HomeMy WebLinkAbout2003-P06742 - sewer & water permit C�T� OF ORONO PERMIT
27u�� Kelley Parkway- PO Box 66 Permit Number: Po6�a2
Crystal Bay, Minnesota 55323 Per'mit Type: Sewer and Water Permit
(952) 249-4600 Date Is�ued: 9ii2i2oo3
SITE ADDRESS: 1625 Bohns Pt Rd
Wayzata,Mf�155391
P I D: 17-117-23-11-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer&Water Connections
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
SAC Grandfathered In!
FEE SUMMARY: Pernut Fee: $ 70.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: 7 S Stewart Companies,Inc. OWNER: Roger&Carol Rovick
5606 94th Avenue N 1625 Bohns Pt Rd
Greenfield,MN 55357 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.
/ � '
-� cs-�� c{. � �/�
� �, .
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-Assessins. 1-Finance Page 1
Sop-04-2003 01:17pm From-CITY OF ORONO +g622494616 T-�9S P.001 P-783
L �
CITY O�'41tO�T0 Al'��.ICATION'FOR UTILYT'Y Pfi� T3 L��l 1
' SEWER!'WATER � –> ���
Box 66{275U Ke11ey Parkway) r�= �
� Cry�t�al Bay,lY1N 55323 � �,����� ��� ��
. �P ��� �p ,
GENERAL�N�(3RMATION
1. You may Fspply for utiIity permits by mail or in pe�aon at tha City offces.
2, Mailed in applic�tions arr;subject to the postage snd handling fee show+n below. Permit c wi sent b}•return mail thc sa�►e da�
the epplicatian is received,
3. Fermits are not valld until you receive a permit card.
4. Wark must not bcgin unla;ss the permic card is availabte on the job site.
5. Utility connection permix�rasy be lssued to licensed contractors on�y.
6. Contact the Public'Works Departrnent{952-249�604)for utiliCy stub as-built locationa. DO Nt�T BXCAVATE II�1'ANY STREET AAC�
�}(�NOT TAP ANY MA]N witliout expresa appmval o�the Publlc Warks Departinent. Issuance of a perniit doos not�rarit this approva�
7. All work rnust be dene i�t accordance with Scate Code requirements,
8. A31 work must be inspectcd before it is cavered. Call(952)249-4600.
14 hour Aotice reqalred. `
JO� SIT�ADDRESS: �(�,�-� �'��'�.�� l�F''I����� �'—�-/
Occupstncy Type: ✓ 17esidential �0�¢0rcial
4w�er's Name:_ � � y � Phane 1 umber: `7 5��;= ,�_�2=�3� �
M�iliu�Addres�: Z c._F__ �i rr_�t ,,,,,_ City:6� ��� -- ZiA: �S `� 3`�/
Cantractor's Ns�me: S-�CCA.c��tiJl--� �� Phone�iu : �=-� ��' �� �'c.�S�
Mailing Addrtss:- `�������z', /L` — City:���E Zip: –r -.�.�'
,'J� �
PERMY'T T_I'pE
Manicipal Sewer Connecti�on($35.a0 per stub) � •=�F�� r�
pipe siza inchf;s; material Schedulc 4�air tested; cast iron
SAC Char�e(2Q02 rate$1,20Q.00)must accompany all sewer permit applications unless prepaitf. If not prepaid,a sewe:
connection permii vvili nat be issued.
Municipal Vt'ater Connectioa($35.00 per stub} � -��� ��
pipe size i�ch��s; znatcrial copper; other
WATER METERS must be•picked up and paid far at City F�a11.
Water metcra must be set and sealed by Oxano Water Department (952�249-4600) upon completion �f inete�
installation.
ItEQUIRET)minirnum setibacks from drain field Rnd septic tanks=�5'
�tEQUIREl� setba�lc from se�uvcr linc�20' � ,
E C LATIOlY
1. Subtotal of above pertnit requasted $ .��- C`�'
2. State SurFhar�� � -�—
The Stats Huifdirsg Cade Division Surcharge of S.SO per permit must be
iricluded for each well,szwer and water cannection permit requessed.
3, pastage&T�andli��(Only mail-in applications) $ ��
.4, 'fQT',4r,PERMXT FFE (add lines 1-3 above) $ �C`',�-�L`
Thc undersisned h�reby ap��lies t� the City of Orana for issuanc� of a U'tility Ptignit, agrees to do ali work in stric
accordar:cc with the ordinances of the City and the regulations of the Stare of Minnesota,and c�rtifics that all statement
made on this application arc complete,true and eorrect.
Si�nature of APplicant: '' � T�ate: � ��--�
S�f' ✓
DATE TIME
CITY OF ORONO CAlLE01N 7�"' 0
INSPECTION N T C SCHEDULED �Z�Z �3;�{S
PERMIT NO. �7 �� COMPLEfED
ADDRESS Z �
OWNER CONTR. � J� "'Y
TELEPHONE N0. �l0_3 T 6� !�G'�
� DESCRIPTION .�C�i��` /it/�
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS
h
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 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
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENT •,
�
a � C� �--� Cu�` !�'
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe ne inspection 24 hours in advance. (952� 249-46��
OwnerlContr e:
,
Inspector. �
White CopyllnspectoPs File Canary CopylSite Notice