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Home My WebLink About2010-01061 - sewer connect .� - ";� CITY OF ORONO PERMITNO.: 2oiaoio6i 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 10/28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1305 SIXTH AVE N � PIN : 26-118-23-34-0004 LEGAL DESC : AUDITOR'S SUBD.NO.291 : LOT 000 BLOCK 000 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: PER SCOTT-SEWER CONNECTION FEE FOR THE YEAR 2010 IS$12,210.00 PLUS$2,100.00 FOR SAC APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 RITTER EXCAVATING STATE SURCHARGE SEWER&WATER 5.00 7120 VERNON STREET � ROCKFORD,MN 55373 S.A.C. 2,100.00 (612)477-5649 TOTAL 2,155.00 Minnesota State License#: 1921 OWNER DAYTON,MARY 1305 SIXTH AVE N LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 separate permiu. All provisions of laws and ordinances governing this rype 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� conformance with th State Building Code.This permit may be revoke a y ' for d e / / �0� 0/ � Applicant Permitee S�gnature Date ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .� t R(� �C[�'�i S��IY�Y �; �,�p�� City of Orono �at��3teee�v�d� ��'�Perr�t�t �"'"` P.O.Box 66 : ` .� �� 2750 Kelley Parkway []In;=,Fiause�SAC Determmadon°Form�mpleted : a,,, ,� � Crystal Bay,MN 55323 ' �! � ,: - �� (952)249-4600 Appr�ed By��3t'12egi�fred) CITY OF ORONO-SEWER&WATER/GENERAL PERMIT (*Note:Some permits may require approva]by the Building Official and/or Public Works Deparhnent*) (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoolication is received) C�E�TER�4L zIlV��TT�'� '. 1. You may apply for urility pernuts 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 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 express approval of the Public Works Department. Issuance of a pernut 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. � * � �`�� ' ` ;� _� � ��: �hec"��'�'�a� � j � � �Residential(May Require Approval) ❑ Commercial(Approval Required) �New Connecfion ❑Additional Connection ❑Re-Connecrion ❑Repairs ❑Disconnect ❑ Water Availability Connecrion For Future Hook-Up to Water Jm��fe✓(�wrie�'I�pr��i�ri ��' � Site Address: _1 �d,5 �� G2 �,�z.�— Owner:��v�� ,�,ti ,f�c�� Mailing Address: l �� , �_ City: /�i�✓t,�— Zip: W Home Phone: Alternate Phone: �ontrac��ri�aat�on� _: . � , 4 Contractor:�--��i�u- �%� ,��ontact Person: d �r 1�.� ��/, a�-y,. Address: 7�� U �%eyrv-� �r- State License#: �j� � ' 7 �f� City: Zip: Expiration Date: � �� / ^ �O Phone: 7�� -�%C,c �' Alternate Phone: � f 2 �9� '�l- `� � J T �. ❑SAC Charge(2010 Rate=$2,100.00) $ �/�' � (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 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 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 Deparhnent. Required Before Water Connection Permit is Issued: 1. Issue Water Meter&Horn 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: $ (�.l�� 2. STATE SURCHARGE $ 5.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ .�90 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ O��S,S,�� 3 � �: , � Ai)I3I'TI�AT�AL T�T�()RN1�AT��1=31�-�A"�i�i�#ETERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a senarate nermit. ■ 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 Pernut, 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: ,� �-- � �'-1� .t t Monica Fadness ;�...:. ,rw '�it; a"'�ti�'s ` 95c-24°-4btk) To: Scott Oberaigner Subject: RE: Connection fee for 1305 6th ave North '=pxP� �+= �•��6 t�t �$, 2�}i� �� . ;an 1�aytan i?�r�it� 't1-Ol+.►�1 13G.`� Sixth i�v 5t7,430 : .. Sewer � From: Scott Oberaigner ,_��j Sent: Friday, August 13, 2010 8:34 AM hanical!5eptzc/Gther To: Rachel Dodge; Barb Silus; Monica Fadness; Ron Olson !aits � Cc: Scott Oberaigner �� JS(�bi �3p5 5ixtt, �+� �.ti4 Subject: Connection fee for 1305 6th ave North �� : to yovts-S�ate �Fits Connection fee for 1305 6th Ave North for the year 2010 is$12,210.00 �-G1061 t305 Sixth �tv 2,i��.00 SAC fee $2,100 ;',.�d� "` Cflarges due t� 9�#: � Scott Oberaigner :i1; �,ZS��r�C� Utilities Supervisor =�_.__.,__ 2700 Kelley Parkway �=� ,;e�,:k !Vo: 6�78 2,iSS.�,� Orono, MN 55356 �,��,�r� Main (952) 249-4600 �;q�qP�� S1SJ.C�G Office (952) 249-4680 1 _________ Fax (952) 249-4616 ,r,�e T�dpr�l; ,�i� 1�f2FilI0 i1:48AM �itv af Dro� �35� K�:ley ��•rkway Lh^ar� MN �b 95�-�49�-��p0 Receipt N�: 3.C�4;�Gc7 Oct 28, �it; i9egan D�yton �er rRnnec�iun F�e A�"La #t-�i:1@rati0tf5 12,�10.Gt. 6U4-3769i' Sea�r Con�tion Fee Tatal: __..12,c��.ii� Ci^erk —.__ _. ��eck I�C+: 6�79 tc,2:G.t�; �ay�o!^: Pleqon �a�+t;4rs 7fltaI AF�p�ied: 1�,�I0.�+:. Ctt�ht}� Ter�grett: r ~.f�. it)i�8ilu i::Q9�i 1 O`�� TIME ✓ CITY OF ORONO CALLED IN '� INSPECTION NOTICE SCHEDULED ��-Z-/D �%�O PERMIT NOc�OId�D/06/ COMPLETED ' ADDRESS �3d5 �C�� ,�tt�P /v. OWNER TELEPHONE NO.��z 9�9 l��OZ- CONTRACTOR /�-�� DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W C j �t� � S -y- � l'�' i�'S r` 0 � � —(""}'� n�' �C S p�/+�,��'� •�1� �' C�I�/,S 1�,L cl W � Q Z ��!'/J�O �C)/l n C� � .} ✓c' ,N -('Z� � C��. . � l � � �� ,1..�..3 .r � �- N l ' �� t' 'r-U �rt� i(� C1 N�(� � �.��,— c� ��1Q�(ORK SATISFACTORY:PROCEED ❑ PROJE COMPLETE^'�"'�/� �C�' W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT OCORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CAILTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerfContractor on site: Inspector. W �+� !.Y White Copyllnspector's File Canary CopylSite Notice