HomeMy WebLinkAbout2002-P05826 - sewer/water connect r ,
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05826
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: ll�i2�2oo2
SITE ADDRESS: 1725 Concordia St
Wayzata,MN 55391
P I D: 17-117-23-22-0044
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Sub-type(s): Sewer&Water Connections
Pernut Type: Sewer and Water Pernut
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 70.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: Thompson Plumbing OWNER: 7ames Nystrom
15001 Minnetonka Ind.Rd. 1701 Madison St NE
Minnetonka,MN 55345 Minneapolis,MN 55413
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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PP T PERMITE I ATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Reauired), 1-Anplicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
` D�c-04-2001 12:44pm Frort,{ITY OF ORONO �G622404616 T-2G7 P.001/001 f-305
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CITY OF ORONO A.PPLICA'Y'TQN FOR UTILITY PERMITS
Box 66(2750 KcUey Parkway) SEWEI2/WATER
Crysta!Bay,IIZN SS323
GENE L INFORMAT�ON
l. You may t�p?y for utility pertnits by mai]ar i�i person atthe City offices.
2, Mailed in Applications are aubject to the postage afld handlins fee shown below. Permit cards will be sent by
return mail tba same day the appli�ation is rec�:ived.
3. Permit�are oot valid until yon reaive a petmit eard.
4. 'GVork must not be�m unless the permit card ia availBble on the job site,
S. Utility connxtian pamits may be issued to licensed cantractors only.
6. Contact the Public Works Department (952-249�600) for uu'lity stub aq-built locations. p4 NOT
IXCAVAT'E IN ANY STREE7'A.�TD DO NC�T TAP ANY MAIN withont exprrss approval of dse Public
Works Depart�uen� issuence of a permit doee not�zu►t this app�oval.
7. AU wark mus!be donc in accordance with Stauo Code rec,uirements.
. 8, Ail wdrk mti+t be iaspacxed before it is covere�l. Cull(952)Z49-4600.
� •J � S— 2A hour nalice req�ired.
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J48 SI�'�ADDRTSS_ ����� ��i�C�'Y-<< � o�. ��r�
Oecupaacy T�pe: x� Y'ctsidentiai CommerciaP
Owuer'�Niuue• � '\� Phone Number:
�111A�1�i��rE39:� 4b�.�-�s�� t�t-��i n_ `•�' ' �.1�': >( �K11 .. �
Contractor'a Name: � 1�- P6oa�Numbe�:�'i5�-°►��
Mailing Address: �.=��a City: (Y�-t-�,y., T�:�3�,1,�
P��MTT TYPE
�.l� �Vduaicipal Sewer C nacction (S35A0 per s�b} $ ��,C���
1J�` pipe size�:nches; matcrial„�Schedule 40 eir tested; cast iron
�'� SAC Charge(200Q rate$1,150.00)must acco�nzpan�aIl sewer painit applications unless prepaid
�+ f If uot prepaid,a sew�er connection peruut will�wt be issia�d.
Municipal'1�Ater Conoection($35.00 per stub) � '?�'-� .c�.
pipe aize � inahes; material�„�copptr; other
WATER METERS must bc picked up and pai�!for at City Hall.
Water meters ntast be act and sealed by (lrono Water Depatfincnt (952-?A9-4600) apon
completion of inettr Lusb�lbttioa.
REQL7YRE]a minimum sctbacks fi-om drain field and septic�=75'
REQUYR�sctbeck$om sew�r line=�0'
p..�',$MII'�',FE CALCULATION
l. 9abtotal of above peruut requested $ � �j, (k �
2. Statc Sur�hsts�e $ .50
The State Building Codc bivision 5urchargc oi'S.SO per permit must be
inctuded for aaoh well,sewer and wator conne�tion permit requ�sted.
3. postage&�andling(Only mail-in applications) � ��
4. TOTAL PERNIIT FEE(ndd linos 1-3 above) � �� ,�-�„�
Tbc undersigned hereby applics to the City of ihono for issuance of n Utility Permit,agr�s to do
all work in StriCt aCCordtfttte with thc ord+_nAn,rs of the City and the regularions of thr. 4tate of
Minncsota,and eertifies that all statements madc on this applicarion are complete,�ue e�r��°�srrect.
Signat�ue of Applicat��,`�-T.� ��^��'� Date� //- �`�0��_,
DATE TIM�
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED �� "- 1 �a U
�ERMITN�. U �aCd C�M�LETE� -� --�Z �"-OU
ADDRESS I7�S COi'1 r dr��r1 ��•
OWNER CONTR.%�S Q�� ��vn- �
TELEPHONE NO. � sa �1 � y� �7/�7
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� DESCRIPTION ��`�� � `1t'��k ^ L� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WQOD BUBNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. �-?2 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL �14 S-EW--�E—R-HOOK-UP __� O6 PROGRESS
� 07 DEMO-SITE — 3T SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINA 35 HARD COVER REMOVAL
J 10 PLUMBING 36 FOUNDATION/REMOVAL
� OWNERI_ NTRACTOH MEETYOU: YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED w��� �PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN NOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED
❑INSPECTION PEQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. ��l '�"✓`"�"�-�
White Copylinspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �I oZ�--O� O
PERMIT NO. J�O�SLO�c�— COMPLETED
ADDRESS 1 70�J C�O(�C c�f C�c cti
OWNER CONTR. T��w-1,�S�''✓�
TELEPHONENO. �S^� � 1�.� -�7/�
� DESCRIPTION ��17�IKX -r'1/�U�c�G
� 01 FOOTING 11 MECHANIC L 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� EM AL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBIN�RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBIN 36 FOUNDATION/REMOVAL
� OWNE CONTRACTO TOMEETYOU: YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-4600
OwnerlContr o ite:
Inspector.
White Copyllnspector' File Canary CopylSite Notfce