HomeMy WebLinkAbout2017 - 01614 - sewer repair - IIF
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` CITY OF ORONO I r
* 20 1 7 - 0 1 6 1 4 *
2750 KELLEY PARKWAY DATE ISSUED: 12/08/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2000 WEBBER HILLS RD
PIN : 03-117-23-34-0017
LEGAL DESC : WEBBER HILLS
: LOT 010 BLOCK 002
PERMIT TYPE : SEWER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : REPAIR
NOTE: SEWER REPAIR
APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00
STATE SURCHARGE SEWER&WATER 1.00
MR. ROOTER PLUMBING
5155 E. RIVER ROAD TOTAL 51.00
FRIDLEY,MN 55421-
Payment(s)
(763)551-0555 CREDIT CARD 1581 51.00
Minnesota State License#: plbg-PC 647331
OWNER
OMERA, WILLIAM&MARY
2000 WEBBER HILLS 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 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 onformance with .- -.; - -. •' g Code.This permit may be
revoked. * ti - for due ,use.
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Ap, icant Permitee Si: attic b.to Issued By Signature Date
T4: 9522494616 From: Dispatch 12-08-17 3:20pm p. 4 of 4
FOR rl�pt isE any
*lic.101VCity of Orono Date Received: ii Permit# pt1-01(�f�}.
P.O.Box 66 j
liski 2750 Kelley Parkway []!n House SAC Detetttunafian F rtn Completed
Crystal Bay,.MN 55323
r 4.-\,,,....".' (952)249-46001 Fax(952)249-4616 Approved ley tlfRequired):
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CITY OF ORONO-SEWER er WATER f GENERAL PERMIT
(*Note:Some permits may requite approval by the Building Official and/or Public Works Oepartrnent C)
(ALL PERMITS-May be subiect to further review and may not be issued when the application is received)
GENERA=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 ANI)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) 0 Commercial(Approval Required)
New Connection 0 Additional Connection 0 Re-Connection
'®.Repairs 0 Disconnect
❑ Water Availability Connection For,Future Hook-Up to Water
Job Site/Owner Information: J
Site Address: 20.0t (,),e. ..e-' kb 114 _ rj
41
Owner: . v5tl,.t Z.?IA L.r-.& Mailing Address:
City: ldrotn,p Zip: 5-5-'3? 7
Home Phone: 41,7--^ 7 11_ y 7,22 Alternate Phone:
Contractor Information:'
Contractor: /fir Roo-1-1,- avwt17:ie Contact Person:
Address: . 57$5"` , g:./c..- g4- I(tate License#: PC-46 y 7 3 3
City: F.'ci if, . Zip:55.—Y02/Expiration Date:
a - 3/- r7
Phone: 76 3 S`S(--0 c5-5" Alternate Phone:
To: 9522494616 From: Dispatch 12-08-17 3:20pm p. 3 of 4
❑SAC Charge(2016 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)
Ff-Sewer Connection/Disconne Repa' $50.00/Per.Stub) $
..... ......
Pipe size 14 inches;material ',ir Schd 40 air tested; ./(/() .cast iron
0 Water Connection%Disconnect/Repair($50.00/Per Stub) $
Pipe size inches;material Schd 40 air tested; copper
0 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 beinspected 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: $
2. STATE SURCHARGE $ 1.00
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 separate 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 applicationare,true and correct.
Applicant: _•
, �� ' Date: 5S 7
M
763- 336-71
V
c w DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /2-1/-1 `) 3=00
PERMIT NO.��6� / �coMPL4/13
ADDRESS er eD4Qk
OWNER � TELEPHONE NO.763-2S'—S77t
A ,
CONTRACTOR /"l r. ►�C7pil/e_Se
iDESCRIPTION cur
W ❑ FOOTING 0 DEMO-FINAL / 0 SEPTIC FINAL
11.
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
Z
❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MET YOU:_YES NO
co COMMENTS: ifi ��/ � VI 10C i c�%,�
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W 7 WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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'D CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. `r oHOTO TAKEN
INSPECTOR WILL RETURN ��
O 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: i1 J?e C "y^
Inspector. 5e
White Copy/Inspector's File Canary Copy/Site Notice