HomeMy WebLinkAbout2004-P07540 - sewer/water permit � PERMIT
GiTY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P07540
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit
(952) 249-4600 Date Issued: si26i2ooa
SITE ADDRESS: 2870 Little Orchard Way
Wayzata,MN 55391
PID: 09-117-23-21-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Sub-type(s): Sewer&Water Connecrions
Permit Type: Sewer and Water Pernut
DETAILS:
Approved per resolurion#:
Separate pernuts required:
NOTICES/REMARKS:
SAC Paid 6/11/03
FEE SUMMARY: Permit Fee: $ 70.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 72.00
APPLICANT: Plymouth Plumbing&Heating OWNER: Steven&Elizabeth Bohl
12270 43rd Street NE 825 Brown Rd S
St.Micheal,MN 55376 Long Lake,MN 55356
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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si�nitures Re4uired), 1-Aunlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
�..a ► r ��r c�xvivV APPLICATION FE?R i7�'II,ITY PERMITS
� Boz bb (275() Keitcy P�rkw�y) SEWEI�IWATER
Cryatal Hay, MN SS3�3
GF�IyEftw�, INFo,{� •T(ON
1. You�nay apply for utility perm its by mai]car in parson at the City offices,
Z. Mailed 'rn applicutinns are subjcct W thc poatngII y�nd hatldling fccs shown beiow. Fbrmit rards wt11 be sent E�y
rcturn mail the same day tho�pplication ia rtc�ived.
3. Permlts arr not vaUd untl!you rrccivo a permit cArd.
a. Work musi not bcgin unlesa the permlt c.arti is ave'ilablc on thc job site.
S. Utility tonnoction permi[6 may be issuecl ta iicensed cnnrractvrs only,
6. Cbnr�ct th�I'ublic Works Dcpartmant(473-7337)for utility acub as-built locations. DU NO"I'�XCAVAT'F.
IN AN�' S7'REF7 ANL' DU Nt�T TA}� ANY MAfN without express approval of tt�c Public worka
Ucpnrtrncnt. Issuance of n porrnii does�ot gr�nt thu approval.
7. Ali work must bo donc ir accortlance with Staic Codc rcquiromcnts.
$• A�l WDCI�iT1U3t bC I113p6CC0d�Ct�TC ii i5 COV�tBCl. C&l�a��-7357.
24 hour notice reqatred.
.)oss���F aUvxEss: �-�' , � (�� �L'I.C�,�r�'�I
C}cCUpanc7' �'YPQ� Residentia! Camm�resial
C)wue�'a N$me: I r.�'�i-� �t�l.Q �OY1�f�� Phonc Numberr:
M�11in� t�ddre�s� Cjh'� ?�:
Contractor's hlame: L� V r i b' Yhonc�Yura[�eri�l '�`�� � , I�
Mulling At�cfress: �� _� �' J}- �.�" C�ty:�s "� � �;�
PERiM�f IT TYI'� ---=_
�`G?
Municip�E Sc��-cr �'onnectiot� (�35.t�(� per�tub) ��./} $ ^_ �.�� �J.
pi�r �ize��__ inci�es; material��P'VC {on sand fit); cas; iron
Sf�C�:hargc(�90Q,OU;mu�t a:compRn� tsil sc�vcr pctmi;t�pplications unless prcpa.id, If not prep�id,
tt scwer cucin�ctior� permit wiil tiat be issued.
,.__.
5
Munietpnt Water �,onneetioo {�35.00 per stub} $ j ,j _�'
pi�e si�e ` `� _ inches; material '� copper; other
�'A"I�LK M�,TERS must be pieked up und peid fc�r at City�Iall. R �' --�
(5!8" meiers �$139.Op; 3/4" metcrs�$191.OQ; 1" motcn-s =$247.00)
S�parai� Plum�,in� Yormit issued fnr watcr rnettr.
Water metcrs rr►u�t bc aet and aes�lcd�y Oronu WRter Department(473-735�upon compktion
of inetcr in�tall�tioA.
�tEQUIRF,D minimum sethecks from drainficld and septfc tanks= 75'
R�,�UIRED sctback from sewor line�20'
PERMI'T�`F,���A.:�.[�.��ATION
1. Subtotal of above permit rcquestcd �^ �J� �
Z. �I�t�� $ _50
"I'ho State Hulldir�g Code Div�sio�6urchargo of S.SO par permit must be �
ine3uded f�r each watl,cewer and watrr aonnection�ermlt requoated,
3. � ,� Yg&N ►��.dlin4(C?nly mail-in appliaetic�n�j $ , l SQ
4. 'I'UTAG, PERMIT FEF(add lincs 1-3 above) $ ;� � ---
The undnrsigned heroby applies ta the City of Omno for issuancc of$Utility Permit,a�rees to do
all wqrk in strict aceord8ncc with the ordinailces of the City �nd the rcgulQtions of the Statc of
Minneaflta, �nd certifics that aIi�tat�men��tnacic c�n this applicatia;��tre eomplete, true$nd canect.
Signature of Arplicani._ � ^ �-c �''�— . �- �/���
�- Daec: �9 ��T_'-
DATE TIME "
CITY OF ORONO CALLED IN 2"��
INSPECTION N TICE SCHEDULED d�
PERMIT NO. COMPLETED
ADDRESS ��o ��� �/'c,iCf.t.� %(Ju-�
OWNER CONTR. .
TELEPHONE N0.
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL 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 WaA�T � 17 SITE INSPECTION
Q 05 FINAL �4-SF_1p(ER HOOK,Id 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
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� �RKSATISFACTORY:PROCEED OJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnedContr site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN �Z�
INSPECTION NOTI,� SCHEDULED -_t ��� ,z��
PERMIT NO. �'"U�SC�� COMPLETED J—�y V�J�
ADDRESS Q ��f- � / `
OWNER CONTR. U�i�
TELEPHONE NO. J� S�
� DESCRIPTION �e�`t ��U'�-�-,��
� 01 FOOTING 11 MECHANICAL 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 EWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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: �'� �.S�l- t`(� t v�� S1�
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W��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
�
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�CITATION ISSUED
❑STOP ORDER POSTED.CALI{NSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlCon�ctor on site:
Inspector_
White Copyllnspector's File Canary CopylSite Notice