HomeMy WebLinkAbout2002-P05781 - sewer/water connect CITY OF ORONO PERMIT
2750 Kelley P�arkway - PO Box 66 Permit Number: Pos�si
Crystal �3ay, Minnesota 55323 Pe►-mit Type: Sewer and water Permit
(952) 249-4600 Date Issued: l0�30�2002
SITE ADDRESS: 1685 Concordia St
Wayzata,NIN 55391
P I D: 1�-11�-23-22-0022
DESCRIPTION:
Proposed Use: Other
Pernut Class: General
Permit Sub-type(s): Sewer&Water Connections
Pernut Type: Sewer and Water Pernut
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: Thomas Plumbing OWNER: Mr. &Mrs. TomPalm
15001 Minnetonka Industrial Road 1685 Concordia St
Minnetonka,MN 55345 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.
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IC �PERMITEE SIC'�Dh4-7'� IS UED BY SIGNATURE
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Copies: 1-File�Signitures Repuired), 1-Applicant. 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
D�c-04-2001 12:44pm FroR-CITY OF ORONO +p6224o4616 T-1GT P.001/DO1 F-305
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_ �CTTY OF ORONO A.PPLICATION FQR UTILITY PERNIITS
Box 66(2750 Kclley P$rkway) B�WER/WATER
Crystal Bay,hZN 55323
�ENE INFORMAT�ON
l. You may spply for utility pennits by mail or u�persan atthe City offtces.
2, Mailed in applications are subject to the posta�ge snd han�ing fee showa below. Permn cerds will be sentby
retua►mai!the same day the apptiastion is rea:ived.
3. Peemib are aot vslid until yon receeve a permit eard.
4, Wark must not beg�unless the permit card is avatlable on the job site.
5. Utility connxtion pctmits may be iss�ed to licens�d eontractors only.
6, Coatact the Public Works Departmcnt (952-249�600} for utility stub ag-buitt lxations. p0 NQT
IXCAL'AT'E IN ANY STRE�'T A.'JD DO NGT TAP ANY MAIN withov�t express approval of thc Public
WOa�ks DeparOaenL Lssuance of d permit does not�ant this approval.
7. AU wnric atust be done in aecord.�nca with St�o Code ro�uueu�onts.
8. AA wdrk meut be inspacted before it is covere+l, Cull(952)�49-4600.
24 hour notice req�ired.
JQB SIT�ADDRTSS_��C�� �r1C t ,��c�c.c� ?�'Z���
Occup�acy Type: �c Residential Commercial
Uwuer's Narnt:Tw;rlw�S�. 1Zs-�.r.d�,:--�.� y Phoae Number:��7�-'-+�►— 7:'/ b
Mailin�Addee�s:l(c�°� C c,r�c�1�\�,r�.. ���-; City: C� ��,y-��, 7�=�
Contractor'a Nam�: . �-� f � Pf,onc Namber-"�`��-�13-�--`7'11'"1
Maiiing Addrtss:l�=r�,��-z ..._.�� ' ,S &�:� City:�l\e���s-�-�+�1�;, T.�: ��V�
P�RNIYT 7"I'PE
Municipal Sewer Conncction (�35.4�por stub} $
11���� pipe siae___�__inches; metcrial,,,�C,�Schedule 44 air tested; cast iron
''�"'� SAC Charge(200Q raie�I,15Q.�Ja�must acco�paa�all scwer pau�it applic�ons unless prepaid.
�' �.ts If uat prepaid,a sewer c,�.x�-,�� ;��:-�it will�wt bt issu�d.
l
Municipal'NVAter Connection($35.00 per stub) �
pipe siz,��inahes; material�,�copper; other
WA?ER METERS must bc pick�:d up and pai�l for at City Hall.
Water meters maat be aet aad seated by Clrono Water Depat�m�nt (9SZ-?,49-4600) apon
completion of inetGr lnst�lbttion.
REQtI�D minimum sctbac3cs from drain field and septic tauks=75'
REQC7IRED setback$om sewcr line=2U'
pEBMIT�FFE.c�.cuLATTON
l. Subtotal of abovc permit rr�ucstcd $
2. State Su�t��c $ .50
'Ibc S�Buikding Codc Divisian Surcha►gc o�'S.S�per perrnit must be
included for eao}�,well,sewer�nd watar conne<tion permit reqursted
3. post�ge&�andling(Orily mail-in apptications) � 1.50
4. TOTA.L PERMIT FEE(ndd linAs 1-3 above) S
Thc uadersi�ned heroby applics to the City of�hono for issuancx af a Utility Permi�agrxs to do
all work ia slrict �xordnnce with thc ardinR,�ra of the City and the rtgulations of the State of
Minncsota,and certifics thaL all statements rnadc on tlus e�plication are eompiete,m.ie and correct.
Signatiue of Apptican�����Cl,��. f�Q��,�.1 Date: /�� ��.