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2014-00573 - sewer connect
"~ CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 4 - 0 P1 5 7 3 * DATE ISSUED: 06/09/2014 ORONO, MN 55356- 952) 249-4600 FAX: 952)249-4616 ADDRESS : 145 SMITH AVE PIN : 02-117-23-21-0019 LEGAL DESC : ORONO ORCHARDS : LOT 000 BLOCK 000 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: SEWER CONNECTION-4"PIPE APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 STATE SURCHARGE SEWER&WATER 5.00 WESTONKA MECHANICAL INC MAIL-IN FEE 2.00 6501 COiJNTY RD 15 MOiJND,MN 55364 TOTAL 57.00 (952)472-4966 Payment(s) CREDIT CARD 5597 57.00 OWNER LLC,HOCKEY BROS 2985 WATERTOWN 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 separate 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 aRer 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. ,e � , 9 Applicant Permitee Signature a e Issue y Signature Date � Jun 09 14 11:17a Westonka Mechanical 952-472-4961 p.1 ;;,---:--.; O �[T U O�IL.Y r�,�^-�''�,�-`e City'of Orono Date Receive� ermit k�_� ��� ''� f%,• P,O.Box 56 rt � . �1 1 2750 Kelley Parkway ❑In-House SAC De[e in�tion Form CompleUed ` .\,�, , J Crysrdl Bay,hfi:5323 �;' •��!�. �� {95'_')Z49-46i}��/Fax(452)249-4616 Approved By(If Required): �::::;.;;;�:..:!' CITY dF ORO�TO—SE W'ER& WATER/GENERAL PERMIT (-Votc.Somc permits may requiro app:oval by the Building Official and/or Public�k'orks Departrnent") �ALL PGRMITS• A1av be subieet tv furthcr mview and mav not be issucd when the aonlication is reccived) GENERAL INFORMATION 1. You may apply for utility perrnits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shov�m below. Permit cards will be sent by return mai]within 2 business days. 3. PerFnits arc 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 connectian permits ma}'be issued to licensed contractots only. 6, Contact the Public Works Deparhment(952-249-4600)for utility slub as-built locations. DO NOT EXCAVATE[N AN1'STREET AND DO�OT TAP ANY MAI1Y without express approval otthe Public V�'orks Department. ]ssuance of a�ermit does not grant this approval. 7. All.inrk must be done in accordance with State Code requirements. S. A11�i•ork must be inspected before it is covered. Call(952)249-4600,24+hour notice required. TYPE OF PERMIT Check All That A t �) �esidential(1�4ay Require Approval) ❑Cornmercial(Approval Required) ❑New Connection �ditional Connection ❑Re-Connection ❑Repairs ❑Disconnect ❑ Water.Availabitity Connection For Future Hook-Up to ti�Vater Job Site/Owner Infonnation: Site Address: ��� ��YJ.�� y �J��l.( � Owner: Nlai[ing�ddress: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: (�L�L'.S�f�ti //l"�� Contact Person: G � G b� �- Address: -� ��t �5 State License #: '��I�S��/� ,— City: �'�� Zip:���Expiration Date; l� —3/" / � Phone: ��'—�'�.�� � ��� Alternate Phone: � - � Jun 09 14 11:18a Westonka Mechanical 952-472-4961 p.2 [� ' _ ' > DETER1�fININGPERI4�ITFEES `` _ - ❑SAC Charge(2014 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) ❑Sewcr Connection i Disconnect 1 Repair(S5a.00lPer Stub) $_�CJV[J'`_ Pipe size�mc�s��i��Schd 40 air tested; cast iron •�f',� ! i Gr" ❑Water Conuection/Discannect/Repair(554.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper ❑Water Availability For Futurc Hook-Up to VVater($50.00) S 1Vater Availability Exp[anation: Concractor installed line to inside vf house for future hook-up. This]ine will be inspected by the Public Works Department. Reauired Befare W'ater Connection L'ermit is Issued: ]. Issue Water Meter&Horn Permit 2. Any Additional Connection Fees Paid(If Applicable) Issue Water Connection Permit: 1. Collect Permit Fee&Issue l�'ater Conneetion Permit 1. SUBTOTAL of Permit Requested: $ �(1� 2. STATE SURCHARGE $ 5.00 3. POSTAGE&HAI�TDLING(Only on]V1ail-In Applications) S 2.00 �� 4. TOTAL PERMIT FEE{Add Lines 1-3 Above) S ' ADDITIO�I,AL 1NFORMATTON—WATER METERS ■ WATER ME7'ERS must be picked up and paid for at Orono City Hall,these are on a se�aratc vermit. ■ WATER ME7'ERS rnust be set and sealed by Orono VVater Department(952) 249�600, upon completion of ineter iastallation. �'he undersigned hereby applies to the City of Orono for issuance of a Utility Permit,agrees to do a11 wori� in strict accordance Lvith the ordinances of th� City and the regulations of the State of Minnesota, and certifies that alf statements made on this application are,true and correct. Applicant: ,.�ZL�, ���1� Date: ���,� DATE TIME V � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED / _� /v � /Y �/�` � PERMIT NO. COMPLEiED ADDRESS � y� �m �n� OWNER ' TELE E NO. �'�Z" `��J" 7g�� CONTRACT R � �Z'`''' �v�/� � DESCRIPTION � �`�'''`'`�'`'f �'�-��-� -ZI � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: �R�l� ��� M�= � /NG Wi � i a � J O � l .��h'Z � ��or)�/L�� O � W � Q � 2 W � W � J a W ❑W SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑ RRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (95 ) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � PERMIT p0. �.GOMPLETED A�DRESS J�S .S,/�1�/11 Ef�,� , OWNER TELEPHONE NO. CONTRAC'POR � DESCRIPTION ��l� `��� �P-/�6�c��f- ��0� � � FOOTING ❑ PLUMBING FINAL � `� p EXCAV/GRADING/FILLJNG � ❑ POURED WALL O MECHANICAL RI � ❑ LAKESHORFJWETLANDS O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOpD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB p WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT `� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI �'$EPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a� � � �r���� ._!,`n,E w. 7� G��i � � j , . � ,D�l�J C'-�/P� �`�� /� �� � � � �O W �Q , � O � � � W � j ��WORKSATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT YYORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advanoe. (952) 249-46�� OwnerlContractor on site: Inspector: ���� White CopyllnapectoPs Flle Canary CopylSite Notke - , '-;7, �'+'1 �l�l.',_ x'•`. �'' l ,w �i�.4 + 1, . ,\,"\ .«,t; _, �'�� ' ��'�• �� � F #1� I�u .� . f.' 7;R'. ��j�'�.�1��.f•�.�, II' � � '�� :�.+c-- t`si,� � . �.j-%�'t `�f �' ' : �� �-.� , ? .�c�A� � , ,A. ' .h �.... � `'�t;�3''r.'�`'.� �' ; �" �.�` � �, �; � .,�.�' ``� .' �,` �� �'�•.� - �• =� ' �,�"' � Y..�+ 1` -� �R+j. , . h3 - . ,.\ ��,� 'i. �11N. , ,3 ',.,�r•" � ��. � ,�-,', � '� ���� _ s.�r=� « a�, �� ; �,c=� �i � � �, �, ' �i � g�'��' 1��4z.. .��� _ Y•'�*" i ' � �/�; .• `,l � ' "� ,�... h . . . v .� �� f �� . �'�I a. �''.�°+�',k'�'�' � ' .. ` I.� �� '., �,'., s ��...'. /. '� `' '�f.r� a'' :;,�� �i. 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