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HomeMy WebLinkAbout2015-00245 - sewer/water connect , CITY OF ORONO * Z 0 1 5 - 0 0 2 4 5 * � 2750 KELLEY PARKWAY DATE ISSUED: ORONO, MN 55356- ��a��5 952 249-4600 FAX: 952 249-4616 ADDRESS : 2498 SANDSTONE LA PIN : 33-118-23-11-0022 LEGAL DESC : STONEBAY : LOT 019 BLOCK 001 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTIOPi TYPE : CONNECTION NOTE: WATER�SEWER CONNECTION APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 WATER CONNECT/DISCONNECT/REPAIR 50.00 BOLLIG& SONS, INC. STATE SURCHARGE SEWER& WATER 5.00 11401 COUNTY ROAD 3 HOPKINS,MN TOTAL 105.00 (612)938-4433 Payment(s) CREDIT CARD 105.00 OWNER Wooddale Builders Inc 6117 BLUE CIRCLE DR SUITE 101 M[NNETONKA,MN 55343- AGREEMENT AIVD SWORN STATEMEIYT The work for which[his 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[he work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied wi[h 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 y time for due cause. �-- � �7 //-S plicant Permitee Signature Date Issued Signature Date . � � ---r� F�� ,1'U Ol�i[.Y /�dV� City of Orono �R��: ��� r ; P.O.Box 66 ' 2750 Kelley Parkway ❑In-Hc�use Sf4C D�tee�ns'tn�tiee�Fc�an Compieted ^ ,�� Crystal Bay,MN 55323 ��'"! ��� (952)249-4600/Fax(952)249-4616 �i►���7't���{��� \�Kk s tio�/ �_.....� CITY OF ORONO—SEWER&WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS Mav be subiect to[urther review and mav not be issued when the aoolication is received) GE1�'ERAI,INFORM�TI4� 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 cards 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 pernuts 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 express 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+6our notice required. TYF�OF PE�tMIT C��ck Al1 That A ❑Residential(May Require Approval) ❑Commercial(Approval Required) �New Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water �i� Si�e 1 O�r�r�tion: ess: Y �,g s.�� � �s�s�_ � w J Site A�dr o� Owner: ��t��� �v��`�`'�'Mailing Address: �!'G � Q (C�c_. C`t� City: �il �1`'`3-- Zip: Home Phone: '��'S 3 3�S ��`'r�3Alternate Phone: Con�a�tor Ir�forrmmaxion: ` � �(u� ���_ Contractor: l ����� Contact Person: r �^ C L Address: ll 6� � �� State License#: t� b l� l �� � �� � Z _ 3 ( - �s - City: � �u'v Zip: �`3 Expiration Date: Phone: (, l Z ' � G�-�6C� Alternate Phone: �-��� �3 � �`�3 ` DETERMINING PERMIT 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) ❑ Sewer Connec�tion/Disconnect/Repair($50.00/Per Stub) $ Pipe size �`� � inches;material Schd 40 air tested; cast iron ❑ Water Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size f �' inches;material Schd 40 air tested; copper ❑ Water Availability For Future Hook-Up to Water($50.00) $ Water Availabilitv Exalanation: 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&Horn Permit 2. Any Additional 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 $ 5.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ADDITIONAL 1NFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a sevarate 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. �3 � � - ��'� Applica . Date: ,�3� D TE TIME� CITY OF ORONO CALLED IN ��� 7 INSF�,,:TION NOTICE SCHEDULED a—v"3 7-!S �'� �?ERMIT NO.o2�/S-��5�5 C PLETED ADDRESS_ a �� � ���- ���Q-�L OWNER ELEPHONE NO. < - �7-��7 CONTRACTOR ' �` >; DESCRIPTION �'�_ � ��t,�-P� c���. tl� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO • /� � COMMENTS: � l�//j' S��G ��/i4�� Ir �2 �F ��J� �if � ,r`-i��(t���61/ � r``c�i ��J�'YJ 0� �7 r a��f � / ,�,��C G' L'-+i � f- Vi/� l/ /lk�.�('�`L{' � f 'f�L ��/��'7�r/_F_. O � � � � O f!' r --t � �j�� �� � ��L-' T � � 'i� x� �E, ''c'e -Ij/r,�- . ,, , �•r W . � -� �^!� C� T' �� l.`L : �� Q � � � S � � � � 4' '�; ` i- �:� r !-� ;t,,, •,, �,...t' � r�F �E � J� � x V J , � d , W I�,WORK SATISFACTORY:PROCEED �l PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection,24 hours in advance. 952 249-460� � ) OwnerfConUactor on site: ���`��1� ,; � `�' t '1 f Inspector. 7 �'`�� White Copyllnspector's File Canary CopylSite Notice DATE TIM CITY OF ORONO CALLED IN INSPECTION NOTICE fL�HEDULED PERMIT NO. --��-S ����COMPLETED f/S �;.�1 "� ADDRESS ��98 S/.��S�nP Gt� OWNER TELEPHONE NO.��'3��''-��� CONTRACTOR 5��� 9 °�50�� � DESCRIPTION /��/� ��?�L'T,rn� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL �WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:_��C'e� W�'►'' U�0 � ��'� S7�?,� � � �n S�//�� ��� 5�C1 a/�i� � 0 � 0 � W � Q � 2 � W ¢ � � ,�dJ4PORK SATISFACTORY:PROCEED �W ECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. 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