q PERMIT NO. COMPLETED ADDRESS 41' ,. 0 0- i ef.L. OWNER CONTR. ----- 6riS ,O TELEPHONE NO. 93 'r7 DESCRIPTION iAna-( — ! Lh- , ,.... Lu 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 Z 04 WALL BD. 12 WATERWHOOK-UP 17 SITE INSPECTION Q 05 FINAL C�-..ER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP cI LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU: YES_NO O COMMENTS: (U (..L �/1 ititui-yot W CC itL c e,frwrAel, 4z) 4k cjcut, 4-de_,, rt sl,reP 0 L. W CC Q 1 W Z W CC 2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on t: Inspector. 4911 White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALL I INSPECTION NO CE SCHEDULED /�?i/t�3 /0.V9 PERMIT NO. f,' �� COMPLETED ADDRESS a 9 C3 -CLQ GZ td OWNER CONTR. h ' U 3-1I` _ Yi / TELEPHONE NO. 1 t.� `1. 3 77 DESCRIPTION ` r na.-� ict tmlo W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: ES NO o COMMENTS:Q. cc O CC O LU CC W CC � *aAAce LUWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TI CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 10-d4-02 __Lt3 0 PERMIT NO. PO 5 7/5 COMPLETED ADDRESS t7Q7R5 13h�4sait1-- f OWNER CONTR. OA--f)JC �- P/va--6- TELEPHONE NO. 75",-7:33 -77/1 DESCRIPTION uj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Cl) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. • ' HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK- 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W CC O CC O W CC 1 LU W CC t9 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contrair ite: Inspector. }� White Copy/Inspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED /f -1-61-- JO : 6 !fro PERMIT NO. 1 'S7/S COMPLETED/ �� ADDRESS Q.c� Pi"Lt tsc—r- K2 -PS) OWNER cis CONTR. / TELEPHONE NO. 9 3 7i7 DESCRIPTION4 0/ G W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 06 PROGRESS is 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 PLU G FINAL 36 FOUNDATION/REMOVAL Z OWN CONTRACTOR TO EET YOU:✓YES_NO o COM C a CC Vit/011EA LK CC C Q CC d � WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALLT4ARRANGE ACCESS. Call for t - next spection 24 hours in advance. (952) 249-4600 Owner/Contra o e: Inspector. - White Copyllnspector's File Canary Copy/Site Notice