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Home My WebLink About2015-01373 - water/sewer disconnect , , CITY OF ORONO * 2 P1 1 5 - 0 1 3 7 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/26/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2750 CASCO POINT RD PIN : 20-117-23-24-0019 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 003 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DISCONNECTION NOTE: WATER&SEWER DISCONNECTION APPLICAPIT SEWER CONNECT/DISCONNECT/REPAIR 50.00 WATER CONNECT/DISCONNECT/REPAIR 50.00 TMS COMPANIES STATE SURCHARGE SEWER&WATER 1.00 5990 MEADOWLARK LN PRIOR LAKE,MN 55372- TOTAL 101.00 (612)414-5700 Payment(s) CREDIT CARD 8355 101.00 OWNER Casco Ventures LLC NATHANIEL RUNNING,AKA: 16192 HWY 7 MINNETONKA,MN 55345- 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 sepazate permits. All provisions of laws and ordinances goveming 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 conforman with the State 6ilding C rmiE-r»a3<be _ revoked at an or ue se. �_- � �� ` -�c l�� Zl�� / �S App �cant P it ignature D te [ssued By Sig re Date . � a �, � � �,_..., ��o�.Y ��\ City Of OCono Date Received: �v Perm;c# 0�0/$-CJ 3.� � _ ; P.O.Box 66 � 2750 Kelley Parkway ❑In-House SAC Determination Form Completed �,y� �� Crystal Bay,MN 55323 \\��s�i�¢�f (952)249-4600/Fax(952)249-4616 Approved By(If Required): CITY OF ORONO-SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Departrnent•) (ALL PERMI'I'S- Mav be subiect to turt6er review and mav not be issued whon the anolication is received) GENERAL INFORMATION 1. You may apply for urility permits by mail or in person at the City of�ices. 2. Mailed in applicarions aze 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 cazd is available on the job site. 5. Urility 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 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 Wate Job Site/Owner information: Site Address: 2'Z�� SC-J �//?�/�' Owner: �� 5G� �/G/6I�/�S GL� Mailing Address: j�lvll�z l7��/ T City: �/y/1 G�A��i` Zip: S S`3�5` Home Phone: ��Z � �l'��7 Alternate Phone: �i�1'� -� Contractor Information: Contractor: ��f Contact Person: �pp��1/` � Address: �f�� iv�l�.[ Gf��State License#: z ��Z� -7 , City: �///�� Zip: �`z Expiration Date: 7 Phone: �/� , /�—� 7d� Alternate Phone: �2'' �l y`��DG DETERMINT.NZ'i 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) (If not prepaid,a sewer connection permit will not be issued) ❑ Sewer Connection/Disconnect/Repair($50.00/Per Stub) S 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 Explanation: 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: 1. Issue Water Meter&Hom 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 se�arate permit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upo� 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 that all statements made on this application are,true and correct. Applicant: Date: �� ` ~ D� C DATE� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. %nl�--(�f�� COMPLETED ADDRESS :� —7 � Ci CC�.,'�C�j� /'�/ OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION S�L�c�'� ,�/S�`�YI�'1� C�- l� ❑ 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 Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 nYVNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � a` � J O �. � 0 � W � Q � 2 W � W � � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � �fi��s � d.�.e� ��.��s .�,� �- � S�� c��r��e c f- ��, � �� i2-�� , �� '1 �y w% 1�'u�e � ��'�G' �`75� � ��5��5�� l� � ��s 6 r�-��-- 1 �`�er d� s�c �„r..e c�— _ � � �� ` C��S� �t� � �C.�v' ��(.��- C�--�7i�� .� ,� -- ., , � .----- � �- � 1 i v �