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Home My WebLink About2009-00297 - water connect CITY OF ORONO PERMIT NO.: 2009-00297 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 06/09/2009 4 952 249-4600 FAX: 952 249-4616 ADDRESS : 2116 SUGARWOOD DR PIN : 34-118-23-21-0028 LEGAL DESC : SUGAR WOODS : LOT 000 BLOCK 000 PERMIT TYPE : WATER PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : CONNECTION NOTE: WATER CONNECTION FOR SPRINKLER SYSTEM TO OUTLOT FOR SUGARWOODS- APPLICANT WATER CONNECT/DISCONNECT/REPAIR 50.00 UNITED WATER AND SEWER CO. STATE SURCHARGE SEWER&WATER 0.50 7100 NORTHLAND CIRCLE BROOKLYN PARK, MN 55428- TOTAL 50.50 (763)537-9036 Minnesota State License#: 5004 OWNER Sugarwoods Homeowners Association PIGNTENS, C/O FRANK 2007 SUGARWOODS DR 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 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 governing this type of work shall be wmpied 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 I 80 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 any time for due cause. -, , / / / / pplica t er it e gna e Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. r y FOR CITY USE ONLY ,�0� City of Orono Date Received: Permit# O y O P.O.Box 66 �;i,,,,� 2750 Kelley Parkway ❑In-House SAC Determination Form Completed a� �j�'?�;�'. Crystal Bay,MN 55323 t� "t�:�" o� 952 249-4600 A roved B If Re uired : �fqh�y ( ) PP Y( 9 ) �aoe CITY OF ORONO- SEWER& WATER/ GENERAL PERMIT (*Note:Some permits may require approval by the Building Ofticial and/or Public Warks Department*) (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoplication is received) GENERAL INFORMATION 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 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. TYPE OF PERMIT (Check All That Apply) ❑ Residential(May Require Approval) ❑ Commercial(Approval Required) ❑ New Connection �Additional Connection ❑ Re-Connection ❑ Repairs ❑ Disconnect Job Site/Owner Information: Site Address: �� F -��i,� a�� L�c�c.� � � �-�`�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractar: ��, �C�� u�k�" � ��c�,.r.,_ Contact Person: �� Address: 7��'�� ^�jcrl-�� `��'c/� State License #: �� City: l�rue��,t, Pr✓� Zip:�s��/z,� Expiration Date: �Ci G —� Phone: -7(��-S�7-�f'G s�O Alternate Phone: �/..Z-C��/ _ c�,(�� C'P l/ , r ' � ^` T DETERMINING PERMIT FEES ��¢ ` ❑ SAC Charge(2009 Rate=$2,000.00) $ (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 Stub) $ Pipe size inches;material Schd 40 air tested; cast iron ❑ Water Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size 1 `' inches; mater 1 Schd 40 air tested; copper ��r� 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ .50 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 se arate pernut. ■ 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: � � l �� DAT TIME ✓ CITY OF ORONO CALLED IN � �� INSPECTION NOTICE -7� SCHEDULED — � PERMIT NO. �DD�—�� / COMPLETED ADDRESS a/�� G� OWNER CONTR. L�� Gv b�.S TELEPHONE NO. �O �a �� 9 ��(4� � DESCRIPTION L.�•�� 7'(/N1� ��31�1 � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q � Z W � W � � d � ,�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �o_ �G �� White Copyllnspector's File Canary CopylSite Notice