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Home My WebLink About2007-P11661 - sewer connect � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P11661 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 11/6/2007 SITE ADDRESS: 1500 Bohns Pt Rd Unit# Wayzata,MN 55391 PID: 09-117-23-33-0005 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Reclaim SAC when new home is issued from Nov. 2005 FEE SUMMARY: Permit Fee: $ 35.00 va�uation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: J.S. Stewart Companies OWNER: Robin&Trudy Parker 11099 Lamont Ave. 1500 Bohns Pt Rd Hanover,MN 55341 Wayzata,MN 55391 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 REQUIREMENTS. .;•-- �__ -------> � j� �- � ;: � ��'-�� W�v� �.�/Vl APPLICANT ERMITEE S �NATURE � ISSUED BY SIGNATURE Copies: 1-Fi(e(Sig�iatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 .� i�'" �� _ FOR CITY iJSE ONLY �� '"�p�� City of Orono Date Received: Pennit# �� '¢' �V �\ ,i O (��; P O Box 66 �� _,�Q� � �;, �I 2750 I�elley Parkway ❑In-House SAC Determination Form Completed �� i�� '-r�'�. �� Crystal Bay,MN 55323 '�ld��`.rr��i,�G`� (952)249-4600 Approved By(If Required): � :��oA/' \� CITY OF ORONO-SEWER & WATER/GENERAL PERMIT p �,,�� '" (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) A��,(\V`1'�� (ALL I'ERMITS- Mav be subiect to further review and mav not be iScued when the auplicAtion is received) �v 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 uniess 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 Q Additional Connection �e-Connection [[]] Repairs � Disconnect Job Site/Owner Information: ` I � Site Address: �� / ��f�l�v� S , �� v�`f 1�� -. Owner: ' �� l� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: `._.-_--� ,._-._� Contractor: �.5. J7L�r9�j��Contact Person: :�5,5 c��l��-� Address: l�o�J ��q-r�u a� �,1� State License #: �Oc�C� � City: �Y?��'�i'�- Zip: ��3�i� Expiration Date: Phone: ��3-�/��1` �%0 3� Alternate Phone: �v��-7j��-5��,� DETERMINING PERMIT FEES � SAC Charge(2007 Rate=$1,675.00) $ (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can detern�ine if applicable) (If not prepaid,a sewer connection permit will not be issued) �ewer Connection/Disconnect/Repair /Per Stub) $ ��UC= Pipe size�inches;material chd 40 ir tested; � cast iron ❑ Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; � copper 1. SUBTOTAL of Permit Requested: $ ��, G�� 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �'.,�e—__ Sv 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �J ,� � 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 b,y 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. ifies that.al�}�s�a��tr3ents made on this application are, true and correct. �..: ( � Applicant: � Date: �� '' v� Reset Form �� (DA�TE {J.�T�M�E Y CITY OF ORONO CALLED IN t 3•� _�� INSPECTION NOTICE / SCHEDULED �i• 9��'l_ PERMIT NO.�I 1�/�!(J � COMPLETED ADDRESS �5� .Eh7�Y� �� OWNER CONTR. �S'IC�J�1� C�. TELEPHONE NO.�Q_ ( �� c�1�1 '`� �O o3 � DESCRIPTION �I�I�I�C� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � . �✓f�G ✓(�' '-'1 J'�V'� O � ��r'/l� �b ��C3C-G' ►�.�,� � C�� ,�-�-fl G l �9-�l ��1�<� �� W � Q z o�� /'/��rv► � J�ro,� /.�iC.�C� � �� r,��,� ��I ,��' �a1.ti'� � � d W� I�VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�O CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. L.[1 ��i�� White Copyllnspector's File Canary CopylSite Notice �� DATE TIME � CITY OF ORONO CALIED IN I •lo' I l.�D INSPECTION NOTICE SCHEDULED �I'� (:O P PERMIT N0. I�1 I(0�0) COMPLETED ADDRESS (�� U�1� �� OWNER CONTR. JSS�e1�`� � TELEPHONE N0. lDI Z-' 3�� .3 � DESCRIPTION __��CJVv� C�Y�1�IQ�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS Q ❑ 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/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � S �V1�°i 0 � � � � �('C �-- CLSG c� YVIG�� W � Q � z w � w � � W� fd WORK SATISFACTORY:PROCEED C-� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ^_ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIOtJ REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contrac site: Inspector. ' White Copyllnspector's File Canary CopylSite Notice