HomeMy WebLinkAbout2008-00305 - sewer & water disconnt °` � CITY OF ORONO PERMIT NO.: 2008-00305
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/17/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 3546 IVY PL
PIN : 20-117-23-42-0018
LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO
: LOT 000 BLOCK 000
PERMIT TYPE : SEWER&WATER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DISCONNECTION
NOTE:
WATER AND SF,WER DISCONNECT
APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 35.00
DASEN CO. WATER CONNECT/DISCONNECT/REPAIR 35.00
24245 NATOHEZ
LAKEVILLE,MN 55044 STATE SURCHARGE SEWER&WATER 0.50
TOTAL 70.50
OWNER
DRAZAN, M►CHAEL&MARY
3546 IVY PL
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construc[ion is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Buii ng Code.This permit may be
revoked a time for d ause.
t�z��a� `���� �J l l � �
plicant Permitee Signature Date I ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Oct 18 ,�f.18 �9: 14a p. l
.- ,
1� 1'1'Y S:ON I.Y
, 4p� City ol'Orono u�w tu;�:����:y�/ rmi�pc�Do�' ��'��
,'O O' r.o.���rf,��
. �� 2750 Kulluy Ikrtl:wuy ❑In-I lnuac tiAC Lkt�rmin•rluw�I+trrm CO�►IplolCJ
,;•'r• w•� Cry.cud liay.MN 55323
� ''' � `~ �V52)2A9.4�ib0 Appn�vcdliy(IfRayuircd):
t • a.•
� �s:wo�'� . . ... . .
Cl't Y ()F()RONO—SEW�12& WA'1'�12/G�N�:12AL P1iiLMl'C
(•Nal�;tiunlc�nnil�n�y reuuim anDraval try tFk RuildinE�(.)llicial and/pr Public Wprk+I�tnrlmcnl')
(;1�iP1;RM1'I'�- Msv bc subicat te funhrr r�,wiSw a��J ntav i�u bc iM���cd whcn Ili� �Dlicnlivn'r rcccivcdl
G1�NL'_'RAL INrnRMATTON
1_ Y�u m�y ap��ly for ulilily permiLs by m:iil ur in person at the City ofl�iccs,
2. Muilud in�ppli�Itiotts nre suhjcct tc�lhc pc�tih��re s�nd hsindlin�.;fcc shown bclow. Pcnnit c:irdti�vill
(x;scnl by rc:turn m�il wllllln 2 businca�d�ys.
3. 1'crmih are not�aliJ until you reccivc•r permit c•rrd.
4. Wurk musl not hegin unloss th�{x�nnil card is:�vail:�blc un �hc jub silc.
S. Utilik��connection permilx muy bc itiwcd to licenseel contractots only.
6. CimtacL thc I'ublic Works D�p�rttncnl(952-249-�16p0)For utility s1uU:�s-bllilf IOCSItIQnS.
UO NOT EXCAVAT[�; 1N ANY S'I'Kl:l�:'f AIVU UU NUT ThP ANY MAIN without capress
approvr!of thc 1'ublic Wark�Dup•rrtmcnt. Issuancc of� pc;rmi�do�s no��i'111[llll�8p�11'QViII.
7, All work mutit bc done in�ccord�ncc with Statc C�cxie rc:quircmenrs,
K. AII work musl b�insp�,�c:tuJ bcti�re it is covcrcd. C'�tll(952)249-�6U0,24+huur nuticc reyuircd.
,_. ._..— •CYY�,UF PERMIT —�---.........�..,...�M. —..----
� (Chcck All 'l'h�t 11�?P1Y)...._.. �
❑ 12osidenli:�l(May Rcquif•c Approval) ❑Can�mcrCial(Ap��rpv�l Itv'K'�uii�d)
❑ N�w C:onncction ❑AJdi�ianal Conncction ❑ It�•-C:cmncc�liun ❑ Rcpairs �nisconncck
Job�il�/Owncr Inl"�rn�ation:
�' ���,..._- -Pla
Sitc;Address: 4,� �.� � � w
' ,�^,-!��� " 1
Owncr:� .�f'�._.�)f �� Mailins I�ddress: ' ���7L� �.� t/L� �
City: ���'�(,��iv`��. 'Lip: J J� ��/ �
Hom� I�honec /�lt�cnatc [�honc:
Ccmtractpr InfO[malion: V��
Conir�ctor; .l � �' _
,j��J Contuct P�cson: L�►r �
Address: c:a��%�f�... ���� '`� � 5[�tc Liccntic#: �Ill���'
C'itY: �.�,_��G'li���� 'LiP���7 R�riration ll�tc: ..��_�� ' l(.���1
` �
Phcme: ��l%�'�/L�'� Alt�rnate Nhonc��/�,�'�o����%� .
Octi 18�8 �9: 14a p. Z
. �
��M _DL'IERNliNTNG �'ER�1T FEF.S �
❑1AC Chsr�c(2008 R•rtc=�I,I325.p0) $
(SAC Charf,e murt:u;cx�mpsny t�il�war�rcr�nit a�ePliculions unlc!+�propu�d)
(Oronu Cilx SlulrCan cictcnninc i1'a�plicublu)
(If not prepaid,a e�aw�r connCotion permit will not bC i.«twued)
.� �?C �
�Scwcr ConncctN�n/Di��vrnncct!kc�wir(g,3.5.UU/Pcr�u'ivb) !6 .��J��% '"
Pipc sid: inch�.;;mvtcri�l Schd d0 1ir tt�:tc:d: C.1Rt irpn
�Writcr Conncction/Uicc�n�ect/Ftcp:�ir(S35.oare�•Stub) $ V'�,'� v '''
Plpe si7.e�_.,._., , inchcs5;maloci:�l Schd dO 1ir tcclnd; coppe►'
l. SUBT07'AL oFNcrn�it Reqvc�tcxl: 5 _,, .._
z. ST/\TF,5t1RC:H/�Rti� $�_„ , . .50
i. PQSTAC'iF ht HANI�F.INCi(()nly on M�lil-In�ppllc�tians) $ _„I 5Q
� � �U
4. TpTAI,P�RMiT FF.F(Add Linc� 1-3 Abovc) S L,_�.� '
_ .. .. .... . ....-••-- —•• ...
�� ADI�ITiONAi, fNFURIV�A'L'I�N�- Wf1,'�'ER MF.TLRS _
■ wATER M�TG�K.ti mu�l bc piCkul up and p�id 1'or<1t Orono C:ily hlull,ltu:ac�re on a�en�r.�tc ncrrr�it.
■ WATF:R MF.TFRS mu�t bc cel :rnd v4.�1�;� by Orodo W9tcr Dc1►artment (952) 249-460Q, upnn
cumplcliva ul'mcler in�lallali0n.
Tha undersibn�d hercl�y lppli�s tn thc City o1�Urono I�ur is��u:�nc�ol'a Utility P�srmil, .�grccti l�do
all work in strict accordance with tl�e ordinancos of thv City �nd thc rcgulations oF lt�� St3tc �f
Mim�c:.�ln,:�nd ecrtific� LF�ac.�ll ,tatemcnGg made on this applic:�tion i�ro, true and eorrecl•.
,�/ '�1 � l
Applicant: u�� 1 � Datc: �Q '"/� " ���
y1:—� //�—''c.Q.�v�
/
Octi 18 08 �9: 14a p. 3
� �
. '.
SL+'W LR& W ATF.R PF.RM IT
1N lIUUS.� COItM -TO HF.LP�F'�'E�tM�N�SAC UNiTS
FOR CITV USF UNLY
(• Plcp�ee Key'1'hig Into�mation Qn Cumm�nt I.inc Of Permit•)
n:ilc Curnpl�lucl; „__._, U Cll'SAC:ilr�iu C�mplcic�i qy:
❑ •SAC:Previously 1'aia- 1'ermit 1i I�tc of Pcrmit
"C7hur�;c 1 SAC llnit 1'cr I l�mc
• 11'Multirl�I lom�w()�Unitc-May Nwd'1'v I'ay AdJi�ion�d CnC'C:hnrges
❑ '!iAC(:randfatl�crecl In— _, t'e�mit fi Date of Permit
* MLL,t Iwvc hud I loc�k Ur d'c l•lomc 1'rior'l'o Jmuauy 1. 1973
•Rcl'ur w I lolpl'ul tlint tihccts,Or Acl:If Ncccaxtvy
� It'Multiptc Unil�-M�y Nccd'�'o 1'ay AJdilion�l SAC Ch,�r��c�
❑ "'Commer�i�l— I'icrm:t N Acrnunoed For Da�ta of Pcrmit
❑ *I,cu.cr l�mm Mcl(:ouncil—tihpu in�Ucc-(h/tddilipn�l lJnil�N�Ytltxl-
•Cctnu�Ct)u�li 7l((1S 1)t1U2-1 117'I'A OI1C110 I.cncc�usu:riy auiiaing oircia�aoca�nti�
'Cupi��'I'u:Lyl�.Slru�:lT�ilc&Ooc Ont�ory c�rr�m���i�arltcpo�Kin�;
• (I'uni�blu W�i:t�rn►in�:will h�w�t�►w:�it le 1►e i��uod until dctcrmirwt�on um bu m��Jv
❑ :>I:1�'I�:A�it- •"WqTCH P'OR TI•11:51?(:C)NNI:(:1'IUN1"r* .
"Purvtm Will Huve Tp P�.y C�innw'ti�tn I'.xw IYc A�w:x.�tmvn�t �•tiAC:Ch:tvg,Vs
•R�I'ur'I'o Curr�;n�Yw�r f��v:tii;h��clul��! I��n't{LeW:�lJntil I�a:.Ar.:1►AlU!
(�k Cur Si:�u nr Lin'x Flclp 11�litb Tlwx)
' Will Nccd A�urov7l 1=rnm I'�iblic Works(ScuU)
❑ S�xx:inl Grindor I'ump Nccdcd
• W�vc'1'hcm'1'alk'1'o Scolt 1=or Qucslions.dre I�ricin�
•c�ivc'1'hcm tipcciul I IQf1d OUIS!(ITI�)fAwC�Wllh SCw�r Pcrmil)
� I�1iCR1IL N�:lil�Y A�1�11Y)YLI I'�Ofll I�UI7IIC WU��: A(/�IIUYW QY: _ . .
• Sidc notc.�onm�clion I�crmiLs—L'avcr:Scptic'I'ank J�bandonmrnl Al.w.Pcr I,yle
� V I qATE p TIME
CITY OF ORONO CALLED IN �� r �� ��0
INSPECTION NOTICE SCHEDULED .J� ��c`�R' '�
PERMIT NO.a?Od� -Od3oS COMPLETED
ADDRESS c����-P �l� \� ��
OWNER CONTR. ��l��o��C�
TELEPHONE NO. �� `T � �- a� _
� DESCRIPTION � � W�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEP IC INAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECOND�TIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. W �
White Copyllnspector's File Canary CopylSite Notice