Permits - Permit# 08-01SW - 2437 Black Lake Road - 1/1/2008Account No. APPLICATION FOR PERMIT Permit No. 08- 01 Sd.W
For Connection To: PERMIT FEES
Village of Water Water
Spring Park, Sewer Sewer
Minnesota Meter Deposit —
Total
Property Owner Contractor
Name rLO C OZZ" Name
AddressI-Address
Telephone Telephone.
Permit No. Expires:
To Be filled out for Both Sewer or Water �Gj _ ( -j . 'Z 3 - k-4 • 0 0'Z
Legal Description of Property Plot Lot Parcel Block Add.
Has Assessment been levied? Yes No
No. of Building or unit to be served. Water Sewer
Type of Building: Res. ')� Comm'I. Indus. Other
Are Water and Sewer to be installed in sam trench? Yes__,_ No
Is there Basement Under Bldg? Yes__ No Full Partial
Water Sewer
Use of Water. General Special Are all buildings properly vented
Approx. Mo. per year to be used Service Pipe: V. Clayy� Cast Iron
Size of Service Required: Z Size 7 " -Length Yd
Point of Entry to Bldg. SS Point of Entry to Bldg. -5-, 6✓t-L-
Meter Location 945E :5/'7r Kind of Joint Used
Is Pretreatment Required? Yes No
The Undersigned hereby agrees: AFFIDAVIT
To notify the Inspector when work is ready for
inspection, and not cover any work until such
inspection is made and the work approved.
Contract s:�
APPROVED BY
Remarks:
By signing this application, I do hereby declare that
all Statements herein contained, are true and correct.
That all work for which this application is made will
be performed in accordance with applicable Ordinance
of the Village of Spring Park, the State of Minnesota,
and the rulings of the Public Utilities Department.
If at the time this application is made, the Special
Assessments have not been levied, I do further con-
sent to the spreading of the pro-rata assessment
against the described property.
Date
Owner
FORM 5W1
Permit: 42 + 42 ,60. 08 -01 38MV
Plan Review: 0
State:
Total: $84.00
oil of ;ffit to City of Spring Park
County of Henne m } Office of Utility Superintendent
30ater/Oebuer Vemit
IN CONSIDERATION OF The statements and representations made by Tony Widmer
in application therefore duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said Widmer Construction as contractor
to install to a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
new water & sewer connect to new construction
Front of width in feet ; side or length in feet ; height in feet ;
number of stories ; contents cubic feet; square feet, upon that
tract of land described as follows: Lot Block ; plat or addition
2437 Black Lake Road 19-117-23-12-0028
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and their contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the City of Spring Park
Given under the hand of the Utility Superintendent of said City and its corporate seal and
attested by its Clerk this 23 day of MaYear 2008
Attest:
Sarah Friesen, Administrator D.J. Goman
Clerk Building Inspector
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tree ,� �1Vo.��Addition ,� o �,G,%-,,�-�A.- 4!�,
Between s..ytand , Lot /z Block
Sewer Service
MH Distance // 87/W
Length /yo ' Depth at
� 5E
Contractor
Installed by Gl Zz
Water Service
MH 3 9-�Distance_ zoo
Length - ' Size_!�;_Type Pipe45:.�2�_
Contractor A 4::� r= Z-�; _
Installed byd•/%
Tied by Date I Tied b_Date 8 6�
CLAY PIPE SEWERMAIN
STEEL POST
2" X 2" WOOD
TIE STAKE
PROPERTY LINE i
9
W
Z
Cl EXTRA HEAVY
Z
D
SOIL PIPE PLASTIC,
g
Z
m
CLAY OR DUCTILE IRON
w
a
Z
a
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g
VARIABLE
45'
PIPE
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0
MINIMUM SLOPE 1/4" PER FT.
w
0
m
ce
0
RISER AND TOP BEND TO
BE C.I. EXTRA HEAVY SOIL
PIPE OR DUCTILE IRON PIPE
SEE DETAIL "X"
SERVICES TO BE USED ON CON- 6"
JUNCTION WITH CLAY PIPE {.
SEWERMAIN ONLY, WHEN GROUND
COVER OVER MAIN IS 12 FEET OR CONCRETE
MORE. TYPE "B" NOT ALLOWED " 4"•' .�'' • `''
IN CONJUNCTION WITH PLASTIC 4~'
PIPE SEWERMAIN, ALL SERVICE " ' ' :; % • •'. ' '
PIPE TO BE INSTALLED AND ';' f :: '�. •'�.-�:•'•, s•. • : •:: :: :•. P '';�,;.'
BEDDED IN ACCORDANCE .. ,.: ; .� :.,:• ::4
WITH THE APPROPRIATE PIPE '
BEDDING DETAILS INDICATED •s ' y ; .. '
ON THE PLANS/SPECIFICATIONS. +.' 4"
6" MIN. ` l '• . a
t
DETAIL "X"
4"
SANITARY APPR:1-22-07
Schoell Madso SEWER SERVICE Rom:11-o,
fll CONNECTION
TYPE• • �� SAN-4
PROPERTY STEEL POST
LINE
2" x 2" WOOD
TIE STAKE
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PLUGGED a
45' END o
1 /8 BEND
SERVICE WYE- J E MUM PE 1 /8 BEND
'LI I P1P 1 / 4" pER
GRAVITY MAIN 1/2 PIPE DIAMETER MINIMUM
TYPE "A" SERVICES TO BE USED IN CONJUNCTION WITH PLASTIC PIPE SEWERMAIN
AND CLAY SEWERMAINS WITH LESS THAN 12 FEET OF COVER. ALL SERVICE PIPE
TO BE INSTALLED AND BEDDED IN ACCORDANCE WITH THE APPROPRIATE PIPE BEDDING
DETAIL AS INDICATED IN THE PLANS/SPECIFICATIONS.
SANITARY OF.. APPR:1-22-07
Schoell Madso SEWER SERVICE
m R
CONNECTION
TYPE •A• appjMG PARK SAN-3
ROSE LA
ROSE
Ila— a
17]
-PLACK LAKE ROAD. E
950
940 2
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CHANNEL CROSSING CHANNEL CROSSING DETAIL
940
920
4
0 1 2 3 4
1 --1
1 2
VILLAGE OF SPRING PARK
M INNESOTA
SANITARY SEWER IMPROVEMENT NO..-i
BLACK LAKE ROAD
LANGDON PARK EASEMENT
SCHOELL S, MADSON
E F,— 11 11