HomeMy WebLinkAbout2009-00920 - water connect . CITY OF ORONO PERMIT NO.: 2009-00920
� 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE Iss[1En: 12/30/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3105 CASCO PO[NT RD
PIN : 20-117-23-34-0006
LEGAL DESC : REG. LAND SURVEY NO. 131 1
: LOT 000 BLOCK 000
PERMIT TYPE : WATER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : CONNECTION
APPLICANT WATER CONNECT/DISCONNECT/REPAIR 50.00
DASEN CO. STATE SURCHARGE SEWER& WATER 0.50
24245 NATCHEZ
LAKEVILLE,MN 55044- TOTAL 50.50
(952)461-2100 PAID WITH CC# ,��kf�
Minnesota State License#: 1612
OWNER
RICHEY, KENT& SUE
3105 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Quilding Code. This permit is Yor only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construc[ion authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any timc after work has commenced.
"Che applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
"""' � � / /
Applicant Perm tee Signature Date Issued By ature
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV
Dec 31 09 04: 17p p, l
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� •�, � C�yetnl Liey.MN 55?23
� (952)244-Ab(10 Appmved liy(If RequiraJ):
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C1TY OF ORON()—SEWER& WAT�R/GEIVEIZAL 1'�:RMIT
('IVolc:Svmc permi�9 moy roquiro appmval by Uvc Iiuilding Olricin]nnd/ur Public Wnrks llcp:u'lmcnl•j
(Ald.1'1i�M�5_JNav_Ae apbicct 1olurihcr r�icw rntl mw�nol he lasnt�l whe b'+onit�IR�n�r�r.elvcA)
GrNL'RAL 1NPORMATJON
1. You may apply for utitiry permits by mafl�r ln person at thc Ciry o�ccs.
2. Mailcd �a applic�tions ar�subjcct lo th�postxgc and hr,ndling fcc shown bclow. Pcrmit onrd.,will
be sent lry remrn mail within 2 busines,c days.
3. Permika are not vnlid until you receive a�permit esrd.
d. Work must not bebin unless 1hc permit crxrd is availablc oa thc job sile_
5. Utility connection permit5 mQy be issued to licensed cantrnctors nnly_
6. Conlxct the Public Works Departmcnt(952-2A9-4G00)for utilily slub s�-buill locs�tions.
DO NOT EXCAVATE YN ANY STREET ANU DO NOT TA)'ANY MAIN without express
approval of the Public Wurks Dep�rtment, issuancc of a perm;t docs no[firunt this approval.
7. All work must be done in accorda�ce with SGste Coc1e rcquirements.
6. AlI woTk must bc inspcctcd bcforc it is covcred. Call(452)249-4600,24�+hour notice required.
rrnE o�.rEnM�r
cncck ni� rnat� i
❑R.esidenti�l{May Rcquirc Approval) ❑Commcrcial(Approval Roquircd)
❑New Connection ❑Addi�ional Cormcction �Ro-Connection ❑Repairs ❑Disconnect
Job Sitc!Owncr lnformation:
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Site Address: �.>�j�� ,�(,�;�)( �� ;��iJ,��f ���'�:����1
( �"� ' � ; �' � �j'1f1�� , � r _� i- t:/��J-e^—
Ownc;r: � �(. Mailing Address: � /> � �l /� i
City: 4-� '�� '' s�' �� ' ►/� Zi /J�� i ' ���
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Home Phone: >� � - �.��, -(�� Alternate�bone;
ContracCor lnformation�
Contractor: .i_.yl.�� �C�'/1 l,�'1 r'I'i;�%'�i/���/ �;ontact Person: �C•�L��1
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Address: �;�L �-� 1� ��G�; Stalc�,icense#: �,' ' �
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City: (,�;�jL�,L� Li� ��L/Trxpiration Date:
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'ZD�� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE �l'� SCHEDULED ^ �
PERMIT NO. �DD��DD��/ COMPLETED
ADDRESS 3�OJ` �tSCO �� �-N
OWNER CONTR.�J/QS� C�
TELEPHONE NO. �5 �- ��P� Z��D
� DESCRIPTION �e��'�-�� ����
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR W4�L RETURN �CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
Owner/Contractor on site:
Inspector. ,�_,� _t�
White Copyllnspector's File Canary CopylSite Notice