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Home My WebLink About2015-01184 - sewer/water connect � ` ' CITY OF ORONO * 2 0 1 5 - 0 1 1 8 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 660 SANDSTONE CIR PIN : 33-118-23-11-0056 LEGAL DESC : STONEBAY : LOT 007 BLOCK 002 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: NEW WATER AND SEWER 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 TOTAL 101.00 HASTINGS,MN 55033- Payment(s) (651)480-1355 CREDIT CARD 0444 101.00 OWNER Stonebay Builders LLC 14870 BROCTON LANE DAYTON,MN 55327- AGREEMENT AND SWOR1�1 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 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 conswction is suspended for a period of l80 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.This permit may be revoked at any time for due cause. • �, 9�/�-/S' �-P 5,�, � l/(o 11_S App icant Permitee Signa re Date Issued y Signature Date � _ . � . f �� , � '—"\ �O/g , ITS�OTTLY ��N��\ City of Orono Date Recei�ed:��/�Pe�mit# O��S� � ; P.O.Box 66 2�50 Kelley Parkway ❑In-Hoese SAC Determination Form Complaed _� ,�� Crystal Bay,MN 55323 \� k�SH�¢�� (952)249-4600/Fax(952)249-4616 Approved By(It'Required): \ -.__� CITY OF ORONO—SEWER& WATER/GENERAL PERMIT �(,�� (*Nota Some permits may require approval by the Building Official and/or Public Works Departrnent') � (A�.L PERMITS Mav be subiect to[urthcr review and mav not be issned when e an catlon is ivedl GENERAL INFORMATION ' 1. You may apply for utility permits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown below. Permit cazds will be sent by return mail within 2 business days. 3. Permits are not valid until you receive a 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 licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for utility stub as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without ezpress approval of the Public Works Department. Issuance of a permit does not grant this approval. 7. All work must be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Call(952)249-4600,24+hour notice required. TYPE OF PERMIT Check All That A 1 (�Residential(May Require Approval) ❑Commercial(Approval Required) i- (�New Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Owner infarmation: Site Address: �oLd �ANa��- ��LE Owner: ��A,y ,Beo�r L,e� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: U.�,/�I. t�cc.Av�rrNL �N�� Contact Person: /7'l/,� ��ee��r�� Address: 29l� �� State License#: City: �-rN65 Zip:�S'�'33 Expiration Date: . . /�fii�4. Phone: �i=/-y8�'13vr$ Alternate Phone: �A/2 �/9 �y� . . 1� ' D�TF�t3.�K�P�I�i'�'FEES ❑SAC Charge(2015 Rate=$2,485.00) $ (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) t' Disconnect/Repair(550.00/Per Stuti) $ Pipe size�inches;material OVc.� Schd 40 air tested; cast iron ❑Water Connection Disconnect/Repair($50.00/Per Stub) $ Pipe size mches;material�da Schd 40 air tested; copper ❑Water Availability For Future Hook-Up to Water($50.00) $ Water Availabilitv Ezalanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Deparnnent. , Required Before Water Connection Permit is Issued: 1. Issue Water Meter&Horn Permit 2. Any Additional Connection Fees Paid(If Applicable) Issue Water Connecrion Permit: 1. Collect Permit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: $ �� , � 2. STATE SURCHARGE $ 1.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� . �� ADDITIONAL INFORMATION-WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a senarate 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: ��"f� � �� DA� TIME CITY OF ORONO CALLED IN INSPECTION NOTIC scHEou�E� � PERMtT NO. � �� '� � �� coMP�Freo ADDRESS � �G �� `��C��__ C��Z� OWNER TELEPHONE NO.��L — � �� CONTRACTOR � ` � C � � � DESCRIPTION �� l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �C�� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ¢ ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE EPTIC INSTALL �;; 2 01AfNERICO1dTNACTOR TO MEET Y�OU YES_NO � COMMENTS: � � y �t-� S�L!e1�'_��. � �i �r'/cri� vvo �� -'�`'�'�fi '-�`,��>�f.�J � . , : . o � /� ' ��--�- ��,,,`,x �i1�� 1/�(��s � � ll c�� , 0 � W R 2 ,�f<_ �/ �' �{.J��,1� ///1/�f' . � `.a_., ''' :i ,��,,� :�� l iU I /�-k., w • ��i -� ¢ � J � �WORKSATISFACTORY:PROCEED. ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPfCiOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOH � ' ° ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l for the next inspection 24 hours in a�iance. (g52) 249-4600 OwnerlContractor on site- r ,�'� �1 Inspector: _ � ��'� �,,��,d, . r' �r �r ;,,,MMi1e Copyllnapector's Fik C�nary CopylSite Notice � � _` �ve• u� � __, _^ �. ... � �, . `� �, , . ,.� ,, f ` � I� c � , � � . �4 'y��- S ` �- ` y �' -4�. �:: ,ti �.1 ?3 y� ^� a. ,�._.:.r �`� 'r- �' i- c �� _r t� � 4 7 . i �� .� " ,� _ .�'. :'�'Y �_ ��.. . . . . i`�_ � �."... ii'� r�� ` 4, u .� I�.'� C' ;^`` 4y��I�' 1. i;y � �� a�� _- '�. � � �l��r�-yA��'�""'�� . _ . , ..� �.. .�� - e� .i . .� � � .� -•++r, �� - �• 1 i �..�►�. . � ; ' � ' .��., '_ 1y . � �� ' ' 7�4 a.�^ _ �^^r �� • '1'• �._ � , t' ' Yy!.1.�� 1r ,�. :� .. 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