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Home My WebLink About2007-P11608 - sewer connection ' PERMIT C�ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11608 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 10/22/2007 SITE ADDRESS: 1595 Bohns Pt Rd Unit# Wayzata,MN 55391 PID: 08-117-23-44-0024 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: SAC Pd#6532 - 11/03/81 FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Freedom Mechanical OWNER: Pat&Kathy Halloran 11135 Hwy. 7 1595 Bohns Pt Rd Watertown, MN 55388 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. L�is��i�t� �, ^ _ � 7� ,�. ��C�� l CS� �� APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE �- Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY �',�Q�� City of Orono Date Received: Permit# � � /� ��, P.O.Box 66 ��%"� � �; �� 2750 Kelley Parkway ❑In-House SAC Determmat�on Form Completed ,� V �i��'1� ��+i��b`� (52)2 9a46MN 55323 l, / Approved By(If Required): (---) �j' .'��o�/,' f � j�i/ ' 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 bc issued when the aan�ication is received) �� GENERAL INFORMATION � l. 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. Al(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 � Job Site/Owner Information: Site Address: �/,S��f LCJvh�'S �/`� �� Owner: �G l�0�.4_� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Infor�nation: � � Contractor: �%��-�^�—� �'��'�-� Contact Person: (/''��«-� � �� Address: `��3� � State License #: � �U f Z City: 6� ��✓ Zip: S3��xpiration Date: Phone: 6��- ,3�� 1�� Alternate Phone: �SoZ `fY� �Sv�y �. ��,�� ;��.�. ,�� .. . T�ETERMININ��PE�TT��S ��, x= _ �: � SAC Charge(2007 Rate=$1,675.00) $ (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 Connec ion/Disconnect/Re air($35.00/Per Stub) $ Pipe size L inches;material �- Schd 40 air tested; � cast iron ❑Water Connection/Disconnect/Repair ($35.00/Per Stub) $ Pipe size inches; material Schd 40 air tested; 0 copper 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 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 c�mpletion 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: � d��L�*-� Date: `U��-��? Reset Form � � D E('}� TIME C TY OF ORONO CALLED IN �O � / -�� INSPECTION NOTI SCHEDULED in - 210�(T� � 0 PERMIT NO. i� � cornPL�ED ADDRESS kJ 'i" OWNER CONTR. ��'D�CIYC� IV1Q�y1 . TELEPHONE NO.��l Z'- ��1��1/l"I � � DESCRIPTION � ��n��P��'� ��_ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREP�ACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j � � � � � 'S t� � � _ . o , � � � ��S � � W � Q ~ 5 l. � �['V�Q. .�._I,�s Z � W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for th next inspection 24 hours in advance. (952� 249-46�� OwnerlCon n site: Inspector. \ White Copyllnspectors File Canary CopylSite Notice