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HomeMy WebLinkAbout2010-00837 (sewer - disconnect) CITY OF ORONO PERMIT NO.: 2010-00837 • � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/14/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3382 BAYSIDE RD PIN : OS-117-23-14-0035 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 009 BLOCK 005 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DISCONNECTION NOTE: SEWER DISCONNECTION-4" PIPE S1ZE APPLICANT SEWER CONNECT/D[SCONNECT/REPAIR 50.00 DASEN CO. STATE SURCHARGE SEWER& WATER 5.00 24245 NATCHEZ TOTAL 55.00 LAKEVILLE, MN 55044- (952)461-2100 PAID W[TH CC# 7883 Minnesota State License#: 1612 OWNER HUTHWAITE, MICHAEL& MARILYN 7715 A[NSWORTH DR GERMANTOWN, TN 38138- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is respo le for assuring all required inspections are requested in conf a e it e Quilding Code.This permit may be revoked at an ime o c s � �/ /// ��/ �j /�--� /C) Ap �c t Permitee ignature Date �s By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ......._. ---.... _....-- o �.,����� ,�� ��`� ��n�.,�oio-a 83� O'Q' �O (:i1V��f Orunu Ur�t�:ICi��r i '/ I',rn�ii u �'.f 1.ILux Gf� ��7' � �. ' �7.'�U 1:�'I�CV I':If�:W;lv ��IO•I I�uwC ti;1(' 1l'ICfllllll:dwu I�uim l,'�nllrll`ICI� a 1'. �r� l..I V'.1i11 14i1V,hl4.`ij,1'+,i ��R�HOA Gy�� 15'' 11—.�1'�Utl A�n�i����ll IS��Ill�l�c'��uuc�ll „� � r (� —��•� �{ • '� ' ----'---.....,..,. c�i•rv c.�r oFic�Nc� —su;wr,i� � �v.��ri�.iz i vr.Nr.it��. ����;�zM��� �"M1qU'.tiuinr��cnnie;nuW i'cyuir�•:����+inv;il hy 117�ISu�l�lin�•.UI'f��a,d 1�n�li��r I�ul�lic�Vurl.:,U���,tuUnclil'1 (.'\I.I,I'1':IZMI'I'S- M19:!�i_��I,�.IJ�:�I�q I'urlli�'�-�'�'t irq':rnd nt:__� nol I�c issUrtl���6�•n Il�e q�.p�diti•t�linu i,�rr�'�'i�cJ) � •— --........._ .-.... __..,.....__._ (�f:Nl�{Znl, lN1�(.)F�Ni�l�l�lON .._�_. __._._... . .......__ � I. Yuu may:i���ily liir ulilily prrmits by nr�il �ir in �,�rsun al lhr('ity al'lic�ti. '�. N1t1il��l itl a���lli4aliVm UI'�'.�UhjCCI lu Ihc�l���la,�lr;In�l IlclllclllnV lic�,luia-n ht'luw. ('C1'111i1 Cm•ilti will I,�srnt hy rcnirn m:�il �e•iUiiii ? busincss d�i,yti. , , .i. I'crn�il.v:irc nul v:ilid uolil y��u rurciv�-:� perrnit r.u�d. -3. Worl< niu�l nol bc�in unlc„th�tirr�i�it c,ir�1 is a4:►iluhl�oi� clic,jirb tiilc. �. I.)IiIIIV C(�Illt�'CU��II �7CI'111115 111tY h�' i�,tiu�i�tl� li��nuil�ctnlrn�:lt�rr unly. G. Ccnll;tC1 llic Publi� Wi�rl;s I)r�ru•I�rtcnt(�)5'-"'�I�-•�(i11U) li�r ulilily slub titi•huill IuC,�liun5. I)O \O'I'1?\CAV;�'I'I�: IN ANY ti'1'ItP:N:'1�ANI) I)U\O'I"I'nP�\Nl' MA1� wilhout c�prc... ap��rov.il of cl►c Puhlil'W��rl<�Ucp:�rtmcnt. I,�ii���cc ul�a pa�mi�dc���;n�)I ;;rcint lhis a����r��v�l. 7. i111 tiv��rl: i�ius� bc clune in aca,rcl,�ncc�vith ti�:�lc C'u�lc.rrquirrmcni�. �, /111 wiu'I: n�usl hi: in�;���'�1��1 I.��li?�'�'Il i�,cuvcrctL (:ill(')5?)�.I��--�bUU.2-1•�•lumr uolicc 1'Cquircd. .. ..... . .......__. -----....,_�_._ .. _. ..._...— ....... , I�YI'I: OI PI:RMI'I" _..__.-------...... . i('h�cl< �111_l:ha� nl���lv)_.._..----- I � It�r;iil�nii;�l (��I:�} Ila�uirr����ir����al) n C'c�mmcrr.ial (;1�i��ri�v:il ltcquircd) ❑ NC��-('�mnrcliini I � i1�I�IlUU11�11 ('ii�lilccliiin LI ��C-(.`UI11t�Cl.ii�n I _� f���)pi1T.; f)�st:l�ul�Cil �._� �5'alrr r\��uiluhilily E�nnn�•c�i�m I�c�r I'uun�� I-luc,l<-1��� lu V4'��Ir {uh �ilc /O���nc.r Inli►rnu�tiun: — , ._ . . ...........� ._. ..— ----- ------- .-�-- ------.� � �j p � tii<< nciclr��,: .��...� Z ' ✓,�'r'�1 s'� c c' .._ - ��� _ . .._ l , ` / , /_ �. �/ ()���ncr: ��' /��Ll �,. � t7`� I�-1uilin��, nciclr"�: ��� � /7(�.S-�,•u:�/,/�, --._._.__ ...._ .. ._ _... __. . . . . - � �p Pr/' �t��d«. � '�' �/3 l'itv- � '� . /ir; � I Ic�inc I'hc�nc: nit.c�•��,�tc I'hcmc.: _.... �__--. ........:. ......--- - nlc�rmiiti(,n: ('c�nlrar.lcir I . . ...--� -- --.. . ..... 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I'ci��in�; V,6�'"�`�Ll nC�C�I'Ctiti: ��r.i��(/�/ �i Z�li1�C7 ��ICI'll,til'. ��: 4/. ���_. ,a � �- �� � ' ('it,y: �--�—����%i(�=_,S,��f1�ir.itic�n I),�tc.: � .._.1' �'�j,�:�.1 Gc� � I'hcmc: _�z._�_��� Z�G?�.11�:�-nalc I'hc�n�_ —���_.�� 2�v� ��/� Z �d dZO �zT Oi SI daS . �' � �� � . � . . , �� � .,_ I�ETEItMfNINC� I��,RMI'I' E�I�ES ❑ SAC'C'li a r�o(2111 U Rai to=:�2,t UU.00) � (SnC:C'har�;c musl<«c�mpany�ill sewcr�enTiit tipplicai.iuns unless prcpaid) (UrUnv Ci�y�I.:t17-can determinc il'arpli�ablc) (lf nut prv:puid,a sewcr cunncctioi� permit will nvt hc issuc�l) ,_.f /� � U f/J Scwcr(:ou���ction/l�iccunnect/Reprir(55U.u0/Pr.r St�b) !f��`� 'l l Pipc:���c�r inehc,:maecri�l , Schd nU air[esc�d: cas�irun ❑W»tCr Connection,/Dinconqcct/R�pair($50.00/Prr S[uD) $ Pipc sizc . inchc�:: m:Nc�ial Schcl 4U t�ir I.c�tcd;-- - cppper . �-- ❑ WHtcr Av:�ilability Mor I�ulurc N�nk-Up tu Wvtcr($50.0(I) $_ W�I��r Avnilal�ililv Explan�ti��n• � C'ontructor intilallcd linc to insidc ot'housc for lirlurc hook-up. 'I'his;linc will bu inspcctccl by thc Public Works pcpartmcnl, 12ixwirccl Hefnr� Waier(.'pnnUction P�.rmit ix l;�sued: I_ �ssuc Watcr Mctcr& 1 Iurn Pcrmil z. llny Adcliliunal Cnnnection I�acr;paid(II'�pplicahl�) I,suc W��tcr C�nncction 1;�rrnii; 1. C•ollca Pcrmit I�ee c�t Istiue w,ucr Conn�ctio�i I>crmit �� 1_ SUE37'U'fAL oi'Pcrmit 12o uc�lod: - 9 � 2- �'I�A'fL SIJRC'I lAltC:l•i $ 5.00 3- PUSTACiI.;cSc 11/lNl)I.,ING(C)nly un M��I-In Appli�.�tion�) $ 2.O(] 4. '1'V'A'AL PISk�V11'['1�'4: . , sr� .. . . L(Add t,iq�y I•' nbuvc) !`;_ �� ,._ �„ 11UD1'1'1pNAl. INF012MA��IUN -� WATEft Mf:;TF,ft� .. - .._ _ _.... .... � • WA1�lilt Mk'I�N:Iiti r�iusl bc pick�d up:�lld�1Qtt1 Il)f�L OPI�nU C�Ity I 1:�11,thr�:c:trc or�;�c,�ar,ilV pCM��it. ' Wil'I'I�;R M�'fl:l2ti mutil hc sct �ui�( .���Icd I�y C}i�n��r) W:�fcr Dcna►rl�nent �15� 2 �- .. _ ( ) 9) JGW, u��un t'l)(111)IClion uf m.�l.•r inutnlle�lion. "I"li�� un�tcr�i�;»�� hurc�hy ;i���•�li��ti to (I�c C`.iiy ��l�C)r��iu I��i' i�su,InC�nf si L;lilil.y I'�.rmit, :��,rucs lo ilc� ❑II u�nrf� in �:tri�l :1�.c:i�rcl,�nCC �vilh Ih� �lr�li�t:tn��ti 01 LItC C�IIy' 11')c1 lhe. r�r,ul:llicii�: i�('Ilii' �I;11� vf� Minn�.�i�L•�, ;inc1 curlili�,� t � ;III 't.11 'ii • ' 11'It9l1C<)I1 IIII�: 0�)�)�IC:ili�tll :Ir�:. U'ue niiil Curr�:�'l. . , .,. •- /1�7�)IIC[tnl: � •' • nalc: _. .r !` C.:�. .._. . .—. . , .— __ z--�.._ ....__.._. �-- � / S'�'—2 c� R�set Form E •d dzO �zt OZ Si das ' / — � F� DAT TIME V CITY OF ORONO CALLED IN � �� INSPECTION NO ICE S EDULED � PERMIT NO. O � '���� LETED ADDRESS w OWNER TELE ONE NO. � �� ���7� CONTRACTOR ��� �� � DESCRIPTION `�'��'��v`—" �� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/F�LLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � � d W����WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN 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. (95Z� Z49-4600 OwnerlContractor on si#e: lnspector._i �/ White Copyllnspector's File Canary CopylSite Notice / '� �3'7 ���� �' �DATE�'� '�'�`_TIME V CITY OF ORONO ��p ALLED IN'�� 1 ( 1 ���?�� c INSPECTION NOTICE �C, SCHEDULED �/ I'I�%lC' �ERMIT N�. ��� � COM�LETED �°'^u ADDRESS � -3�Z ��tl'� /�-!�' _ l� OWNER ��'t T LEPHONE NO. lJ���'���L°T CONTRACTOR 1r�1� ( �,�1� .r ��/� � DESCRIPTION '�'"-�E'`�'�7 d�-Y�'��'�,,n, ' - ����• � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP •❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINALr ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES � NO � COMMENTS: � a ' ' � J � � ` � — O . � � a G. Q � � L � � W � W � � O W� i�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor o site: � r Inspector. � White Copyllnspector's File Canary CopylSite Notice