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Home My WebLink About2018-00296 - sewer/water connect ' F ' CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 8 — 0 0 2 9 6 * DATE ISSUED: 03/14/2018 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 585 SANDHILL DR PIN : 33-118-23-24-0014 LEGAL DESC : ORONO PRESERVE � : LOT 7 BLOCK 1 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: SEWER AND WATER CONNECTION APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 WATER CONNECT/DISCONNECT/REPAIR 50.00 D.S.M.EXCAVATING STATE SURCHARGE SEWER&WATER 1.00 2916 ENTERPRISE AVE HASTINGS,MN 55033- TOTAL 101.00 (651)480-1355 Payment(s) CREDIT CARD 5166 101.00 OWNER OPS Orono LLC 15250 WAYZATA BLVD#101 WAYZATA,MN 55391- 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 dces not grant pertnission for additional or related work which requires sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / 3,� y � .3 � l��/�" Applican Permitee Signature Date Issu y Signature Date � ��ONLY '��N � City of Orono Daoe 1t«xi�: Pa�rii# � � P.O.Bmc 66 2750 Kdley Parkway O T�►-Honsc�AC Determroe4ion Foim y Cryatal Bay,MN 55323 � `�1,�k�sH o¢�, (952)249-A600/Fsx(952)249-4616 APP�'�B3'��9��: CITY OF ORONO—SEWER&WATER/GENERAL PEI2IVIIT (*Note:Some pamits maY n9�ePProval by We Building O�ccial and/a Public Workk�D�t�� ALL PEIt11'II7"S- Miv be s¢bietl M Mef��ervirev ind�wiv uM 6.i...��.t�.�--"'---"_"_- GfiI�TEItAi.INFO�ATT�l� `. � . . � 1. You maY apply for utility pemuts by maii or in pcison at the City offices. 2. Mailed in applications are subject to�e postage and hsadling fee sho�vn bolow. Permit cards will � be sent by return mail within 2 business days. 3. Permits are not valid antil.yon r�e s permit card. 4. Work must not begin unless the permit card is available on the job site. 5. Utility connection permits may be issued to lfcensed c.ontractors anly. 6. Contact the Public Works Dep�ment(952-249-4600j for utility stub as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN wjthont ezpress approval of tLe Pnblic Works Departmen� Issuancc of a permit does not granf dus approval. 7. All work must be done in accordance with State Code requireme.nts. 8. All work must be inspected before it is covered. Call(952)249-4600,24+�our eotice required. . TYi'��OF.PER�T . Chieck AIl T'�iat A: �Residential(MaY Require APproval) ❑Commercial(Approval Require� �New Connection ❑Additional Connection ❑Re-Connection ❑Repairs �Disconnect ❑ Water Availability Connecctiiion For Future Hook-Up to Wattr Jofi �i�/(Jvva�In�or�a#ion: Site Address: �� SA�vc�i�i%/ �i2. . Owner: �ID h/��y .��. Mailing Address: . , City: ��lDivO Zip: Home Phone: Alternate Phone: Con�r Ti�fo�nation: Contractor: U.cS,/J7. �AV�✓L �Nc. Contact Person: �,E'� �x.��v� Address: 29/� �;�v�� . State License#• City: �H%�✓L Zip:�'d� Expiration Date: Phone: �s'/, yBD, /3�'" Alternate Phone: _!e/a� 9/� y3y�' � , , , . �'� ,. �� ❑SAC Charge(2015 Rate=52,485.00) � (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can determine if applicable) (If not prepaid,a sewer connection permit will not be issued) �Sewer Connection/Disconnect/Repair(�50.00/Per Stuti) S pipe size�inches;material��i Schd 40 air tested; cast iron �Water Conn�tion/Disconnect/Repair($50.00/Per Stub) $ Pipe siu / inches;material F�° Schd 40 air tested; copPe�' ❑Water Availability For Future Hook Up to Water(550.00) � Water Availabilitv Ezplanatlon: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. � Required Before Water Connec*��+*+Permit is Issued: 1. Issue Water Meter 8r.Horn Permrt 2. Any ABditional Connection Fees Paid(If Applicable) Isc»e Water Connection Permit: 1. Collect Peimit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: � 2. STATE SURCHARGE $ 1'� 3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ADDITIONAL INFORMATI03�1-V�ATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a seuarate permit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter installation. The undersigned hereby applies to the City of Orono for issuance of a Utility Permit,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of . Minnesota, and certifies that all statements made on this application are,true and correct. Applicant: � Date: 3.�y�� + DATE TIME CITY OF ORONO cnLLED IN � � INSPECTIO N C� SCHEDULED PERMIT N '�N � COMPLETED ADDRESS �5 �`�-� ` � OWNER TELEPHONE NO.LO�2'Q L�•`L� CONTRACTOR � cQ--� � DESCRIPTION �W . ��'�'L 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ¢ ❑ FINAL �JWATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ,�SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET Y�U:_YES_NO c�.� COMMENTS: � J� �r /� T��i'— �.�r.e�� '� o �`�� . � ° �-�J<4l�'� P•��s�v �'�v��- �✓�a� � Q Cd��P� tc��t3�=�� .4�v� �r1vz— .�� 2 L��.�� P��,� �� — w , �,�P��. Pc�'� c�� S?�-v0 Pr� � � W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � It6�R08EED._ O ISSUE CERTIFICATE OF OCCUPANCY W O (�RRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑CORRECT UNSAFE CO IN HOUFiS. �pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail br the next inspection 24 hours in advance. (952) 249-4600 owne cto on site: /UC� �� Inspector: ! Vyhite CopyAnspectw's Ffle Cenary CopylSite Notks