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Home My WebLink About2010-00278 - sewer repair CITY OF ORONO PERMIT NO.: 2010-00278 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 04/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 1200 TONKAWA RD PIN : 08-117-23-13-0005 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 009 BLOCK 000 PERMIT TYPE SEWER PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE REPAIR NOTE: SEWER REPAIR APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 ROTO ROOTER SERVICES CO. STATE SURCHARGE SEWER&WATER 0.50 14530 27TH AVE.N. MINNEAPOLIS,MN 55447- TOTAL 50.50 (763)519-3907 PAID WITH CC# 0472 Minnesota State License#:058341 OWNER BUTCHER,LYNN KOENIG&LEONDIAS 1200 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' conformance with the State Building Code.This permit may be revoked y for due cause. Ap li t Permitee Signature Date Is B ign lure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Ara USE ONLY C$0�G City of Orono Date Receive Ara Permit ?al-"- a7 P.O.Box 66 2750 Kelley Parkway [],In-House SAC Determination Form Completed r Crystal Bay,MN 55323 (952)249-4600 Approved By(If Required): CITY OF ORONO—SEWER&WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS- May be subject to further review and may not be issued when the aoolication is receivedl GENERAL INFORMATION 1. You may apply for utility ty 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 A11 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: aOO 1 On c, I��l Owner: Mailing Address: City: o c D rl D Zip: Home Phone: 01 L L0 i -7 57 Alternate Phone: Contractor Information: Contractor: �Of�- 4 Contact Person: Address: �5��(� � � State License#: City: Zip: Expiration Date: Phone: 70- Alternate Phone: DETERMINING.PERMIT S. ❑SAC Charge(2010 Rate=$2,100.00) $ (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) ewer Connection/Disconnec61d ( 0.00/Per Stub) $ Pipe size y1( inches;materi 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. R_ eguired 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: $ 1:570, 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ &_10 I ADDITIONAL INFORMATION-WATER METERS ■ 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) 2494600, 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 t t all statements made on this application are,true and correct. Applicant: Date: _ DAT TIME CITY OF ORONO �ED IN Z l(] INSPECTION NOTICE SCHEDULED PERMIT NO.r,�010 'yCd 41 COMPLETED ADDRESS 0-0 OWNER J TELEPHONE N070 CONTRACTOR 7V 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 ElFINAL E) SEWER HOOK-UP El COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: QC W 0- cc cc O O Q O U_ W Q Z W z W CC LAj ❑WORK SATISFACTORY:PROCEED /"❑ PRQJECT COMPLETE QZ W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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: Inspector. 1 A White CopylInspector's File Canary Copy/Site Notice