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Home My WebLink About2009-00392 - sewer/water connect CITY OF ORONO PERMIT NO.: 2009-00392 • 2750 KELLEY PARKWAY v ORONO, MN 55356- DATE 1ssvEn: 07/08/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2933 CASCO POINT RD PIN : 20-117-23-31-0048 LEGAL DESC : SPRING PARK : LOT 094 BLOCK 000 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: SAC GRANDFATHERED IN PERMIT#2282 10/06/1969 APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 KEVITT EXC. INC. WATER CONNECT/DISCONNECT/REPAIR 50.00 3335 PENNSYLVANIA AVE NO CRYSTAL, MN 55427 STATE SURCHARGE SEWER&WATER 0.50 (763)545-3557 TOTAL 100.50 OWNER FARWELL, HEATH&JULIE 2933 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed acccrding 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 ty;pe of work shali be compied with whether or not specitied herein.This permit will expire and become null and void if construct�on 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 permit may be revok d at any time for due cause. � — � _ `� ,_ �'C'� �� 7' i 6 i �'y �_ � �'� C L ��i �'�'�`` � i i ApplicanC Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY �� C'lty Of�l'0110 Date Received: Permit# . ��1 f \� P.O.Box 66 " �\� � ��, �� 2750 Kelley Parkway ❑In-House SAC Determination Form Completed ��.� � �` �; Crystal Bay,MN 55323 ��- �� '�� , o;;� (952)249-4600 Approved By([f Required): �� 0��" '�� -=. _ „ L CITY OF ORONiO-SEWER& WATER/ GENERAL PERMIT l �,1� (*Note:Some permits may r�equire approval by the Building Official and/or Public Works Departmcnt*) � (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoplication is received) GENERAL INFORMATIOTI 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 V1�orks Department. Issuance of a permit does not grant this approval. 7. All wark 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) �'�esidential (May Require Approval) � Commercial(Approval Required) ❑ New Connection ❑Additienal Connection Re-Connection ❑ Repairs � Disconnect Job Site/Owner Information Site Address: � 9 � 3 � a s� o f�� ' K f p�o � �/ Owner: n�� ' ��` � ``�r �� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: ,� '_ � �' � � �'^ � � �, Contractor: �"'' �� <-X�G�� '� Contact Person: � ' ' Address: �3�r /G~~r,i��.��4 AN State License #: r4�?� City: �� y' �G � Zip: s Expiration Date: 6� �_ � or._ 3 �0 � Phone: Alternate Phone: . IJ�T��M � .3 G P". RMTT�EES ❑ SAC Charge(2009 Rate=$2,000.00) $ (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 Connecfion/D�connect/Repair($50.00/Per Stub) $ Pipe size- �--inches;materialCq.n� Schd 40 air tested; cast iron �Water�E�oLuecti�/Disconnect/Repair($50.00/Per Stub) $ Pipe size /� inches;material 1�� Schd 40 air tested; copper 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ ADDITIONAL INFORMATION-WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate nermit. ■ 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 that all statements made on this application are,true and correct. � g_ a Applicant: � ��` Date: � � Reset Form !Y"' ' DAT TIME V CITY OF ORONO CALLED IN � O � INSPECTION N TI �CHEDULED PERMIT NO. L�%�� COMPLETED ADDRESS � • OWNER ^ CONTR. ` _ llv /�(� TELEPHONE NO. — ��J �/�`"�� U � DESCRIPTION � �P��L'��/ � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL � LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL �SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUM8ING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. .� � O � � W � Q � U � 2 � W � ' W � � d W��ORK SATI �PR � ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContracto n site• Inspector. White Copyllnspector's File Canary CopylSite Notice L%-�k� DATE TIM E CITY OF ORONO CALLED IN �^ INSPECTION NOTIC _��SCHEDULED -� ��_ PERMIT NO.� COMPLETED � ADDRESS �93 C1cS� . OWNER CONTR. TELEPHONE N0./,64.�' �O�Z Zo5 ��I`-f�' � DESCRIPTION �-^�%�ClJ'�/(� a �( ��'-/�u—C � ❑ FOOTING ❑ MECHANICAL RI ❑ E AV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � p � � ��P `1�1 � J � O a � O � W � Q � Z W � W � C�-�'w-rr a � � � d W�iIORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ��❑CORRECT WORK 8 PROCEED �l ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CdRRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContract te: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME � CITY OF ORONO CALLED IN WSPECTION OTpICE 2G SCHEDULED �-� � PERMIT NO.�� i —DO J I�� COMPLETED ADDRESS 2�3 � ��lS� �U�"� � OWNER CONTR. TELEPHONE NO. � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W � a � � 0 a � 0 � W � Q � Z W � W � � � ,._ G _. W �VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W(O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN '7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContra site: Inspecto .�– — White Copy/lnspector's File Ca�ary CopylSite Notice