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Home My WebLink About2017-01362 - sewer/water connect --� CITY OF ORONO * 2 0 1 7 - 0 1 3 6 2 * ' 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2017 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3223 SHADYWOOD CIR PIN : 20-117-23-11-0044 LEGAL DESC : SHADYWOOD VILLAS : LOT 3 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 FINAL GRADE,INC STATE SURCHARGE SEWER&WATER 1.00 3441 BLUFF DR. JORDAN,MN 55352 TOTAL 101.00 (952)492-5100 Payment(s) Minnesota State License#:BUIL-1442 CREDIT CARD 4416 101.00 OWNER Casco Ventures LLC 16192 STATE HWY NO 7 MINNETONKA,MN 55345- 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / App(icant Permitee Signature Date Issued By Signature Date 10l19l2017 10:54 FinalGrade �J�q952 A92 5101 P.002l006 . - �� FaR crr�vs�rnv�,Y �td/1%Q city of orono Date Rexrvea: Pennit# P,O,Box 66 2750 Kelley Perkwny Q In-Haae SAC Determ4�etlon Pam Complebed ;� � Z Ctystal Bay,MN 55323 f�" �w s�iow� �952)249-4b00/Fex(952)449-4616 APP�'�BY'(�'�q�)� CITY OF ORONO—SEWER&WATER/GEN�RAL PE�T {�Note:3ome permits may�equire appmval by the eididing O(Cicia)and/a Public Worka Department�) fALL PER11Q7'S-Mav be so6kct lo furlRer ravin�aod mnr cat be issuad whea the aaolScatloo b receivedl C�ENER�►L,IlV�+ORMp►TIQ� 1. You m�y apply for utility permits by mail or in person at the City offices. 2. Mailed in applications are subjeot to the posbage snd handling fee shown below. Pennit cards will be sent by retum mail within 2 business days. 3. Pe�rmits are eot valid undl you receive a permlt csrd. 4. Work must not begin unless the permit card is available on the job site. 5. Utility connection permits may be isaued to licensed contractors only. 6. Contaat the Public Works Department(952-249-4600}for utility stub as-built locations. DO NOT EXCAVA'Y'E TN AN'Y STR�ET ANb DO NOT TAP ANY MAIN wlthout express approval ot th�Public'Worlia Do�artment Issuance of a permit do�not grant this approval. 7. Al[woidc must be done ia eccordance with State Code requiramants. 8. All work must be inspected before it is covered. Call(952)249-4600,24+hour notice requfred. TYPE OF PERMIT Check AIl That A 1 �Residential(May Require Approval) ❑Commercial(Approval Required) �New Connection ❑Additionai Connection ❑Re-Connecdon ❑Repairs []Discoa�nect ❑ Waxr Availabiliry Connection For Future Hook-Up to Water Job Site/Owner Information: Site Address: L��,s,��,��r�i� „ Qwner: �-�' " Mailing Address:� /�, City: �`�� Zip: ��'y' Home Phone: Alternate Phone: �pJ�"�.�.�� Contractor Inforn�ation: Contractor:� � �,q�7'�o�ntaat Person: ��.� ��/J�� Address:(„�� State�.icense#: ,r�5�o��.. ��3�a City: �p Expiration Date: Phone: ��"�9vi"�� Alternate Phone: ,�D�o��e9"'0��9 10!19l2017 10:54 FinalGrade �A3�952 492 5101 P.0031006 ]aE'��R�VlIN�NG PERIVIIT FEES ❑SAC Charge(2015 Rate=$2,485.00) S (SAC Charge must accompany all sewer pennit a�pIicstions un[ess prepaid) (Orono City Staff can dettrmine if applicable) (If not prepsid,a sewer conneck�on permit wlll not be isruod) �Sewer Coanection/Disconnect/Repair(550.00/Per Stub) S�•� Pipe siu �} inches;material�Schd 44 air tested; cast iron ❑Water Connectioa/Disconnect/Repair(S50.00/Per Stub) $ Pipe siu inches;maurial Schd 40 air tested; copper ❑Water Aveilsbility For Future HooIHCJp to Water(550.04) $ Water Ar�allabilitv��lanatton: Contractor inst�lled line to inside of house for future hoofo-up. This line will be inspected by the Public Works Departmen� Required Before WatetConnection Permit is Issued: i. Issue Waur Meter 8c Horn Permit 2. Any Additional Connoction Fees Paid(If Applicable) Issue Water Connection Permit: l. Collect Permit�'ee&Issue Water Connection Permit 1. 3UBTUTAL of Aermit Requ�ted: �� . � 2. STATE SURCHARGE S 1.00 3. POSTAf3E dt HANDLING(Only on Mail-In Applicatiorts) $ 2.Ob 4. TOTAY.PE�'Y'FEE(A,dd Lines l-3 Above) S �• � anDi�orraL nvFORMArroN-wAT��.��Rs ■ WATER METERS must be picked up and paid for at Orono City Hall�these are on a senarate nermit � 'VVA?�R METERB must be set a�d sea�ed by Orono Weter Departmen!(952) 249-4600,upon completion of ineter installation. The undersigned her�by applies to the City of Orono for issuance of a Utility Permit,agrees to d� all work in striat accardance with the ordinances of the City and the reg�alations of the Stats vf Minnesota,and certifies that all s rnents made on this application are,true and carrect. � Applicant: Date: �� ,e.',�.��e.��-.� DATE r e "w ❑ SEPTIC FINAL ❑ EXCAV/GRADING/FILLING ❑ TREE REMOVAL ❑ SITE INSPECTION ❑ RATED WALLS 4CE ❑ COMPLAINT ❑ FOLLOW-UP ❑ FOUNDATION/REMOVAL PROJECT COMPLETE -I ISSUE CERTIFICATE OF OCCUPANCY TEMPORARY PERMANENT "P OTOTAKEN ❑ CITATION ISSUED advance. (952) 249-4600 a CITY OF ORONO INSPECTION NOTICE PERMIT NO. ADDRESS'~ OWNER CONTRACTOR 1. DATE TIME CALLEDiN SCHEDULED j� -1— DESCRIPTION — T-`5 w ❑ FOOTING ❑ DEMO - FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ FRAMING ❑ MECHANICAL FINAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE `� ❑ FINAL OeIATER HOOK-UP W ❑ AS BUILT- SURVEY SEWER HOOK-UP � ❑DEMO -SITE ❑ SffTIC INSTALL OWNERMNTRACTOR TO MEET YOU -4 YES _.__ NO 'C;OMMENTS"i. �^- ,ter dK 0-1 cc w Q — -- QC z 4.1 WORK SATISFACTORY PROCEED Qc LU ❑ CORRECT WORK R PROCEED QO ❑ CORRECT WORK, CALL FOR REINSPECTION Ca BEFORE COVERING ❑ CORRECT UNSAFE CONDITION W ITHI N _ INSPECTOR WILL RETURN ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ SEPTIC FINAL ❑ EXCAV/GRADING/FILLING ❑ TREE REMOVAL ❑ SITE INSPECTION ❑ RATED WALLS ❑ COMPLAINT ❑ FOLLOW-UP ❑ FOUNDATION/REMOVAL G PROJECT COMPLETE ❑ ISSUE CERTIFICATEOF OCCUPANCY TEMPORARY PERMANENT HOURS. '006HOTOTAKEN ❑ CITATION ISSUED ❑ INSPECTION REOUIRED. CALL TO ARRANGE ACCESS. Cell for the next inspection 24 hours in advance. (952) 249.4600 Co7!�w �!'%9L Inspector: Canary CopyiSlte Notice White Copylinspector's File Canary Copylsite Notice f Alf a, i � r 3 , 4-i' I s OF � d ' r- �kk. '� Ml air; aw Y' r o- & Im r 3 ci di Rig �A� "NIC Amii. k# 1+ 7.4 k � "•ai^alis. � ... � � ,� c� - �� `.. +-. • r • r• FN i vi" '�`y �, ! rte' . t � r _a �• ..yr C. w��l Y '1 !4 _ J } .y 1 . A F.� i Y .. r �1W MIX r 1 M1 w - • .. ° ( :'� T! ♦lam * e . 4 1 b l �• 1 \ , .a •rf� PPP�iJJJ��ll6 '"m. r � � +�� f �C �bf��r'''t 4, �' t S G, � 1[1[ ;,•r .. .� •%,Y. f !.'. '�,'j�{�M`/] � \..� !J • ...p. -ter � �,.. b\ '. .' a ■� �k C�'^ �.. ''� , � � � Rhe' r' � •�