HomeMy WebLinkAbout2002-P05676 - sewer/water disconnect � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pos6�6
Crystal Bay, Minnesota 55323 Pe►'mit Type: Sewer and water Permit
(952) 249-4600 Date Issued: 9�3oi2oo2
SITE ADDRESS: 1725 Concordia St
WAYZATA,MN 55391
PID: 1�-i i�-23-22-0020
DESCRIPTION:
Proposed Use: Residential
Pernut 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: Pernut Fee: $ 70.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Thompson Plumbing OWNER: 7AMES T NYSTROM
15001 Minnetonka Ind. Rd. 1745 CONCORDIA ST
Minnetonka,MN 55345 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIvIENTS 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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APPLICANT P RM I'1'EE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
� ' D�c-04-20C1 12:44pn Frort-CITY OF ORONO +pg224D4616 T-2C7 P.001/001 F-305
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CITY OF ORONO A.PPLICATION FOR UTILITY PERNIITS
Ba�66(2750 KcUey Parkway) SEVVEIt/WATER
Crysta!Bay,MN 55323 �C� �(�7W
GENE L INFORMATION /
F. You mey apgty for utility parmits by mail or'v�person at the City off►ces.
2. Mailed in applicntions are subject to the postage awd handlin�fee st�owa below. Permit eards will be sentby
retum mai!the same day the applicatian is recaived.
3, Permits are not valid until yoa reoeive a petmit eard.
4, 'Wak must not begin unless the permit card ia avnilable on the job site.
5. Utiliiy connxtion permits may be issued w licens�d cantractors only.
6, Contact the Pubiic Works Department (95�-249�600} for ut�ity stub aa-built lncations. DQ NOT
IXCAt'AT'E IN AlVY STREE'T A?v'D DO NOT TAP ANY MAIN witho�t express approval of the Public
Warks Ik�artmen� Issuance of a permit does not pant this approval.
7. All wark utust be done in accerdenae rrith Sta e Code ro�uireinapts.
, 8. AA wcsk must be iaspocted before it is coveral. Gdl(952)Z49-4600.
24 hour aotice req�ired.
JOB SIT�ADDR�$S: ���=� �7 C�G(� �^�;C� E �� c�;�t_��.
Occupaacy'I��pe: �C Rcsidential Commerciat
Owaer's Nstme: �` � � ���a � •d�'-nc� Phoae Namber:
Mailia�Addr�s9� City: Zi�x
Contrsctor'a Na.u�e: 1� ^, � P6out Nt�be�-�-l�.i - �' `���
Mailing Addresa:f 5 �1 j���rd-, 1�?.-�� City:�YLtk�,, T�i: �53c�
PER�'�'1YT TYPTL ��,,c_.c����i�
r.i� Municipal Sewer C-o�ee�ian ($3 5.00 por stu b} $
pipe size__inch�es; material Schedule 44 esr tested; cast iron
�' Sh��ha:.*ge��f19G raie$1,150.00)must acconipany all stwtr pta�nit applications unless prepaid.
�� S If nat prep�.d,a sewer connec:�i�n permit will�wt be issued.
►�1`�-G�1'C�C_
Ntunicipal'�stter�n($�.00 per stub) $
pipc aiz,c inches; material copper; other
WAT'ER METERS must bc gicked up and pai�l for at City Ha11.
Water metere mast be aet aad sealed by Clrono Water Depar�►ent (952-?A9-�t600) upon
. completian of inetGr instullution. ' '
REQL�U minimum setbacks fram drain field and septic tanks=75'
REQU'IRED setback$om sewer line =2Q'
PFBMIT��,E.CALCLT��ATIQN •
i. , Subtoiai oi abovc pcmiit rCqucsicd $
2. Stata.Surc}�attze ' $ .50
'Ihc Stato Building Codo Divisioa 5archugc o�'S.SO per permit must be
includad for eacYi walI,sewer and water conne�tion permit requrstect.
3. 'Postage&�andling(Orily mail-in applications) � 1.50
4. TOTAL PERMIT FEE(add linos 1-3 abave) $
The undersigned hereby applies to thc City of th�ono for issuan�t of a Utility Permi�agrces to do
all werlc in st�ei accordantt with thc ordinanxs of the City and tbe regulations of the State of
Minncsota�and certifies that all statcmeuts made on this application are complete,true and correct.
Signature o2 Apptican� Date:
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/G � � DATE TIME
CITY OF ORONO cn �D IN --�i" •l,�'�
INSPECTION NOTI SCHEDULED ��
PERMIT NO. � COMPLETED
ADDRESS / �I c�-�� C (���''C_`�' j r.3f r ci, r�
OWNER CONTR.���l' .�--�Y�
TELEPHONE N0. ��>>.� ` �� .� � � � / 7
� DESCRIPTION �-�`-'`'"'�� ��£��`�� �I SC �y��.L�=
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIILING
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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SE TIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YO� _YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALI FOFi REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe n xt inspection 24 hours in advance. (952� 249-46��
OwnerlContrac site:
Inspector.
Whiie Copyllnspector' File Canary CopylSite Notice
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�� DATE TIM
CITY OF ORONO���'`�'�� CALLED IN
INSPECTION NOTICE SCHEDULED �" � � ' �-
PERMIT NO. j-�-'S���COMPLETED
ADDRESS � ��Z-L� C`���ti�� C`=(C�C I c3
OWNER � CONTR. -��1C'�t'�'11J SC�YI D
TELEPHONE N0. C�l J-� •— �"J� �" ��� � �� �4�
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� DESCRIPTION �`-� �=I� t '
� 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12�{� _Up 17 SITE INSPECTION
Q 05 FINAL <_14 SEWER HOOK-UP � O6 PROGRESS
� 07 DEMO-SITE 27 $EPTfC-F(ATFI f: 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O 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 for the n xt inspection 24 hours in advance. (952� 249-4600
OwnerlConff or site:
. �" �
Inspector.
White Copylinspector's File Canary CopylSite Notice