HomeMy WebLinkAbout2012-00276 - sewer/water re-connect CITYOFORONO * z0 12 - PJ0276 *
� � 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2660 CASCO POINT RD
PIN : 20-117-23-24-0002
LEGAL DESC : UNPLATTED 20 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : SEWER&WATER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : RE-CONNECT
NO"I'E: RECLAIM UEMO SAC CRGDIT
APPLICANT $.A.C. 0.00
DAVE'S EXCAVAT[NG INC. SEWER CONNECT/DISCONNECT/REPAIR 50.00
161 10 HALSEY AVENUE
CARVER, MN 55315- WATER CONNECT/DISCONNECT/REPAIR 50.00
(952)448-3642 STATE SURCHARGE SEWER& WATER 5.00
Minnesota State License#: 075981 RP TOTAL 105.00
OWNER
KIMMES,TODD
2660 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORIY STATEMEIYT
The work for which this permit is issucd shall be performed according to
the approved plans and specifications,applicable City approvals,and thc
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended Yor a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at "ny7timc for d cause.
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'1 � �o� � �07 / /
� pplicant Permitee Signatur Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Apr-11-2012 08:48am From-CITY OF ORONO +9522d94616 T-511 P.0�1I002 F-365
FAit'CITX TJS�:QN1�X '
[aatp Roccived` •,,,;,._� �'vr�nit� ;,.,-„—.�
City of Orono , ,-
'�O�'�'�'O p_�.Dox 66 Q bn I-Iouse SAC De�emiin��;�x,Aorn�Completed
2750 Kellcy parkway
� �� 5, �, Crys�al day,lviN 55323 Approved Ry(If Re�uired); . '
���,��� (9521249s1600
�Y�CITy QF O�tONO--SEV�VER&c WATEIt/GEl�'ERAL P�R1V�I7'
(•Note:Soma p���Y require apprm�al by thr Building Officinl and�ar Public Wixks Dcp��uixn[')
AL'L £RM S- AC$ BCt I furlh revic.W nd m noc ixsucd on t} 3 licn ���is r fved
y ��+ �*��� �7 ,, . • '
V�1V l�i\.nl.r�1L`11'�11�-1��1.�'��Ql\ . . .
m�il ar� erson at the City ofiices I
�. 'i'ou may appiy for udlity pernu�s by P
2. Mailed in applicatiuns are subject to r�e postage and hanc�ing fee shown below. Pernut cards will
be sent by r�rurn maii within 2 business dAys.
3. Yerrnits are not valid un�i!you rece�vo a pernut card.
4, Wark must not begin unless the pe������availabie on the job s�ce.
�. Utility connection prrmits ma�be issued to licei�cd canrraetars arily.
6. Contaet the Pi�blic�Jarks Deparanent(.952-249�b4�)for unliry stub as-l�uilt lucauons.
DO N4T T�..�CCAVATE iN ANY STR�ET AND pQ NOT'�Ap�N�� �thout express
�pproval oi the�'ublic'��orks Degartme�►t. Issuance af a perulit doaS not;x:int this agproval.
7. All work must be done in accordance with Statc Code requiren�nts,
8. All work must be inspected Uefc�re it is covered. Gall{9S�)249-46U0,24+hour•auffcc reqtured.
'T'.yPE OF PERMYT ,
(CheckAll That A 1
�Residentifll{Maq Req�e Appruval) ❑Commercial(Approval Requucd)
�N�w Connection CI A�itional Connection ❑12e-Connection ❑Repairs ❑Diseonnect
[] WatCr Availability Com�ection For�uture l�ook-LJp to Wa�er
Job Site/Ovvn�r In�ormatic►n: � •
Site Address: _ �6 �� (- �S C�� �'���� ��� �
O�wner: Mailing Address: ,
City: ,Zip: �-
Home Phone: Alt�rnate Phone:
Contractor Informatioii: . �
, ,C����?/-��L�,�r�«'G
Contractor: ^ ��� -<�'�� Contact Person:
Address: �G � �f'c /�� ' State Li�ense#: ��.�.D 'ys.�o� �
City:
�'���/�,� ���'�/,S�xpiration Date: � � �' -3
' ,L < �t��� Alternate Phone: G��� �`3 �����)
Phone� y��_ �����-
Apr-11-2011 08:48am From-CITY OF ORONO +9522494616 T-511 P.UO2/002 F-365
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❑SAC CharEe(2012 R,stte=52,36�.04) �
{SAC Chacge must accompany all sewer permit appliea�ions uniess prepaid f
(Orono Ciry Staff can detcnnine if applicable)
(If not prapoid,A sewer connection p�rmit wiU not be issued)
�Q Sewer Connection/Discoanect/Repair(SSO.o0/Per Stub) S
Pipe sizc�inches;material��Schd 40 air tesied; _cast iron
(�VVater Connection!Diseonnect/ pair{550.04/Per Stub) $ _
Pipe size �� inches;material�Schd 40 air tested; copper
❑R�'uter A��ailability T�or X'uture�ook-Lp to V1'ater(550.40) $
Wate_r_.�vnilnhiliLY Rfi)IAilAf100 t
Conasetor installed linc to inside of house for future hook-up.
This line will be insp�cted by the Public Works Deparunent,
Required Befare VJater Connection Parmit is Issued;
1. Issue Water Meter&Hom Permit
2. Any Additiona!Connection Fees Paid(If ApplicAble)
Issue Water Coanecuon'Permit:
1. Collecc Pernut Fee&Issue Water Connection Permit
1. S�BTOTAI,af Permit Requested: $ ..
2. STAT'E S[TRCHARGP $ 5.00
3. POSTAGE&HAIv'DLING(Only on Mail-In Applications) $ 2.00
4. TOT�1L PTR111I'T F�E(Add Lines 1-3 Above) S
Al7'DT'I'TONAL TN�'ORMATION�WATER M�'�ERS � .
■ WAT�R ME f�125 must be picked up and paid for at 4rono Ciry Hall,chesc are on a senarate nPrmlt.
� R'ATER METEI2S n�ust be set And sealed by Orono WAter DepArtment {952) 249-4600, upon
completion of ineter inst�Uatio�.
The undersigned hereby applies to the Ciry of Orono �or issuance of a Utiliry permit,agrecs to do
all work in strict accordance wich the ordinances of th� City and tl�e regularions of the State of
Minnesota, and certifies that all statements made on this applicarion are,mte and corrr,ct.
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Applicant: �*e ����'� l�atr: �
�Pj� �L DAT TIME V
CITY OF ORONO CALLED IN r �� �
INSPECTION NOTI E 7 SCHEDULED _�Z a � o
PERMIT NO.d v���D��" � COMPLETED
ADDRESS °?��� ��� � �
OWNER TELEPHONE NO.
CONTRACTOR C�-�
a DESCRIPTION ���'� � C�� �P
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ SITE INSPECTION
Q ❑ RADON SLAB L�,WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL �SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO 4
� COMMENTS: (� �b s �7`E''�� �''" �S`� ���o j�S
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W� p(WORKSATISFACTORY:PROCEED �_� PROJECTCOMPLETE
W �0 CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site: r.�''fYlt' S �X'c'o
Inspector. �/i
White Copylinspector's File Canary CopylSite Notice