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Home My WebLink About2006-P10424 - sewer disconnect • � � PERMIT CI`TY CUF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p10424 Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Pern�it (952) 249-4600 Date Issued: 10/6/2006 SITE ADDRESS: 1470 Cherry Pl Unit# Mound,MN 55364 PID: 08-117-23-33-0017 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Westonka Sewer&Water OWNER: Ronald Bartz 6501 Co. Rd 15 1470 Cherry Place Mound,MN 55364 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUI ENTS. . _ / ,i �15.��'-� C� -,�;��-�-�..�_�`.�� APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATURE Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . � - . FOR CITY USE ONLY �0�` Clty Of 02'on0 Date Received`. Permit# "r P.O.Bo�66 ��;, � 2750 Kelley Parkway ❑In-House SAC Determination Form Completed � 1��',L � Crystal Bay,MN 55323 � �7� ,{o o~ (952)249-4600 Approved By(If Required): t t�l�';$�, '�sacca CITY OF ORONO—S�VVER& WATER/ GENERAL PERMIT (*Notc:Some permits may require approval by the Building Ofticial and/or Public Works Department*) (ALL PERI191TS Mav be subiect to further review and mav not be issuecl when the apnlication is received) GENERAL]NFORMATION 1. You may apply for utility pennits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown below. Pernut cards will be sent by rehml mail within 2 busuiess days. 3. Permits are not valid until you receive a pernut card. 4. Work must not begin unless the pernut card is available on the job site. 5. Utility coiuiection permits may be issued to licensed conhactors oi�ly. 6. Contact the Public Works Department(952-249-4600) for utility shtb as-built locarions. DO NOT EXCAVATE Il�ANY STREET AND DO NOT TAP ANY MAIN w�ithout express approval of the Public'1�'orks Department. Issuance of a pemut does not grant this approval. 7. All work must be done in accordance with State Code requuements. S. All work must be inspected before it is covered. Call(952)249-4600,24+hour notice required. TYPE OF PERMIT (Check All That APP1Y) �esidential(May Require Approval) ❑ Commercial(Approval Required) ❑ New Coimection ❑Additional Comlection ❑Re-Connection ❑ Repairs [�Disconnect Job Site/ Owner I�Zformation: Site Address: 1 Lj�C� �G��f J'�� Owiier: ��%' �� z�e�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: (,c�`�� l� �/(,� ContactPerson: l,54'� `�°'� Cl� �`� z Address: �� • �c�` �� State License#: � �s�`�/"�� City: vZ�E�-�-��c� Zip: +�rr�. Expiratio»Date: j�.��_ �� Phone: ( �o� I � 7v� � ��`� `� Alternate Phone: ��2 � l-7 �7S � . - . �"` . DETERNIININGPERMITFEES � `' ` " ❑ SAC Charge(2005 Rate=$1,550.00) $ (SAC Charge must accompany all sewer pernut applications unless prepaid) (Orouo City Staff can determine if applicable) (If not prepaid,a sewer connection permit will not be issued) �ewer Connecti n/Disconne t , epair($35.00/Per Stub) $ Pipe size inc , erial Schd 40 air tested; cast iron ❑'��ater Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches; material Schd 40 air tested; copper 1. SUBTOTAL of Pernut Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Luies 1-3 Above) $ ADDITIONAL INFORMATION-WATER 1VIETERS ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate pernut. ■ 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 Peiznit, agrees to do all worlc in sh-ict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made this application are, true and coizect. C - Applicant: Date: � � . . \ \ DATE TIME � � CITY OF ORONO CALLED IN �'��'� ��' INSPECTIONNOTICE SCHEDULED � G�' r� j '� PERMIT N0. � ( � `-}�- `� COMPLETED ADDRESS � � � L ��" ��' OWNER�h-r . 't��u-"� CONTR. G-��-��Gi-- � Lt' � TELEPHONE NO. ��-� 7� - �� y >- DESCRIPTION �e-��n-- /��-��'-`��Zk�� l� 01 FOOTING �1 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENJETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � w a � — e e �I`LJc�.�.d 0 � � 0 � w � Q � z W � W � j GW ORK SATISFACTORY:PROCEED C PROJECT COMPLEiE � O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT __ - ❑CORRECTUNSAFECONDITIONWITHIN HOURS. Cj pHOTOTAKEN INSPECTOR WIL�f1ETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe xt inspection 24 hours in advance. (952� 249-4600 OwnerlCo site: Inspector. � � White Copyllnspector's File Canary CopylSite Notice ' � DATE TIME � � CITY OF ORONO CALLED IN JU '"�D '�� INSPECTION NOTICE SCHEDULED i D•� �' ( %� PERMIT NO. I� f G�-1 Z `I COMPLETED ADDRESS � `� � � �� OWNER �h,�.G . CONTR. ��fr'�e�e��rt��.�--- � Lt� TELEPHON E NO. CI�5�—� 7� — � S J � DESCRIPTION_,�,,��'�— �'LG�'�C�t�--c�" l� 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � � �--- e e J`LJ�,d 0 � � 0 � W � Q � Z W � W � j d W ORKSATISFACTORY:PROCEED CI PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (J52� 24J-4600 Owner/Co site: Inspector. White Copyllnspector's File Canary CopylSite Notice