HomeMy WebLinkAbout2017-00043 - sewer and water disconnectCITY OF ORONO 2 pJ 1 7 - PJ 0 0 4 3 *
2750 KELLEY PARKWAY DATE ISSUED: OU18/2017
ORONO,MN 55356-
952)249-4600 FAX: (952)249-4616
ADDRESS 3017 NORTH SHORE DR
PIN 09-11'7-23-32-0002
LEGAL DESC CORONADO BEACH LK MTKA
LOT 000 BLOCK 000
PERMIT TYPE SEWER&WATER
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : DISCONNECTION
NOTE: SEWER AND WATER DISCONNECTION
APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00
WATERCONNECT/DISCONNECT/REPAIR 50.00
SCHERBER COMPANY,LLC STATE SURCHARGE SEWER&WATER 1.00
20160 75TH LANE N
CORCORAN,MN 55340- TOTAL 101.00
763)497-1100 Payment(s)
CHECK 17794 101.00
OWNER
BLUE,JAMES
9610 SKY LA
EDEN PRAIRIE,MN 55347-
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. 1'his permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions oflaws and ordinances governing this type of work
shal!be compied with whether or not specified herein.This permit will
expire and become nuil and void if construction authorized is not
commenced within 180 days ofthe 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.
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A plicant Permit Signatur ate Issued By gnature Date
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Q Q', City ofOrono DateReceixeti; P rmi'_Q `, P.O.Box 66
2750 Kelley Pazkway n-kTouse SA Ikt m ination orm Ca SIeted
y Crystal Bay,MN 55323
f o (952)249-4600/Fax(952)249-4616 Appzov d Sp{Ifltequired):kE z c+``'
CITY OF ORONO—SEWER& WATER/GENERAL PERMIT
Note:Some permiu may require approval by the Building Official and/or Public Works Department*)
ALL PERMITS- Mav be subiect to further review and mav not be issued when t6e aoolication is receivedl
C'rF.1ER I.I FC.Rt 11-1.1"IC3N
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.
T'CAE C P R IT
heck ll T'a A 1
Residential(May Require Approval) Commercial(Approval Required)
New Connection Additional Connection Re-Connection Repairs Disconnect
Water Availability Connection For Future Hook-Up to Water
3 b Site/C?v ne infc rmatian: .
Site AdCl1'ess: 3017 North Shore Drive
Owner: Swanson Homes Mailing Address: 13so Hame Rd
City: Hamel Zlp; 55340
Home Phone: 763-478-0320 Alternate Phone:
Cc ntr.ctor infa mation: :
ContTaCtor: Scherber Companies, LLC COntaCt PeTson: Corey Scherber
Address: 20160 75th Ave N State License#:
City: corcoran Zip:55340 Expiration Date:
Phone: 612-282-7403 Alternate Phone:s 2-2s2-ss24
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)
Sewer Connectio isconnec epair($50.00/Per Stub)
Pipe size inc ,a 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 Availabilitv Explanation:
Contractar installed line to inside ofhouse far future hook-up.
This line will be inspected by the Public Works Department.
Reauired 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)
A 3IT t7NAL N'QR,vi 1.1"I(N Vt ATER hiET'
WATER METERS must be picked up and paid for at Orono City Hall,these are on a sepazate permit.
WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon
completion of ineter installation.
T'he 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: 1-18-17
TIME
CITY OF ORONO CALLEDIN
INSPECTION N SCHEDULED -7 1.
PERMIT NO. ,C
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MPLET
ADDRESS L I V c U Y°. V`
OMINER TELE ONE NO a a
CONTRACTOR y
DESCRIPTION
ty FOOTING DEMO-FINAL SEPTIC FINAL
Q POURED WALL PLUMBING RI EXCAV/GRADING/FILLING
Q FOUNDATION WATERPROOF PLUMBING FINAL TREE REMOVAL
Z RADON SLAB MECHANICAL RI SITE INSPECTION
a FRAMING MECHANICAL FINAL RATED WALLS
INSULATION WOOD BURNER/FIREPLACE COMPLAINT
FINAL WATER HOOK-UP FOLLOW-UP
W AS BUILT-SURVEY SEWER HOOK-UP FOUNDATION/REMOVAL
r DEMO-SITE SEPTIC INSTALL
2 OwNBUCOK RRCT'OR TOMEET YW:_1fE8_NO
COMMENT' C S b i C 4-DP
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Yy,KSATISFACTORY`.PROCEED PROJECT COMPLETE
p OORRECT YMORK3 PROCEED ISSUE CERTIFlCATE OFOCCUPANCYW
p f#tRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERINO PERMANENT
OORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
STOP ORDER POSTED.CALL INSPECTOR
O qTATION ISSUED
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
caN for u e next h spection 2a nours ad ance. (952) 249-4600
on site: SC`.r
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