The URL can be used to link to this page

Home My WebLink About2015-00390 (sewer & water disconnect) � CITY OF ORONO * 2 0 1 5 - 0 0 3 9 0 * 2750 KELLEY PARKWAY DATE ISSUED: OS/14/2015 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2470 CARMAN ST PIN : 20-117-23-12-0066 LEGAL DESC : LEHMAN LAGOON : LOT 1 BLOCK 1 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DISCONNECTION NOTE: SEWER DISCONNECT ONLY APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 WATER CONNECT/DISCONNECT/REPAIR 50.00 CRAFT HOMES LLC STATE SURCHARGE SEWER& WATER 5.00 1123 DREW DR WOODBURY,MN 55129- TOTAL 105.00 Minnesota State License#: BUIL-689150 Payment(s) CREDIT CARD 0273 105.00 OWNER JARNES,JEFF&JACQ 2470 CARMAN ST 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 5tate 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 permi[may be revoked at any time for due cause. /7� /�/ �,�.��-�_ c;,y�t�e�E� �, �� ' Applicant Permitee Signature Date Issued By Signature Date -- �R C�USE ONLY— �7�, ��.��I�J,` City of Orono Date Receiv Permit#�-�Y/l�- t P.O.Box 66 � 2750 Kelley Pazkway ❑In-House SAC Determination Form Completed �� `�y� a ��' Crystal Bay,MN 55323 � � ��h..St`�"��j (952)249-4600/Fax(952)249-4616 Approved By{If Required): � I� � CITY OF ORONO-SEWER& WATER/GEN�RAL RMIT (*Note:Some permits 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 the aaalication is receivedl GENERAL INFORMATION 1. You may apply for urility 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 wiil 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 �°�Connection ❑ Repairs �isconnect ❑ Water Availability Connec�ion For Future Hook-Up to Water Job Site/Owner Information: Site Address: c� � �� .rw�-a-v� `�� Owner: �G,rv�.¢-�� -��G,�� Mailing Address: �'�75� �SICn,�,� U�e�;,� Qv c�ty: M°wh d z�p: S�3��' Home Phone: � �a - ? � I �� 9 Alternate Phone: Contractor Information: Contractor: (_r� l$o v�,.e�S Contact Person: �°� °�-�' Address: ��a-3 �r�,��,r' State License #: 1.3�.(v�� 6 City: �mo�b�L, Zip:S�j��1 Expiration Date: 3/3 ��I�n Phone: ��'S�a" ��p�a Alternate Phone: � DETERMINING PERMIT FEES ❑ SAC Charge(2015 Rate=$2,485.00) $ (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can determine if applicable) (I�not prepaid,a sewer connection permit will not be issued) i �ewer Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size inches;material 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 Exalanation: 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: L 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 $ 5.00 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 seuarate permit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter 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 at al ements made on this application are,true and correct. Applicant: � _ Date: �� O �� pq7E �'TIME �� CIN OF ORONO y� Q CALLED IN INSPECTION NOTICE `�C��( �SCHEDULED �5+ /� PERMIT NO. �7,t'-�IJ�OMPLETED ADDRESS �� ' �Y��'1 S� OWNER TELEPHONE NO.��J I Z-�'7�ZI� CONTRACTOR �7'1� Ovn � DESCRIPTION L/l-i�-�--��1 � -��2 +vlS�'�� lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO ME :�YES_NO � COMMENTS: � a � � � O � �f p� G Ca�� ,� ;� �; ,�,'�e� 0 � Q �// Q,� � z W � W � J ,�(' W�WORKSATISFACTORY:PROCEED �PROJECT COMPLETE �- ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED_CALL TO ARFANGE ACCESS. Cal1 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site:��- la r'rY►'t,'� -7.�('' Inspector. � �-� White Copyllnspector's File Canary CopylSite Notice