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Home My WebLink About2011-00677 - pass through fees CITY OF ORONO PERMIT NO.: 2011-00677 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/19/2011 (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 7/19/2011 ADDRESS : 875 WAYZATA BLVD W PIN : 35-118-23-44-0011 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : PASS THROUGH FEES NOTE: THIS IS THE SEWER&WATER CONNECTION&SAC FEE FOR NEW HOME PERMIT#2011-00505 PAID VIA:CK#56844$76,995.00 FOR THE SEWER&WATER PASS THROUGH FEES&CK#56843$64,670.00 FOR THE SAC CHARGES. 29 UNITS WERE CALCULATED BY THE METROPOLITAN COUNCIL IN A LETTER DATED 6/23/2011. APPLICANT SEWER CONNECTION CHARGE-WAYZATA 16,675.00 KRAUS ANDERSON CONST CO. WATER CONNECTION CHARGE-WAYZATA 60,320.00 P.O. BOX 158 CIRCLE PINES,MN 55014 S.A.C. 64,670.00 (952)249-9679 TOTAL 141,665.00 OWNER CPE Exchange 33968,LLC 200 SOUTH SIXTH STREET #1300 MINNEAPOLIS, MN 55402- 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 Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. » ^ City of Crono v-ono MN J5656 9t2-249-4606 Receot 3.005007 Ju� 1�. 2Ol1 KraaaAnderam 2011-.0(177 875 .tayzata 31 16,675.00 131-: BC7 Wayzata Wtr,Swr Connection Fee �crm�ts �J�� 0�677 875 Wayza�� 60,320.00 vc 1l,-C(2207 Wayzata Wtr/Swn Connection Fee Pemts 2'21.-O0677 875 Wayzata Bl .o :C1-2V8V9 Charges due to MWCC Total; --�� Chec'e No: 56843 64.670.00 Kraxse Anderson Chpca �oeck %u� 56844 76.995.00 Payor� -.rause Anderson Total Paid: 141,665.00 Total Applied/ 141`663.00 ---------' Chanye Tendered: .00 ------------ 07/19/.1 _____07/19/11 09:09QM FOR CITY USE ONLY i-1 /*0 City of Orono Date Received: 7 /C//j/Permit#Orb!I^'l - V P.O.Box 66 . jh 2750 Kelley Parkway 0 In-House SAC Determination Form Completed 442°St r Crystal Bay,MN 55323 12'4- C OIatr`C f 1 (JAW-- LP/2..3/f f .1114' �bs' (952)249-4600 Approved By(If Required): CITY OF ORONO—HOMEOWNER SUPPLEMENTAL FORM WAYZATA-SEWER&WATER PASS THROUGH CONNECTION FEES& SAC FEES (ALL PERMITS-May be subject to further review and may not be issued when the application is received) PERMIT CODES(IN-HOUSE) Sewer/Residential/Pass Through Fees/Blank Water/Residential/Pass Through Fees/Blank Sewer&Water/Residential/Pass Through Fees/Blank GENERAL INFORMATION I. SAC&SEWER&WATER CONNECTION FEES CAN'T BE PREPAID—UNLESS THE CONTRACTOR WILL BE PULLING THE PERMIT IN A FEW DAYS. (PER MET COUNCIL). 2. If payments are made: Prior to the actual sewer or water connection permit(pulled by the contractor)the payment will be held until that permit is received and paid for. 3. These payments can only be made with check or cash,because they are pass through fees. 4. If you the homeowner wants proof of this payment,we will hand write a payment receipt. 5. We will not hold this payment more than a few days to one week,at which time if the contractor does not come in we could reserve the right to return your check to you,or collect additional fees that could change. 6. Once the sewer or water connection permit is issued,we will issue this permit and send you the homeowner a copy. TYPE OF PERMIT (Check All That Apply) [Residential(May Require Approval) [New Connection ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Owner Information: Site Address: g-15 \) �s- 4 Q ? l vcA Owner:_c--1) Mailing Address: City: NAP`S Zip: .._"5S ? 1 Home Phone: Alternate Phone: S 3 ',(t.-;,MJ;' 4v OVA:.. v t" .',4:41,''''007,-$ .' '. .' Coo L -7D SAC Charge(2011 Rate=$2,230.00) X 9 un I tS $ / (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can determine if applicable) not prepaid,a sewer connection permit will not be issued) I j 00 Sewer Connection Charge—City of Wayzata(Pass Through Fee) $ i L'-7 ' ' (2011 Rate=$575.00) X Oq lN“ t S 3. -0 0C Water Connection Charge—City of Wayzata(Pass Through Fee) $ COO i (2011 Rate-$2,080.00) X 0.-q L L v-\ I- S ❑ Water Connection Opt-Out—(Please Initial) I am choosing not to hook-up to water at this time. ❑ Water Availability— (Please Initial) I am choosing not to hook-up to water at this time. I have chosen to have my contractor make it water available for future hook-up. Water Availability Explanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Depai intent. 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 TOTAL PERMIT FEE(Add Fees Listed Above) $ i ADDITIONAL INFORMATION—WATER METERS • WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. Typically the contractor will pick-up and pay for this permit. • WATER METERS must be set 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. Owner: Date: