HomeMy WebLinkAbout2004-P07301 - sewer repair CITY OF OR N PERMIT
2�.50 Kelley Parkwa -OPO BOox 66 Permit Number: Po�3oi
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rrystal Bay, Minnesota 55323 Pe►'mit Type: Sewer and Water Permit
'�,�52) 249-4600 Date Issued: 3�isi2ooa
SITE ADDRESS: 3898 Cherry Ave
MOUND,MN 55364
PID: 08-117-23-33-0085
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Repair
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: MR. Rooter Plumbing OWNER: B O FELDMAN&B A FELDMAN
2800 Campus 3898 CHERRY AVE
Plymouth,MN 55441 MOUND MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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'P IT � ITEESIGNATURE ISSUEDBYSIGNATURE
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Copies: 1-File(Sienitures Renuired), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
(iJpdated 1/5/04)
CITY +DF �ORONO APPLICATION FOR UTILITY PER��ITS
Box 66 (2750 Kelley Parkway) SEWERJWATER& SAC
Crystal Bay, MN 55323
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�FNERAL INFORMATION
1. You may apply for utility pemuts 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 da�- :
the application is received. �
3. Permits are not valid until you receive a permit card.
4. Work must not begin unless the pernut 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\OT EXCAVATE IN ANY STREET Ai�'D
DO NOT TAP ANY MAIN without express approval of the Public Works Department. Issuance of a pemut does not grant this approval.
7. All work must be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call(952)249-4600,24 hour notice required.
JOB SITE ADDRESS: ���� C-�1 e`�� � �-
Occupancy Type: esidential Commercial
Owner's Name: �C'�c� ���0 m�w Phone Number:
Mailing Address: City: Zip:
Contractor'sName: mc', (Z�rtc� PhoneNumber:
l�Iailing Address: 2h0 D C��-P� s �r, �r,����` City: Zip:
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PERMIT TYPE ❑ Connections �Repairs ❑Disconnect (Check One)
SAC Charge (2003 rate $1,350.00) $ (Set Rate)
Sac Charge must accompany all sewer permit applications unless prepaid.
(If not prepaid, a sewer connection will not be issued)
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l�Iunicipal Sewer Connection/Disconnect/Repair ($35.00 per stub) $
pipe size inches; material Schd 40 air tested; cast iron
Municipal Water Connection/Disconnect/Repair ($35.00 per stub) �
pipe size inches; material copper; other
`VATER METERS must be picked up and paid for at City Hall. ,
�Vater meters must be set and sealed by Orono Water Department
(952-249-4600) upon completion of ineter installation.
REQUIRED minimum setbacks from drain field and septic tanks = 7S
REQUIRED setback from sewer line =20'
PERMIT FEE CALCULATION
1. Subtotal of above permit requested $
2. State Surchar�e � .50 (Minimum)
The State Building Code Division Surcharge of$.50 per permit must be
included for each well,sewer and water connection pemut requested.
3. PostaQe & Handlin� (Only mail-in applications) $ 1.50 (Mail In Only)
4. TOTAL PERMIT FEE (add lines 1-3 above) $
The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, a�-ees to do all work in strict �
accordance with the ordinances of the City and the r ulations of the State of Minnesota, and certifies that all statements =
made on this application a co lete, true`anc�c�rr�,
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Signature of Applicant: Date: �.�
��Q�� �
�7" DATE TIME
CITY OF ORONO LED IN � /7 L
INSPECTION NOTICE SCHEDULED G` ✓��
PERMIT NO. P�%'7�Ul COMPLETED � �� �D�, 3�
ADDRESS � � �� C'f�..� 'ti2�;� �� c.,� -
OWNER CONTR. �'yl � F�d���'c��
TELEPHONE NO. ��� 3 � 5�,�/ - �'S��
� DESCRIPTION /�k���-'t--� .'�'�-C 6'1_� �' ��'E"i� ,�j�
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINL 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
r09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE �
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46��
Owner/ConUactor on site:
Inspector. " 1 ���.
� White Copyllnspector's File Canary CopylSite Notice