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Home My WebLink About2018-00347 - sewer/water connect I _ � CITY OF ORONO * 2 0 1 8 — 0 0 3 4 7 * 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2018 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3257 SHADYWOOD CIR PIN : 20-117-23-11-0047 LEGAL DESC : SHADYWOOD VILLAS : LOT 6 BLOCK 1 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: WATER AND SEWER CONNECTION APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 TMS COMPANIES WATERCONNECT/DISCONNECT/REPAIR 50.00 5990 MEADOWLARK LN STATE SURCHARGE SEWER&WATER 1.00 PRIOR LAKE,MN 55372- TOTAL 101.00 (612)414-5700 Payment(s) CREDIT CARD 6083 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 performed acwrding to the approved plans and specifications,applicable City approvals,and the State Building Code. 1'his permit is for only the 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 with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 1 SO 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 Buildin de.This permit may be revoked at any time f r due cause. � �'� D e� � 3 �a�� Ap ' ant Permitee Signature D te Issued B ignature Date .' , a� �----.. �j� '/ �� City of Orono ��Y Date Recei�ed��!��p�{# o2D�� Y'� �` � P.O.Box 66 � ; 2750 Kelley Parkway ❑In-Honse SAC Detem�inarion Form Completed '�y �-�' Crystal Bay,MN 55323 �\�At,�� (952)249-4600/Fax(952)249-4616 Appmved By(IiRequired): CITY OF ORONO–SEWER& WATER/GENERAL PERNIIT /D/• �� (*Note:Some pemiiis may require approval by the Building Official and/or Public Works Department') (ALL PERMITS- Mav be subicct to furt6er revfew and mav not be ic ued wheo the an�licadon is received) GENERAL 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 cards will be sent by retum 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 wark 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) �New Connection ❑Additional Connection ❑ Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Owner In#'ormation: Site Address: �z� �� i�-J G{/G�'��'/�- —� Owner:� �kQ lr S G Uc�i� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractar Information: .� � / Contractor: �j�l�7��/C.f Contact Person: '/�`` � l'`� �j� Address: �i�/�U��i�G�/r/L��v�� State License#: City: �j�G�`�9�r Zip:��z Expiration Date: Phone: �/Z�y�y��d Alternate Phone: � , s � iJ�1L;i11V111V11�1V rl.:+A1IY111 i"D��7 . . ❑ 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 Connection/Disconnect/Repair($50.00/Per Stuti) $ Pipe size inches;material Schd 40 air tested; cast iron �Water Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper ❑Water Availability For Future Hook-Up to Water($50.00) $ Water Availabilitv Ezalanation: Coniractor 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 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 $ 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 s�arate 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. A licant: Date: � � /� PP C , �e� � DATE TIME CITY OF ORONO CALLED IN INSPECTION�TIC�� SCHEDULED � �� PERMIT NO. MP�erE� ADDRESS � �S �� d� OWNER TELEP ONE NO. � ' S 7� CONTRACTOR � � DESCRIPTION ��?�X w�U Ci�'�Ci"�7iQvC ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO � 1 Z � COMMENTS: � � �',�2��r �� vt1� SC-/'�� .... a ..v- ;�1� ^' � �' 1.t1 il� _ � �/��ia�` �S,f -�� /��.2 �'X�/��'�� y'� D �� r�f,�0 sa�v�c�r ��Zs�"v�c� I3 `�, �' ° ��E/-'� W � Q � 2 W � W � j d • � W �•WORK SATISFACTORY:PROCEED /�'PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ' ❑ ISSUE CERTIFICAT�OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. _!�j pHOTO TAKEN INSPECTOR W4lL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on s'te: �fi�sm � Inspector. ., �� White CopylMspector's File Canary CopyfSite Notice �