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HomeMy WebLinkAbout2010-00546 - sewer repair CITY OF ORONO PERMIT NO.: 2oiaoosa6 ' � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 07/OU2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1610 SHADYWOOD RD PIN : 17-117-23-21-0010 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : REPAIR NOTE: SEWER REPAIR APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 PIPELINE IND STATE SURCHARGE SEWER&WATER 5.00 2270 CAPP RD SAINT PAUL,MN 55108- TOTAL 55.00 (651)645-0622 OWNER ROGERS,D&G 1610 SHADYWOOD RD WAYZATA,MN 55391 AGREEMENT AND SWORN 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 does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.l'his permit will expire and become null and void if conswction 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 aze requested in conformance with the State Building Code.This permit may be revoked time for du '�l i l 20� 'y l / l 1 C) Applicant Permitee Sig Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �. y � �"�;����� �rs��r�t,� � Sf�I� �,�p�� City of Orono �ate�� � ►�" �?per�n�����".:..: P.O.Box 66 [ , a 2750 Kelley Parkway � ��tp fiou�e`�,�C�ete�ZnatdqMi�prm�jinpl�fteci:���� � e ��� Crystal Bay,MN 55323 � , r (952)249-4600 ,4pp�trye8 By�f��tegwi�a �, � ' � CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Deparhnent*) (ALL PERMTTS- Mav be subiect to further review and mav not be issued when the annlicstion is receivedl ������� " 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 perxnits may be issued to licensed conlractors only. 6. Contact the Public Works Department(952-249-4600)for urility 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. t ' " �`*�"���� ` �-., � 4 r ti'. �E t '�' `�: i � a �:� ''��� � .sra �u 5��..€"^f'��a��i �� � :� S n'� �- ��� � ;,� � ti �=�? ' �d �m�. ,�'' �' rl�Mj��""'�j,�� �<����Y.. � � 9�} . r �� �� �� �Residential(May Require Approval) ❑Commercial(Approval Required) ❑ New Connection ❑Additional Connection ❑Re-Connecrion �epairs ❑Disconnect ❑ Water Availability Connecrion For Future Ho p to Water ����i���'�.�I��ar.t���n;` � ���� ' � �'���f Site Address: �G 1(') �nacr�y �,{)�,�� �.�. r,( Owner: Gcx� I ��,(cr P,U- Mailing Address: City: �)l�p Zip: Home Phone: _9��Z —�7'/9'Z// Alternate Phone: FGvnirac�+�r Ii�or�ria�,or� ,,; , :` ,'j. Contractor: N�O• Contact Person: �5�- Address: �7��� .,eb � , State License#: City: � ( Zip:`�51 (y Expiration Date: Phone: ��(�y��z Alternate Phone: � � ❑ SAC Charge(2010 Rate=$2,100.00) $ (SAC Charge must accompany all sewer permit applicarions unless prepaid) (Orono City Staff can deternune if applicable) (If not prepaid,a sewer connection permit will not be issued) �Sewer Connection/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 inches;material Schd 40 au tested; copper ❑ Water Availability For Future Hook-Up to Water($50.00) $ Water Availabilitv Ezulanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. Required Before Water Connecrion 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) $ � , ,��I`�O�T �� Il'�`{��TI(3� :���ER l�lE'�ER� �° ' ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate 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: 7� 'Z� I� Monica Fadness From: do not_reply@korterraweb.com Sent: Thursday, July 01, 2010 11:17 AM To: Scott Oberaigner; Don Debaere; Monica Fadness Subject: Herald Server Message for ORONO/EMERGENCY Importance: High EMERGENCY TICKET: 100305493 Address: 1610 SHADYWOOD ROAD, WAYZATA CITY Near Intersection: NORTH SHORE DR Done For: PIPELINE INDUSTRY/HOMEOWNER Company: PIPELINE INDUSTRY Contact: JESSIE WAKEHAM Phone: (651)645-0622 EMERGENCY REPAIR OF SAINTARY SEWER SERVICE WTB: 07/01/2010 11:20:00.000 1 �J DAT TIME � CITY OF ORONO CALLED IN ! �� INSPECTION NOTICE/,,,s��[� SCHEDULED �� PERMIT NO.o��l��wV L� OMPLETED ADDRESS ��P�� G1lC�4`GGC.� OWNER � �ELEP ONE NO. CONTRACTOR �' >; DESCRIPTION C��_ � � ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWE OOK-UP ❑ COMPLAINT � O DEMO-SITE �� MC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a 6, a � ��aus�, O , �, � • � •� � O � 3 �Y� W � Q � ��� Z 6 W � W � U. 6/� Q, � - a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR O INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector.�sn White Copyllnspector's File Canary CopylSite Notice