HomeMy WebLinkAbout2005-P08342 - sewer disconnect PERMIT
CIT�- �F ORONO Permit Number:
2750'Kelley Parkway- PO Box 66 P08342
Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit
(952) 249-4600 Date Issued: i�6�2oos
SITE ADDRESS: 2545 North Shore Dr
Wayzata,MIV 55391
PID: 09-117-23-41-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Parrott Contracting,Inc. OWNER: Bradley&Cheryl Jones
30090 State Highway 93 2545 North Shore Dr
Henderson,MN 56044 Wayzata,MN 55391
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 ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Auulicant, 1-Monthlv Renorts, 1-A�essine, 1-Finance Page 1
CITX OF ORONO APPLICATiO�T�OR UTiLiTX�ERMITS �3�J_�
Box 66 (275U RCcllcy I'arkway) SEWF..WWATClZ ccScc SAC
Crystai B�y, MN 55323
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GENFRAI.INMU�LMATION (. � i�S-��
1. You msy apply fo�u[iliry permits by mail or in person dt thc City o�ces.
2. Mailcd in applications arc tiuhjc;c:t tc>lhc postagc and h�ndling!cc shown bcl��w, ���rmil cards will bc scnt by rclum mail thc�am�duy
thc application iti rcccivcd.
3. �'c��nnits are not valid u�til you receive a per�nmit card.
4. Wo�k rnust nut hegin unless thc pc:rmit card is avt�ilablc c>n thc,j�h�itc.
5. lJtiliry conncc;tion permits may bc issucd to liccnscd contractors only,
6. Con�tac�the Yublic Works Depatimcnt(952-249�600)forutilitystub as-built locations. DO NOT EXCAVAT��N ANY STRF,�T AND
DO IVUT TAP ANX MAIN without cxpCcss apprnval of thc I�ublic Work,c pcparlmcnt. Issuancc of<<permit docs not grant this
approvsl.
7. All wark nnust be done in accordance with S�xtc Code requiremcnt�.
8. All work must bc inti�ccted bc�'orc it is cnvcrcd. Call(952)249-4600,24-4A hour noticc requ�rcd.
JOB SiTE Anp�ss: � o�e;r/ �i�a r��
Occupancy Ty�c: �tc�idcntial Commcrcial
Owner's 1Vamc: i rhone Numbc�: �o/�- 3�/rJ • �%/�(�
Maili�g,A,ddresa: �'� .a? /�b1T S City: 7.i�:._�'��
Cuntractor's Naicnc: n�;�„rT ��/,�,����i✓U /,,�c. p�unc Numhcr-,,l�o� _y,�,��7
Mailing Add�css: �i,�g p S � ��,n�v 93 , City•f�,�(L.�sc,� Zi�:_ �o�
PF;�tMiT TYP� ❑Connc;clions ❑Rcpairs �iscon�nect (Chcck Une)
SAC Char�;c (200.5 ratc$1,450.Q0) $ (SCt Ralc)
Sac Ch�r�e�nnust accompa�y all scwc;r pe�xnit applicacioc�s unlcss prepaid.
([f not �rcpaad,a scwcr co�ncction wi�� �ot�c is,ucd)
Mumicipal Sewer Connectio�/Aisconnect/Rcpair($35.00 p�r stub) $ - �'b �
pipc siic in�hcs; malc:rial Schcl 4Q air tctilcc�; catil iron
Munici�a�Water Con�ect�on/D;sco�nect/Re,�a��($35.00 pc�stut�) $
pipc siic;�� inck�cs; m�ticrial eopper; c�thcr
WA'1'!;R MF,TERS must hc pickcd up and paid 1'or ut City I lall.
Wvtcr meten mu�t be set und cculed by Orono Ws�ter Dcpur�ment(9S2-za9-4640) upon complctiun o1'metcr installation.
R�QUIRL•'U minimum selbacks from drain tield and s�tic tanks—75'
RF.QUIRGU tic.-tback�'rom scwcr l;nc � 20'
PERM FEE A CULA .ON
�. Subtotal �('abovc permit rcqucslcd $ 5� [�U
Z. Statc Surchart►c $ .SU (Minirrxu�n)
The State BuildiRg Codc Division Surcharge of 5.50 per pe�rmit mu�t be
includ�d for c:uh wcll,u;wcr and walcr eqnn�*ction pc:rmit rc;yucstcd.
>. Pc�tila*e& Handlin ► (Unly rnail-in applications) $ 1.54 (lV�ail Tn Unly)
�. TOTAL PF,RMXT FF.R (add lincti 1-3 abovc) $ - ��,S�
11�c un.dersi�ncd hereby app�ies to the City of Ozono for issuancc of'a Utility Penmit, agrees to do all work in strict
iccordancc with thc ordinanccs of lhc City and ih� rcgulaiions of th� Statc��Minncsc�ia, ancl ccrti�c:; that all tiiaicm�nts
nadc on this application;:uc completc, tru� an corrcci.
� � _
�ignaturc c>f'npplic:int: �' r)at�: —
i 'd L696-B�Z-LOS '�u I °�u t zve.�zuo� zzo.��ed eBE �LO SO EO UeC
{%1 ✓
DATE TIME
CITY OF ORONO CALLED IN � a'l��S
INSPECTION TIC SCHEDULED d� � � �
PERMIT NO. �a 3�a✓ COMPLETED
ADDRESS ��� (�l X� �r`
OWNER CONTR-��'a'�C���.
TELEPHONE NO. �P` a" �--�U� 73�{O
� DESCRIPTION �C�.C�'�2.r ��C `U�`(�2C`�
� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the ne t inspection 24 hours in advance. (g52) 249-46��
OwnerlCon ctor te:
Inspector. �
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