HomeMy WebLinkAbout2003-P07127 - sewer/water disconnection ' � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Po�i2�
Crystal Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: i2�29i2oo3
SITE ADDRESS: 1435 Park Dr
Mound,MN 55364
P I D: 07-11'7-23-42-0020
DESCRI PTION:
Proposed Use: Residenrial
Perxnit Class: General
Pernrit Type: Sewer and Water Pernut Permit Sub-type(s): Sewer&Water Disconnectic
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 70.50
APPLICANT: owner/Self OWNER: 7ames Martinson
MN 1435 Park Dr
Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMEN'TS.
`�i� `
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-A»ulicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
�Dec �3 03 03: 05p James Martinson , 952 447-7674 p. 2
', (Updatcd 6/2/U3)
CYTY OF OR O APPLICAT ON FQR UTILITY PERMITS
Box 66(Z 54 e ley Parkway) S WER/WATER& SAC
Crystal B y, 55323
G�NERAL IN MAT[ON
L. Yo may ply for uiility permits by mail cn in person at th City officcs.
2. Ma led i a plications are subject to the postagc and handli g fce sh9wn bciow. Pcrmit cdrds will be sent by rcturn rnail thc same day
thc pli cm is received.
3. P its not valid until you reccive a permit card.
4. W mu t ot hcgin unlcss thc permil card is availablc on c job sit�e.
S. Uti 'ty Ction permits may be icsued ta Licenscd contrac ors only.
6. Co Mct Ublic Works Department(952-Z49-4600)for uti ity stub as-built lacations. DU NOT TJCCAVATE TN ANY STRF.ET AND
D NQT �'ANY MAIN wi�houl express approval of the ublic Works Dcpartmen�. Issuance of a permil docs not prant this appmval.
7. AU ork � 9t be done in accordance wilh Stale Code requi ments.
R. All ork �t be inspecled before il is covered. Call(952) 49-4600,24 hour notice rcquind.
JOB SIT AD ESS: �� -S '�� pr�� � 1�E-i •
Occupan T Residential, Commercial
Owner's am •> � � Phone Nurober: �iS� �/�/7•- 76 7 c�/
Mailing � d.dr �S S� �!'L�/AL��b''r�w: j����vo City:�'.��,;.^ L�.k,: ZiQ: � S3 �:,�
Coatract r's a• e: N�t r T:r��,n i�:,�L/ r- S�.n�,� Pbone Number: �S,�- 7 S 6 -=f 9'�,,�
Mailing ddr City: Zip:
PE ❑Conncctions ❑Repairs isconnect (Check One)
SAC Cha e 03 rate$1,275.00) , $ (Set Rate)
5ac Charg mu t a.ccompany all sewer permit application unlesslprepaid.
(If not pr pai sewer connectian wil! not be issued)
Municiga S Connection iscon eps�ir($35. 0 per stub) $ 35.�
pi siz inches;ma erial Schd 40 ai testedi cast iron
Municipa Ws e Connectio isconn�IRepair($35. 0 per�tub) $ 3J.DD
pi siz inches;material copper; othcr
WATER T S must be picked up and pAid for at Ci HaU.
Water m ers t be aet and sealed by Oruno Water epartment
(952-249 600 pon completion of ineter installation.
QUIRED minimum setbacks from drai ficld and septic tanks= 7�'
QUIRED setback fram sewer line=20'
PERMI E ALCULATION
1. Su ota f above permit requested $
2. tc S har c $ .50 (Minimurn)
TG Stat B Ilding Code Division Surcharge of 5.50 per p 'i must be
ipc ud�d each well,scwcr and walcr conncction pccmit quested.
3. Po a dlin (Only mail-in applications) $ 1.50 (Mail 1n Only)
4. T TA �RMIT FEE (add lincs 1-3 abovc) $
The unde 'gn hcrcby applics to thc City of Orono fo issuaqcc of a Utility Pcrmit, agrccs to do all work in strict
accordane wit he ordinances of the City and thc regula ons of thc State of Minnesota,and certifies that�11 statements
made on t is a icarion are c plete,true and correct.
Signature f A p icant: v� �.r� Date: �� '�� 3 �� �' -3
�ec �23 03 03: 05p James Martinson 952 447-7674 p. l
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DATE TIME
CITY OF ORONO CALLED IN -��'""�'�
INSPECTION NOjaCE' SCHEDULED L.� .,Z.�'- 1 /C'�3C�/'�
PERMIT NO. GC% /�� � COMPLETED
ADDRESS �� ���. � � , � �
OWNER CONTR. �.. � l� .• ¢�
TELEPHONE N0. ��'�� J/_�'f �:J�F'�
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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 WATER HO - P 17 SITE INSPECTION
Q 05 FINAL 1Q SEWER HOOK- O6 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 WARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑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.CAII INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 tor the next ins ion 24 hours in advance. (g52) 249-4600
OwnedContracto
Inspector.
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