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Home My WebLink About2014-01351 - sewer connect CITY OF ORONO * 2 0 1 4 - 0 1 3 5 1 2750 KELLEY PARKWAY DATE ISSUED: 11/19/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 1070 TONKAWA RD PIN 08-117-23-13-0020 LEGAL DESC RYANWOOD LOT 002 BLOCK 001 PERMIT TYPE SEWER& WATER PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE CONNECTION NOTE: REPORTED ASA DEMO CREDIT ON 09/2014#2014-00977. WHEN NEW HOME OR CONNECTION PERMIT IS ISSUED RECLAIM FROM DEMO CREDIT AND TELL RACHEL. APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 STATE SURCHARGE SEWER& WATER 5.00 FINAL GRADE, INC MAIL-IN FEE 2.00 3441 BLUFF DR. JORDAN, MN 55352 TOTAL 57.00 (952)492-5100 Payment(s) CREDIT CARD 2929 57.00 Minnesota State License#: BUIL-1442 OWNER WALLANDER, RAY& LAURA 1070 TONKAWA RD 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 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 in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant P rmitee Signature Date Issued By Sig ature Date 1111812014 14:58 FinalGrade f AX)952 492 5101 P.0021003 h FOR CITY USE ONLY *'aaVWA City of Orono DOW Rectived Pe mit# P.O.Box 66 2750 Kelley Parkway L]In House SAC Determination Fo m Completed BalaY, (952)244Fax 52 249.4616 Approw d By� � Rcq ); CITY OF ORONO—SEWER&WATER/GENERAL PERMIT (*Nat'-.'some permits rosy require approval by the Building Official and/or Public Works Dcpartrrcnt*) (ALL ERMITS-May he subleet to further review and unav not be tuned when the agplkatton is received) GENERAL INFORMATION 71 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 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. TYPE OF PERMIT Check All That Apply) 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 Information: . Site Address: 40 72) 70/l// .4 /?QAZ Cel/9r4/,-s ,,t"� Owner: �A a ( (of (oder `5 Mailing Address: I?A:14 ogSYom Q!A City: Zip: Dome Phone: Alternate Phone: G/K- 3,3r3 &4) Contractor Information: Contractor: YAC e_�N6Contact Person: Address: �'S Vl e U> F ��i�Q. State License#: !g02. City: Zip: Expiration Date: Phone: 9? 4Z Alternate Phone: 1111812014 14:58 FinalGrade �FAX)952 492 5101 P.0031003 E. _ Paw pa ❑SAC Charge(2014 Rate=S2,485.00) $ (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 Connqqj t'io,n/Disconnect/Repair($50.00/Per Stub) $ `� ' Pipe size�inches;material-,K_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 Availability Explanation: Contractor 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&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: $ 400 2. STATE SURCHARGE $ 5.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 TOTAL PERMIT FEE(Add Lines 1-3 Above) 0,C7 ADDITIONAL INFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate p&rmit, ■ WATER METERS must be at and sealed by Orono Water Department(952)249-4600, upon completion of meter 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 ��/�� / 'Y 1' Y .1y Of'.J4v"• *tr ��Y y t: A 1 .r + r `Imo'..`M ,y' ��' �• 1i . . ' rt rf 4!A - 'Ali► s' 070 dna' A �1 p k1. 1 E 1' rr ,, yy�w i hl Goon"�� ` r 2� Y# wr s DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE D�3 SCHEDULED PERMIT NO �W -"' 0 c PLETE Qh— ADDRESS � mac ��- r OWNER qTELEPONE N a CONTRACTOR � DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB YWATER HOOK-UP ❑ PROGRESS ❑ FINAL SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO 1 COMMS TS: S G`i 4 � S 13- /moi ii✓ L 0 W cc Q 12 W W c J W WORK SATISFACTORY.PROCEED ❑PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY' W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: /Vkl'/ Q,,44C C Inspector: 5 c,&� White Copyllnspectoes File Canary CopylNe Notice DATE TIME ITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. L�j [t-I - I COMPLETED ADDRESS OWNER TE� EPHONE NO. CONTRACTOR DESCRIPTION I ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 144. ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNERICONTRACTOR TO MEET YOU:_YES_NO to 0COMMENTS: � � e 0 cc W W �ZC Z cc WORK SATISFACTORY:PROCEED 7 PROJECT COMPLETE cc A W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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) 249-4600 Owner/Contractor on site: Inspector. A- White CopylInspector's File Canary Copy/Site Notice