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Home My WebLink About2015-00134 - sewer disconnect . CITY OF ORONO * 2 0 1 5 - 0 0 1 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: OU30/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3928 CHERRY AVE PIN : 08-117-23-33-0018 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 004 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DISCONNECTION NOTE: SEWER DISCONNECTION APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 STATE SURCHARGE SEWER&WATER 5.00 SCHERBER COMPANIES TOTAL 55.00 11415 VALLEY DRIVE Payment(s) ROGERS,MN 55374- CHECK 16293 55.00 OWNER O'REILLY,DONALD 3928 CHERRY AVE MOUND, MN 55364- 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 separa[e 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 no[ 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 revo or due cause — � �_r' � /�/ �� Applicant Permitee Signatur Date Issued Signature Date r � • FOR CITY USE ONLY :��4-UI�I\� City of Orono Date Received: Permit# � � P.O.Box 66 ! l ' 2750 Kelley Pazkway ❑ In-House SAC Determination Form Completed `�,y\, a �� Crystaf Bay,MN 55323 ��KFS,F�o`E;j (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 Department*) (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aaolication 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 wark must be inspected befare it is covered. Call(952)249-4600,24+hour notice required. TYPE OF PERMIT (Check All That A ly) �esidential(May Require Approval) ❑ Commercial(Approval Required) ❑ New Connection ❑ Additional Connection ❑ Re-Connection ❑Repairs �sconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Owner Information: Site Address: � �� `�"f� Owner: ��v��n,�'''� ��'L'� Mailing Address: City: �72-'h-Cj Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �� '� �-r� Contact Person: �{� G�-� Address: �`�� 1,1 � State License #: City: Zip: �1"� Expiration Date: . Phone: (�I�, �'1 -� 7� 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) (If not prepaid,a sewer connection permit will not be issued) Sewer 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: 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) $ � �`'`'C: ADDITIONAL INFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a senarate 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: -� � �,�,lVO - -------- ---- ----------- ------ ---._ . _....... ZONING DISCLOSURE 8c DE LARATION y � To the property awner: Demolidon of the principal d elling structure on a properly may `��,� ��,� aubomafically terminate certain rights which may have aa to the property by virtue of the kFSHv �nued e�dsbence of that buiiding. This means you may g' e up some or all of the zoning rights currently associated with the principal structure (setbacks, hardcover,size of buildi , etc) with its removal. • Rebuilding on a substandard lot of reoord (i.e. a bt that does not meet the zo ng disbict required lot area or width standards) may, with few exceptia�s, require variance approval by the City uncil, and such approvai is neitl�er automatic nor guararrteed but requires that a practical difFiculty be demonstra • Additionally, all current zoning standards will have to be met by the new pri ipal dwelling including setbacks, and building foatprirrt, hardcover(impervious surfaoe), �height limitations,ebc. . Where mun'icipal sewer is not available, provision of two (2) oonforming on-s" sep�ic treatmerrt sites is mandabory for a new dwelling. • Unless specifically approved by the City, aH seasonal and permanent doc must be nemoved st the time o�f principsl dwellinq demolition. They may not be re-installed until a n principal dwelling has reached the framing stage. The following information is presenbed for the purposes of advising the property ner of the implications of removal of the rinci I dwellin on the 1. Property Address: 3928 Cheny Avenue PID# 08•117-23-33- 018 2. Zoning District: LR-iC Required Lot Area: .50 Required Lot Width: 100' Shoreland? Y N Actual Lot Area: 1.06* Actual Widtt�: 88'(approx.) *Acoording to Hennepin County Lot area variance j��i.�r'�equired. Lot width varianc required. ** ** Unless�ty Code Section 7&72, Lots of Reoord can met 3. Requlred Setbacks: Front NA Rear NA Side 10' Side Str+� 15' Lakeshore Lo�t: Lake(Frorrt) 75' Street(Rear) 30' Average Lakeshore Setba • 4. Massing�Lat Coverage by Structures � 5. Hardcover limitations: ��applicable— -�applicaW StOrmwa�er Quality Overlay District Ti 1 2 3 4 Tier i ha over limit = 2596 of gross lot area 6. Muniapal sewer is available. 7. Acoording to our information it appears a portion of the prope�ly may oontain a w nd; if a wedand is present a 35- foot se�back is required. If the wetland is within 150 feet of the project a wetland dell tion will be required for setback determination. Minnehaha Creek Wabershed District approval is required prior to issu nce of permfts from the City of Orono. *'Pl�se contact the Minnehaha Creelc Watershed Distrfct dlrectly to dgt mine H a w�tland is pr�ent. Th can be reached at 952-471-0590. The unc,e ' property owner hereby acknowledges receipt of the above informa 'on. Staff Initiaals — a a ,� Property Owner's Signature Dabe (Original:Street File; Cop�l: Propett�/Owner) Created: Apri12013 ��VO�\ - -------- --- —---------- ------ ---•- - —•-•---- ZONING DISCLOSURE $ DE LARATION y ` To the property owner: Demolition of the principal d elling structure on a property may F(�KE�Hv��C'/ aubomat�cally terminate certain rights which may have aoc to the property by virtue of the / oontinued e�dstence of that buikfing. This means you may g' e up some or atl of the zoning rights currer�tly assaiated with the principal structure(setbacks, hardcover, size of buildi , etc) witli its removal. • Rebuilding on a substar�dard lot of reoord (i.e. a lot that does not meet tfie zo 'ng district required lot area or width standards) may, with few exceptions, require variance approval by the City uncil, and such approvai is neitlier automatic nor guaranteed but requires that a prac�cal dif�iculty be demonstra • Additionally, all current zoning standards will have to be met by the new pri ipal dwelling including setbacks, and building footprirrt, hardoover(impervious surface), �height limitations,etc. . Where municipal sewer is not available, provision of two (2) conforming on-s' septic treatment sites is mandatory for a new dweiling. • Unless specificaily approved by the City, all seasonal and permanent doc must be removed at the tlme af principsl dwellinp demolition. They may not be re-installed until a n principai dwelling has reached the framing stage. The following information is presented for the purposes of advising the property ner of the implications of removal of the rina I ctwellin on the 1. Property Address: 3928 Cherry Avenue PID# 08-117-23-33- 018 2. Zoning District: lR-1C Required L�Area: .50 Required Lot Width: 100' $horeiand? Y N Actual Lot Area: 1.06* Actual Width: 88'(approx.) *Acoording to Hennepin County l,ot area variance jg�;��t�equired. Lot width varianc ' required. ** ** Unless City Code Section 7&72, L:ots of Remrd can met 3. Required Setbacks: Front NA Rear NA Side 10' Side Street 15' Lakeshore Lot: Lake(Front) 75' Street(Rear) 30' Average Lakeshore Setba • 4. Massing �Lot Covoerage by Structures ° 5. Hardcover limitations: ��applicable— - �applicabl Stormwater Qualiiy Overlar District Ti 1 2 3 4 Tier 1 har over Ifmit = 25% of gross lot area 6. Municipal sewer is available. 7. According to our information it appears a portion of the properly may co�ain a w and; if a wetiand is preserrt a 35- foot setback is required. If the wetland is within 150 feet of the project a wetland dell tion will be required for setback determination. Minnehaha Creek Watershed District approval is required prior to issu nce of permits from the City of Orono. "Please contact the Minnehaha Creelc Watershed District directly to det mine if a wetland is present. Th can be reached at 952-471-0590. The unde ' property owner hereby aclmowledges receipt of tfie above informa 'on. StafF Inidals I � ;`l;"— a a ►� CJI� Property Owner's Signature Date (Original: Street File; Cop�►: Property Owner) CreaEed: A{xi12013 �� '�.� DATE TIME � CITY OF ORONO CALLED IN INSPECTION N I E SCHEDULED .,��. PERMIT NO. ��rJ "��'�3 COMPLETED ADDRESS ,�Q�� C�d�Jz��c J �i� OWNER TELEPHO E NO. ��Z'�%�l--�f� CONTRACTOR 6, .��-'� � DESCRIPTION ��S ��'�� • W ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINA� ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ��TIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J W �WORK SATISFACTORY:PROCEED �C�ROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContra tor on site: Inspector. �� White Copyflnspector's File Canary CopyfSfte Notiee