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HomeMy WebLinkAbout2012-00942 - sewer disconnect CITY OF ORONO * Z 0 1 2 - 0 0 9 4 2 * 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1370 CHERRY PL PIN : 08-117-23-32-0022 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 011 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DISCONNECTION NOTE: SEWFR DISCONNECT APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 BURNS EXCAVATING, INC. STATE SURCHARGE SEWER&WATER 5.00 3470 CO. RD 21 MAYER, MN 55360- TOTAL 55.00 (612)685-4303 Minnesota State License#: 1888 OWNER NAFSTAD, ER[K 1370 CHERRY PL MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for N�hich this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Codc. This permit is for only the work described and does not grant permission for additiona]or related work which requires separate permits. All provisions of laws and ordinances goveming 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 for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring alI required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 'i 9 ' � � 9, i y ,��- Applicant Permitee Signature ' Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FO CITY USE ONLY G O`��y Clty Of OiOnO Date Received:�_1a,P.e?mit#��� 7 � �l�� ��\� P.O.Box 66 � a�„t , �{ 2750 Kelley Parkway ❑In-House SAC Determination Form Completed �� �;'�,r�" ��� �rys�al Bay,MN 55323 � A roved B If Re uired ��.4`,,/ 952 249-4600 PP Y� 4 )� �!+taxa� CITY OF ORONO-SEWER&WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Officia]and/or Public Works Department*) (ALL PERMITS- Mav 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 wili 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 Deparhnent(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: 1 ���) �� l�G�12 L� �� .f/��' L�� Owner: (_�!�� N�� F51-l�C'� Mailing Address: 5���J (��1 �l `��� V�'L-- � • City: ��l �A_l/U 1=1�4�.)�LiL.� Zip: .5��t�i Home Phone: Alternate Phone: Contractor Information: Contractor: ��.�t lZ/Ll� Clr�lW�1� Contact Person: S�-�(�, �LZ(�/l.��- Address: �'J`�7� ��(.7 �ZC( z 1 State License#: �I��L lq�i ���7 5�3��U City: �� LIZ Zip: Expiration Date: Phone: ��'I S z� C S� -�!/Z. Alternate Phone: ��O�z� ��� �/,3CJ� t. <� �.fi .a:��d�� .tt�Yb t'�� �r h �"�� ❑SAC Charge(2012 Rate=52,365.00) � (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) --� �1�� �.� �Sewer Connection Disconnect/ epair($50.00/Per Stub) $ `� U � Pipe size inc ,matenal 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&Horn Permit 2. Any Additional Connection Fees Paid(If Applicable) Issue Water Connection Permit: 1. Collect Permit Fee&Issue Water Connection Permit 4,� 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) $ s�� �� ADDITIONAL INFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate�ermit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter installatioo. 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'�I!'r k� i [".�'���'+'4 ��� !��r . 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N ', ID: � � � Print Date:9/18/2012 4 � ( � Owner Erik W Nafstad Market $635,000 I � Name: Total: � , ; Parcel 1370 Cherry PI Tax $7,150.24 ! Address: Orono,MN 55364 Total: (Payable:2012) j Property Residential Lake Shore Sa�e Type: PfiCe: i This map is a compilation of data from I varioussourcesand isfurnished "AS IS"with i Home- Sale no representation orwarranty expressed or , Homestead implied, including fitnessof any particular Steed: Date: purpose, merchantability,orthe accuracy i and completenessof the information shown. Parcel 0.53 acres Sale ! COPYRIGHT O HENNEPIN COUNTY 2012 ; :. Area: 23,214 sq ft Code: I1 .�.,r..r.-.,.r...� � s.co.hennepin.mn.us/Property/print/default.aspx?C=450795.98329999996,49779473016&L=9&T=aer... 1/Z �18/12 � NORMAL GeoCall Locate Information-122622120 From: tickets@korpartners.com <tickets@korpartners.com> To: STEVE@BURNSEXCAVATING.NET Cc: Date: Tuesday, September 18, 2012 12:25 pm Subject: NORMAL GeoCall Locate Information - 1226221Z0 Attachments: Gopher State One Call Locate Request ---------------------------------------------------------------------------- Ticket Number: 122622120 Old Ticket: By: JENNI 0 Source: EMAIL Type: NORMAL Date: 9/18/2012 12:25:00 PM Send To: AutoEmail Sequence: 1 Company Information ---------------------------------------------------------------------------- BURNS EXCAVAVTING, INC. Type: CONTRACTOR 3470 COUNTY ROAD 21 MAYER, MN 55360 Caller: CORBEY HENTGES Caller Phone: (952) 955-3112 Contact: STEVE BURNS Contact Phone: (612) 685-4303 Company Phone: (952) 955-3112 Company Fax: Company Email: STEVE@BURNSEXCAVATING.NET Work Information ---------------------------------------------------------------------------- State: MN Work Date: 09/20/2012 12:30:37 PM County: HENNEPIN Done For: WILLETE BUILDING C Piace: ORONO Street: 1370 CHERRY PL Intersection: NORTH ARM DRIVE Type of Work: OTHER - SEE REMARKS Explosives: No Tunnel/Bore: No Right of Way: Yes Duration: 4 DAYS Remarks ---------------------------------------------------------------------------- OTHER WORK TYPE DESCRIPTION: DEMOLITION AND SEWER DISCONNECT MARKING INSTRUCTIONS: PLEASE MARK ENTIRE LOT INCLUDING THE ROAD RIGHT AWAY DRIVING DIRECTIONS: PROPERTY IS LOCATED ON THE EAST SIDE OF CHERRY PLACE; WEST OF LAKE MINNETONKA; NORTH OF CHERRY AVENUE AND SOUTH OF SPRUCE PLACE WHERE IT DEAD ENDS CROSS STREET PROVIDED AS: NORTH ARM DRIVE (COUNTY ROAD 151) ALT CONTACT: STEVE BURNS - (612) 685-4303 ORIGINAL FILE: KOR 2012091801243.XML Members ---------------------------------------------------------------------------- Code Name Phone Number ---------------------------------------------------------------------------- CORONO01 CITY OF ORONO 9522494600 FRTIEROS FRONTIER COMMUNICATIONS 7636823514 MINGAS05 CENTER POINT ENERGY 763-559-5185 MNDCBLOI MEDIACOM 515-559-0032 QLNMN03 QWEST (800) 283-4237 XCEL08 XCEL ENERGY 6126304366 Location ---------------------------------------------------------------------------- Latitude: 44.9559691649389 Longitude: -93.628309107524 Second Latitude: 44.9503233883688 Second Longitude: -93.6221837669209 T 117N R 23W S 7 Q SE T 117N R 23W S 8 Q SW �ail.burnsexcavating.net/edgedesk/cgi-bin/viewmail.exe?id=010e7c2b5a970ec6e27f1c94af89f498282... l�z /18/12 , printdetails.jsp � ' Parcel Data for Taxes Payable 2012 Property ID: 08-117-23-32-0022 Address: 1370 CHERRY PL Municipality: O RO NO School Dist: 277 Construction year: 1930 Watershed: 3 Approx. Parcel Size: W 100X238X100X235 Sewer Dist: Owner Name: ERIK W NAFSTAD Taxpayer Name ERIK W NAFSTAD &Address: 5335 EMERSON AVE S MINNEAPOLIS MN 55419 Sale Information Sales prices are reported as listed on the Certificate of Real Estate Value and are not warranted to represent arms- length transactions. NO SALE INFORMATION ON FILE FOR THIS PROPERTY. Tax Parcel Description The following is the County Auditor's description of this tax parcel. It may not be the legal description on the most recent conveyance document recording ownership. Please refer to the legal description of this property on the public record when preparing legal documents for recording Addition Name: "SAGA HILL REVISED, HENNEPIN CO. MINN" Lot: Block: 011 First Line Metes &Bounds: LOTS 5 AND 6 Full Metes&Bounds: Note: To read full tax parcel description, click here. Abstract or Torrens: ABSTRACT Value and Tax Summary for Taxes Payable 2012 Values Established by Assessor as of January 2, 2011 Estimated Market Value: $635,000 Taxable Market Value: $635,000 Total Improvement Amount: Total Net Tax: $7,150.24 Total Special Assessments: Solid Waste Fee: Total Tax: $7,150.24 Property Information Detail for Taxes Payable 2012 Values Established by Assessor as of]anuary 2, 2011 Values: Land Market $625,000 Building Market $10,000 Machinery Market Total Market: $635,000 Qualifying Improvements Veterans Exclusion Homestead Market Value Exclusion Classifications: Property Type RESIDENTIAL LAKE SHORE Homestead Status HOMESTEAD Relative Homestead Anrir�JYnral wwl6.co.hennepin.mn.us/pins/printdetails.jsp?pid=0811723320022 l�Z DATE TIME CITY OF ORONO CALLED IN INSPECTION OTI E SCHEDULED '- r Z PERMIT NO. D� ^D�� �OMPLETED ADDRESS � 37� Cl�er ry Pf OWNER TELEPHONE NO. CONTRACTOR GC�/K� ��G�'_ �; DESCRIPTION ���� �✓�S�-����'Q � � l� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO , � COMMENTS: Sc��z-.' ,� �'s�6���ect � �/� / a �.JAG�X ' �2 � T�'°s'n� �/�-ST S�Qe � �4�'•4�`-2. O `� /� Cf9�ST .�i'o r� �e.c.✓�o-- .>`P�'v�� (>/I c�es" � Gr�,9.�,e —f-o 5��2_T 0 � W � Q � W � � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: a`��"'� �� Inspector. �� ,�l'" White Copyllnspector's File Canary Copy/Site Notice