HomeMy WebLinkAbout2002-P05677 - sewer/water permit .
� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05677
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water permit
(952) 249-4600 Date Issued: 9i3oi2oo2
SITE ADDRESS: 1745 Concordia St
WAYZATA,MN 55391
P I D: 17-117-23-22-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Disconnecti�
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Thompson Plumbing OWNER: JAMES T NYSTROM
15001 Minnetonka Ind. Rd. 1745 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 SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1
• D�c-04-2001 12:44pr PrcR-CITY OF ORONO +G522404616 T-2C7 P.001/001 F-305
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CITY OF ORONO A.PPLICATION FOR UTILITY PERMITS
Box 66(2750 KcUey Parkway) SEVVER/WATER
Crysfa!Bay,MN SS323
GEN L INFORMATION
E, Ycu may appty for utiliry perrnits by rnail or u►person at the Ciry offices.
2, Mailed in applications ere subject to the postage and han3lin�fee showa below. Peirnit cards wilt be sentby
return mail the same dny the application is rx�:ived.
3. Permits are oat valid until yoa reoeive a petmit eard.
4, Waic must not begin unless the permit card�s available oe the job site,
5. CJtility connxtian perruits may be issued to Licensed mntractors only.
6. Contact the Public Works Departmeat (95?-249�600} for uuliry stub as-buitt lxations. DO NOT
EJCCAVA'I'E IN AIVY STREET AIv'D DO NC�T TAF ANY MAIN witho�t express approv�l of the Public
Wo¢ics Deparhnenl. Issuance of a permit does not�ant this nppmval.
7. AII wark must be dont in eccerdence with Sta�e Code requirca►onts.
�. AA wark must be inspeoted before it is covere+l, Cnll{952)�49-4b00.
24 hour noiice reqiirsd.
.ro8 SIT'�A.DDR�s�:l �'�`� C'�,nc�,,;���',c�. �—����,�'"t.
Qerupa�cy'I�'pe: � Residential Commercial
Uwner's Nauit: C�- k..�n F-� t,��\c•c�c� Phose N�ber:
Mailin�Address• City: Zi�x
Contractor'a Namc:�1�-� - .�k�_� P6one Number:�i���- �i'_r3-'1`l 11
Mailing Addre,ss:����L1�s.k c��.�16,�'+�'.� . City:'C�l��.o� T�P���S
P��7 TYPF�`���a��C�—�
Municipal Sewer�($35.OQ per stub) $ �
V���� pipe siae inches; matenal, Schedule 44 eir tested; cast iron
""�` SAC Chuge (200Q rate$1,150.40)must acconipa.ay all stwer ptamit applicatians unless prepaid
�+ � If uot preptud,a sewer connection permit will�wt bc issued.
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Municipal'1�ater C-�ehea{$35.00 per stub) $
pipc siu inahes; material copper; other
WATER METERS must be picic�ed up and pai�i for at City Hall. -
Water meters mast be set and seaied by (Ironu Water Depat�m�nt {952-?A9-4600) npon
completion of cuet�r itust�llxtivn. '
REQL�.ED aunimum setbacks fram drain�ield and septic tanks=75'
REQUIRE.T7 setback$om sewer line=20'
PEBMT�'�'FE�ai.c[rLATTON
1. Subtotal of abavc gcrn�it rGqucstcd $
2. Stata Sutc�c ' $ .50
The Stato Building Code Division Surcha�gc o�'$.SU per permit must be .
ineiuded for a►tsh well,sewer and water conne�tion peraiit requestccL
3. postage&�Tandling(Only mail-in applications) _ � 1.50
4. T�TA.L PERIvL�T FEE(�dd lincs 1-? above) �
The undersigned hereby applies to the City of t?rono for issuance of a Utili�; Dermit, agrccs to do
all work in striet �Ccord�te with thc or�ir:a^�es of the Cifiy and tbe regulations of thc State of
Minncsota,and certifies that all statements made on this aQplication are complete,truc and correct.
Signat�uure of Applicari� Date:
� ��
DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOT SCHEDULED
PERMIT NO. COMPLEfED
ADDRESS_�� �,� L_-=C l�l �L�f�/��/�'� �
OWNER CONTR. � �
f �
TELEPHONE NO. C � �c — ��
t
� DESCRIPTION v � ���i
� 01 FOOTING i i I L RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WO00 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 SEPT C FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU: YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR FEINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CAI.L INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlCon n site:
Inspector.
White Copyllnspec r's File Canary CopylSfte Notice