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Home My WebLink About2015-01185 - sewer/water connect j ' � CITY OF ORONO * 2 0 1 5 - 0 1 1 8 5 * 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 662 SANDSTONE CIR PIN : 33-118-23-11-0057 LEGAL DESC : STONEBAY : LOT 008 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 HASTINGS,MN 55033- TOTAL 101.00 (651)480-1355 Payment(s) CREDIT CARD 0444 101.00 OWNER Stonebay Builders LLC 14870 BROCKTON LANE DAYTON,MN 55327- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 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.This permit may be revoked at any time for due cause. ' 9-��-�� /Q � �i� � is Ap icant Permitee Signa re Date Issue y Signature Date i � /D/ � o��.� ��.,Y !/�.� '�- �O; City of Orono Dace Received:L�'�!i-,l S Pe�mit# D�/.� 11 P.O.Box 66 ) 2750 Keiley Parkway ❑In-House SAC Determination Form Comphted �y �-f Crystal Bay,MN 55323 \k�SH 04'�L� (952)249-4600/Fax(952)249-4616 A p proved B y(I�R e quired): CITY OF ORONO—SEWER& WATER/GENERAL PERNIIT (*Note:Some permits may requin approval by the Building Official and/or Public Worlcs Departrnent') (ALL PERMTfS- Msv be subiect to further review and mav not be issued whee t6e aonlicatlon Is rrrpivedl GEI�iERAL INFORMATION _ 1. You may apply for utility permits by mail or in person at the City offices. 2. Mailed in applications aze 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 e%press approval of the Public Works Department. Issuance of a permit dces 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+6our notice required. TYPE OF PERNIIT Check All That A i [�Residential(May Require Approval) ❑Commercial(Approval Required) �� 0. �New Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connecrion For Future Hook-Up to Water Jab Site/Owner Infarmation: Site Address: G�Z s,�,�d�� c�� Owner: ��AY ��, Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �,/�l, L�44Y��b ��-Conta.ct Person: �fi� C-��a��✓� Address: Zp�� , s�/`1�• State License#: City: �s Zip: �s� Expiration Date: Phone: �S�f� �g��3�` Alternate Phone: lyl%� G�2 9�9 �� • ► D�T��+tiN;�T�4 I��iTT FEE� ❑ SAC Charge(2015 Rate=$2,485.00) $ (SAC Chazge 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 Connectio Disconnect/Re sir($50.00/Per Stub) $ Pipe size inches;material�Schd 40 air tested; cast iron Water Connection Disconnect/Repair($50.00/Per Stub) $ e s ��, inches;material Schd 40 air tested; copper ❑Water Availability For Future Hook-Up to Water($50.00) $ Water Availabilitv Egalanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. , Required Before Water Connection Permit is Issued: 1. Issue Water Meter&Hom Permit 2. Any Addirional Connection Fees Paid(If Applicable) Issue Water Connection 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) $ 2.00 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 aze,true and correct. Applicant: Date: �� le �c=`�� 1 W►TE TIME CITY OF ORONO CALLED IN � INSPECTION NOT�CE O f I�S SCHEDULED PERMfT NO-7�%1 -� COMPLETED ADDRESS �Co Z -S C�f�l�S� `-! � OWNER TELEPHONE NO..��Z��'R �� CONTRACTOR �� DESCRIPTION ��_ � ! L Lt� ( /�'1{� 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP 41 ❑AS BUILT-SURVEY SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SRE ❑ TIC INSTALL ? OMIN�NiRACfOR M YES_NO � � COMMENT'�_U_S(,�j �(�c ,��' �-eiLv >� � w � �r�4-c.��(� i r` . o `� ,��s �� 'n�..��,�� //�+�(' �, oc � � L ,� � wt.4� � ` ` ` Q �ri��r� w t d�-� r,��.e, � g W aC J � ��SATiSFACTOFiM PROCEED PRW ECT COMPLETE W ❑CORRECT YMORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY O ❑OOF�iECT WOF�C,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDI'T10N W�THIN HOURS. p pHpTO TAKEN INSPECTOR WILL REl'URN ❑STOP OROER POSTED.CJ1LL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANCiE ACCESS. caN tor u�e next inspection 2a hours in ad�►ance- (952) 249-4600 owr�lcontractor on sne: � S Gh Inspeetoc ��z�� WMte C�Ih�pectay FlN Camry CopylSib NWiw ' �� tc -s ��C . � .. , r, :��.. +� - ,r( ;�`.�. '� '� r '1a:�..� !'►�,^'��"� .�� . �s�4�.�vy�, ``•.. �Vr� � o y� �:� a+�.. � +r J4'� � , _ � i �. . �c�y . v, [,q ts .,y *.�,.. �x ,. �f� �'�IrR'I� •r �w�+ � i ,' �a . .� �+ {� �A,��..,� j� � � . 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