HomeMy WebLinkAbout2015-00025 - sewer disconnect/repair � � CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 5 - 0 0 0 Z 5 *
DATE ISSUED: OU09/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 930 PARTENWOOD RD
PIN : 08-117-23-21-0007
LEGAL DESC : PARTENWOOD
: LOT 003 BLOCK 001
PERMIT TYPE : SEWER&WATER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DISCONNECTION
NOTE: SEWER DISCONNECT
APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00
WATER CONNECT/DISCONNECT/REPAIR 0.00
KOTHRADE SEWER&WATER STATE SURCHARGE SEWER&WATER 5.00
12059 WHITETAIL AVENUE
HANOVER,MN 55341 MAIL-IN FEE 2.00
� TOTAL 57.00
Minnesota State License#: SW-192 MPCA Payment(s)
CREDIT CARD 4122 57.00
OWNER
MOORE,KIRK&PAM
27475 MAPLE RIDGE LANE
SHOREWOOD,MN 55331-
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 goveming 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 construction 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 Building Code.'I'his permit may be
revoked at any time for due cause.
l � 9' ��S
Applicant Permitee Signatur Date ssue y Signature Date
, . �
MINNEHAHA CREEK WATERSHED DISTRICT �
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QUALITY OF WATER - QUALITY OF LIFE I'
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Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements k
and information contained in the permit application, correspondence, plans, �
��,e�innenana creek maps, and all other supporting data submitted by the applicant, and made a part
hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant a'
Watershed Distnct=,s named below for use and development of land in the Minnehaha Creek �
committed to a leadersh;� Watershed District. �
i
role in protecting, �
Issued to: Kirk & Pam Moore Permit No: 14-600 j
improving and managing
�
t
the surface waters and Location: 930 Partenwood Rd. Orono
affiliated groundwater Purqose� Erosion Control Wetland Protection—Sinale Familv Home
resources within the �
Date of Issuance: 01/14/2015 Date of Ex iration: 01/14/2016 �
District,including their E
By Order of the Board of Managers ;
relationships to the l //�
�L �
ecosystems of which Courtney Hall �
they are an integral nart. DistflCt TeChtllCian
We achieve our mission This permit is not transferable without District approval, and is valid to the date of
through regularon, expiration. No activity is authorized beyond the expiration date. If the permittee
requires more time to complete the project, an application for renewal of the
capital projects, permit must be received by the District at least 30 days before expiration.
education,cooperative The applicant is responsible for compliance with all District Rules and for the
endeavors,and other action of their representatives, contractors, and employees.
programs based on Conditions: Project to be completed as described in plans submitted to the
MCWD office on December 11th, 2014 according to the
sound sdence, stipulations of this permit.
innovative thinking,ar, • Properly install and maintain all required erosion control
measures until the disturbed areas are re-stabilized
informed and engaged . When the site is re-stabilized and the MCWD staff has
constituency,and the performed a final inspection, all silt fences must be removed
• Submit a wetland delineation report and Boundary/Type
cost effective use of application for wetlands on site.
• Submit updated plans with boundaries of all existing or
Pubtic t�nas. proposed buffers that are determined in accordance with
section 6 of the Wetland Protection Rule. Plans should incfude
locations of buffer monument signs.
15320 Minnetonka Boulevard, Minnetonka, MN 55345•Office:(952)471-0590• Fax: (952)471-0682•www.minnehahacreek.org
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MINNEHAHA CREEK WATERSHED DISTRICT �
,.
QUALITY OF WATER _ -- QUALITY OF LIFE �
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• Submit declaration approved by the District and recorded in
the office of the county recorder for buffers established on �
The Minrehak�a Creek SIt2.
• Install permanent wetland buffer monuments at each lot line
watershed nistric�i� where it crosses a wetland buffer, and where needed to
committed to a leadersri�� indicate the contour of the buffer, with a maximum spacing of
100 feet. �
role in protect�r;g,
improving and managirg
(Statement concerning fees for inspections, violations, etc... on following page)
the surface waters and
affiliated groundwate�
resources within the '
District,including their �
I
relationships to the }
F
ecosystems of which
they are an integral part. ;
I
We achieve our miss�or� '
through regulation,
I
capital projects,
education,cooperative
endeavors,and other
i
programs based on
sound sdence,
innovative thinking,an
informed and engaged
I
constituency,and ti�e I''
cost effective use of I�''
pub�ic funds. %
15320 Minnetonka Boulevard, Minnetonka,MN 55345•Office: (952)471-0590� Fax: (952)471-0682•www.minnehahacreek.org
MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER =_�� QUALITY OF LIFE �
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Inspection/Analvsis/Monitorinq Fees
I
The�'��i,�r�ehai,a Creek �
A site inspection and monitoring by District staff will be performed where the
Watershed District is activity involves: ,
committed to a(eadership I
• a commercial/industrial/multi-family residential development �
rote in protecting, . a single family residential development greater than 5 acres or of any size if '
improving and manacirg within the Minnehaha Creek subwatershed �
• any alteration of a floodplain or wetland �
the surface waters ar�� . dredging within the beds, banks or shores of any protected water or wetland ;
• a violation !
affiliated groundwater , any project which in the judgment of the District staff should be inspected �
resources within the due to project location, scope, or construction techniques �
D�strict,including their
relationships to tlie In these cases, the applicant shall pay to the District a fee equal to the actual
costs of field inspection of the work, including investigation of the area affected �
ecosystems of which by the work, analysis of the work, and any subsequent monitoring of the work, j
which in the case of a violation shall be at least$35. ;
they are an integral pa�t.
i
We achieve our mission i
through regulatio�,, Standard Fee Schedule
capitat pro�e�-�s, District professional staff $ 65.51* �
education,coopertive District interns $ 40.35" '
District clerical staff $ 46.69" �,
endeavors,and other Consulting Senior Engineer $ contracted rate !,
programs based on Consulting Engineer/Technician $ contracted rate
District Counsel $ contracted rate
sound science, Application fee $ 10.00
Copy costs $ .25 + actual staff time
innovative thinking,ar, Color copy costs $ 1.00 + actual staff time
informed and engaged
constituency,and t'�z
* Hourly
cost effective use of
pubii��rx's.
15320 Minnetonka Boulevard, Minnetonka, MN 55345•Office: (952)471-0590� Fax: (952)471-0682•www.minnehahacreek.org
� 61/8912615 �0;�9 9522A9461� CITY OF ORbNO PAGE 91/02
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Z�50 Kdle3'ParkwaY
Gtystol Bay,�55333 ��R��:
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("]�ot�:sooa�e paer►��ay nq�+ire
��NLR1�L Il�1F(?�AT� �
1. You may Aygly for utc�ity p�mits b3'm�il or m per9on at the City o�'ices.
Z, 'IvX�i{ed in e�p�Zcations st�e subjeat ea thc postage and headling ibe st�owan below. �brmit earde will
be sent by teturn mail with.in 2 business days.
3. P�rmlb are no!v�lid antil you reecel++e t por�nit cs�rd.
4. Woxk mu�t nat be�n unless the pdy�lt�m�d is a.�anlable an the job s�te.
5, Utilit�r conuection peztnits rn�Y be i&sued to licensed con�vacwts only.
6. Contact tb�e Pnbli�Worka Deparnneat(952-7•49�60Q)1br utiiiry�as-bu;te�ocatioua.
DD NUT E?fCAVATE IN A,NY 5'�REET AND AQ iY0'�'TAP,�lN1t MAIN wixbo�t e�tese
approval at the�nblie Waris Depardnenk Teauance ef a p�cmit doea aat Sraat tfii�approval. ,
7, All wark must he da�e in aaeardanoe with State Cvde requir�m�ts.
8. All work must be inspected bei�x�it i�cavered. Csll(g52)249-4600,24+haur ootice r+eqairod.
TYPE 0�"r PERIvi�T . . . . � .
. Ct�ck All'T�� � .
❑Rcside�tis!(May Reqaire App,nov�al) ❑Co���ial(Appxoval Req,uirod)
❑New Cor�noctian A,dditi�al Co�eation ❑Re-C.ona��1On �R�"�'g �U�scoaneot
� W ater Avad�ility COnnet�fan Fo�r�dau^e�Jook U�_°w�
So�S�tc/Or�c��: .
Site Address: ��L�.��.�� . � `�' - — -
pwuer:
�. Mai�ir+g Ad.dreas: '�� '�F
C�ty:
Zip_ �
kior�e Phone: Alte�at�Phone:
��tor I�'ortio�tion:
� r Contact�araom: �`''��
Ctmtzacta�r:
�aa�; `� L�sr�L��#: — �0�9�--
city: � zip:553� �xp�ration,Daoe:
Pho�e: � � 15� �a�' Alte�ata P'ho�e:
91/09/2815 19:29 9522d94616 CITY OF ORONO PA�E 02/02
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❑BA�G Char�e(x015 Rat��S?,485.O11� �
(3AC ehar�e tteeuat accompeay att savvar permit applicatiozrs unless prepa�id)
. (Orono Gtity Staff cen datae�use Rf applicable}
(tf not prepnid,a eew�lt c000cxNon p�mit will�ot be i�sued)
Sewer Cvanecb /A aopM pair(SSO.001Per Stub) S �� �
Pipe siu� , erial 5chd 40 aix fiee�ed; cast ioron
Q vVater Conncctiem/D�acnnnect 1 Repair(�.i0.00/�'er 5lab) �
pipe s�z,e inchea;material_,�.Schd 40 air tosee6; _eopp�x
❑Water Avat�l�bn�ty Far Ruture Hook Up td Water(�50.E►0) S -
7�Yater A�ailab7ltv�xmaoay�,4Ai
Contra�tpr installed line to insidc o�houeo£or futwro laook-up,
T�is lin�a w�l b�[tiepectcd by tbe Public Woxtcs Depar�er►t.
7i'�n�i HeEore Water C _
1. Issm Wet�r Mete�dt Hozn Pamft
2, Any Add'ltlopal Conx�ection Pees�aid(If Apglicablc)
LsStte�i►a �ottaeGdon Po:mit:
i, concc�re�n+ie Foe ac�ssue wsccr CoRmccttoA�ern�it
1. SUBT'U'�AL of I'ermit Requeatod: $ ' �
2. STAi"E SURCHARG�S � 5.00
3. P05'CAdE&HANA�iNG(O�ly an Mali-Sn Applicatians) 5�.,?.00
4. TO'�'AL P�RMPT FEE(A,�d X.�nes i-3 Abmr6) � �
� . '. �ITX()Nt1L�IV�ORMi�'�0�--WA'I�3'�k�TB�tS � . . .
■ R►A��'�R 1V��R�must be picice�up and pald tbr at 4irona eity Natl,l�ese are aa a a�.�.
� WA�'I'EA N�TERS mnst be�et and eealed by Qr+oao W�eer Department(95Z)Zd9-4600,�pon
¢amp�iCtiell ot GdC�E1'(1�9WIsdOtA�.
'The unde�s�gaed hereby ap�plies ta th�e City of Orono far isRuanc�of a Utili�ty�e�lt,a�s m do
all wark Q► �trict accordanc�with 4be ard�ar�ces o�the City and the re8ulations of the 3t�te of
M]qT1CSUt8,,lfd CCCi��BS tb.At gll�ts�o Oa?�g AppliaSt��are,tfUe ana CO�fect•
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i� DATE TIME ,
C �CITY OF ORON�� CALLED IN t�
INSPECTIONNOTICE �jC/�� SCHEDULED L,��� �(�r�-�
PERMIT NO. COMPLETED
ADDRESS Cf�C'' �c�t'�f�9`')(�l 'C�L�_lff�
OWNER TELEPHONE NO.� ���4���`���Z
CONTRACTOR �L��"�I���C� ���—
� DESCRIPTION �i �� �1-�j,o���
l� O FOOTING ❑ PLUMBING FINAL O EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS
� p F AL ❑ SEWEF HOOK-UP ❑ COMPLAINT
J DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ MO-FINAL ❑ SEP IC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SE C FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU: YES_NO
� COMMENTS:
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GW WORK SATISFACTORY:PROCEED ❑ PROJ T COMPLEfE
� ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24t�ours'n advance. �52 49-46��
OwnerlContractor on site: '
�
Inspector.
White Copyllnspector's File ��Canary CopylSite Notice