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Home My WebLink About2014-00004 - sewer/water re-connect • ' ` CITY OF ORONO �IIII�I�II�1�� * Z 0 1 4 — 0 PJ 0 P1 4 * 2750 KELLEY PARKWAY DATE ISSUED: OUO2/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2975 CASCO POINT RD PIN : 20-117-23-31-0045 LEGAL DESC : SPRING PARK : LOT 089 BLOCK 000 PERMIT TYPE : SEWER& WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RE-CONNECT NOTE: RECONNECT SEWER AND WATER SAC GRANDFATHERED IN 5/23/67#1491 10/2013-WHEN NEW HOME OR SEWER CONNECTION IS MADE, RECLEAIM DEMO CREDIT 10/22/13#2013-00996(KEY THESE COMMENTS ON PERMIT) APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 WATER CONNECT/DISCONNECT/REPAIR 50.00 D.S.M. EXCAVATING STATE SURCHARGE SEWER& WATER 5.00 2916 ENTERPRISE AVE HASTINGS, MN 55033- TOTAL 105.00 (651)480-1355 Payment(s) CREUIT CARD 0444 105.00 OWNER GOODWIN, KURT& BARBARA 7310 KURVERS POINT ROAD CHANHASSEN, MN 55317- AGREEMENT AND SWORN STATEMENT The work for which[his 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 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 thc State Building Code.This permit may be revoked at any time for due caus . / �� A plicant P rmitee Signature Date [ssue y S� ature Date I . - � FOR CITY USE ONLY j=.:��-�--�-��'� City, of OronO Date Received: Permit# P.O.Box 66 � � 2750 F:elley Parkway ❑In-House SAC Determination Form Completed � Crystal Bay,MN 55323 �� (952)249-4600/Fax(952)249-4616 Approved By(If Required): � ' CITY OF ORONO—SEWER& WATER/ GENERAL PERMIT (*Note:Some pern�its�nay require approval by the Building Official and/or Public Works Deparhnent*) (ALL PERMITS- Ma�•be subiect to further review and mav not be issued when the application is received) GENERAL INFORMATION 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. 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 Water Job Site/Owner Information: Site Address: ,97��'/�CD � /�4 Owner: S�IV�1✓� �D�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: U.�I7� ��i�;�4th4�f�G /^�� Contact Person: t�i �Od�ie�n'fO Address: � L� ' �S . State License#: City: ��N�S Zip: �� Expiration Date: Phone: li S�l �S�D- /�� Alternate Phone: �/Z 9�9 7'��f'� T / . . . DETERMINING PERMIT FEES ❑ SAC Charge(2014 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/ epair($50.00/Per Stub) $ Pipe size�inches;material ,Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Re air($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 wi11 be inspected by the Public Works Department. Reguired 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 $ 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 separate 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 that all statements made on this application are,true and correct. Applicant: Date: �'a��y �'� � D�T� TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � :OD PERMIT NO.�I 3 — ��7 COMPLEfED ADDRESS 29 75 CQ S C.O C��' � OWNER TELEPHONE NO.�i� "�� `�3� CONTRACTOR ��C�--c.f � ,l�vu.� � DESCRIPTION F-'Z � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWEF HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v '�,PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�i, COMMENTS: �W V r PvC '��• �fb � a �jdve a/'dy�c� d'K.�4 � � � O � '' b +� �t, � ��s� ,s hol��-tc ' � r O � W °C P�4 � �.�e Ylc�� nlwfes �s� 3 `` Ve.,r,� -� Q � (�-�e�� uew�' — a W � � ��,r �r�v'F'-� O� ,r,�-- Ca v� �/ � d � ❑ RK SATISFACTORY:PROCEED �PROJECT COMPLEfE W WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. for the n ' spection 24 hours in advance. (g52) 249-4600 Own rlContractor on site: �r � � Inspec White Copyllnspector's File Canary CopylSfte Notice � ��l�r �r4s•� i ti ��Q�� t � � �� C w � � a �, l b � �� '�.,o— .��.�� .�Q� � � -�4�,�� t E � CITY OF ORONO CALLED IN � INSPECTION OT E SCHEDULED � PERMIT NO. �� 01� COMPLETED � ADDRESS a9 �s �w �P�- �z�. �-`�- OWNER TELEPHONE O. ' '�' CONTRACTOR . �� DESCRIPTION � � ❑ FOOTING PLUMBING FINAL ❑ CAV/GRADING/FILLING Q ❑ POURED WALL � ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � � O � W � Q � 2 W � W � J GW ❑ ORK SATISFACTORY:PROCEED O PROJECT COMPLEfE � CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O� ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC0IIERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WlLL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. � Call for the next inspection 24 ho in advan . (g j 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice