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2014-01161 - sewer/water connect
� CITY OF ORONO * z 0 1 4 - 0 1 1 6 1 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3309 CRYSTAL BAY RD PIN : 17-117-23-41-0016 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 001 BLOCK 000 PERMIT TYPE : SEWER& WA"I'ER PROPF,RTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: S1�WI��;R AND WATGR CONNF,C"1�[O'� APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 WATER CONNECT/DISCONNECT/REPAIR 50.00 D.S.M. EXCAVATING STATE SURCHARGE SEWER& WATER 5.00 2916 ENTERPRISE AVE TOTAL ]05.00 HASTINGS, MN 55033- (651)480-1355 Payment(s) CREDIT CARD 0444 105.00 OWNER SCHMID, DAVID 3309 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT l�he work lor���hich this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State C3uilding Code. 'I�his pennit is for only the work describcd and does not grant permission for additional or related work���hich requires separate permits. All provisions of la��•s and ordinances governing this type of work shall be compied�vith whether or not specified herein."I�his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or i f construction is suspended for a period of 180 days at any time after work has commenced. l�he applicant is responsible for assurine all required inspections are requested in confarmancc�vi[h the State[3u�lding Code.'I'his perniit may be revoked at any time for uc cause �� � � � � �, � � D--g / � , ��� � . , �` � � �. � ,L.� �, , 4� Applicant�Permitee Signature �% Uate ' Issued C3 � ignature Datc /G5.l� --— , TY USE ONLY�,, , / / j:',5��-�-1�� Cit��of Orono DateRece Permic# �1�� ;r � P.O.Box 66 ; � 2750 Kelley Parkway ❑In-House SA D ermination Form Completed t'_�4 � , ��� Crystal Bay,MN 55323 `�'���'��"'� �� (952)249-4600/Fax(952)249-4616 Approved By(If Required): �:.?.:,�;�'� CITY OF ORONO— SEWER & WATER/GENERAL PERMIT (*hote:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS- Ma�•be subiect to further revieN and ma�not be issued when the aaaGcation is received) GENERAL 1NFORMATION 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��alid unril 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 work must be inspected before it is covered. Call (952)249-4600,24+hour notice required. TYPE OF PERMIT (Check All That A 1 ) ,_!,�,,( I/;I Residential(May Require Approval) ❑Commercial(Approval Required) � ❑New Connection ❑Additional Connection �Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Owner Information: Site Address: ���/ �'�y��'��� �� Owner: L� ,�L�-�S� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ���/�� �,�'-�i`�T'✓b ��• Contact Person: ///,/� C��,+Zin/� , Address: r�9�(o ����ki/�l7l'��State License#: City: �""✓� Zip:S�J Expiration Date: Phone: ���"y�d``��J Alternate Phone: �/� �i9 �3�1v� DETERMINING PERMIT FEES ❑ SAC Charge(2014 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 p✓�•Schd 40 air tested; cast iron �Water Connection/Disconnect/Repair($50.00/Per Stub) $ � Pipe size ;'' inches;material �0, Schd 40 air tested; copper ❑Water Availability For Future Hook-Up to Water(�50.00) $ Water Availabiliri�Explanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. Rectuired Before Water Connection Permit is Issued: 1. Issue Water Meter&Horn Permit 2. Any Additiona]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) � ADDITIONAL INFORMATION-WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hail,these are on a se�aratepermit. ■ WATER METERS must be set and sealed b�� 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 accardance with the ordinances of the City and the regalations of the State of Minnesota, and certifies that all statemen ade on this application are,true and correct. 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CONTRACTOR � � DESCRIPTION `-'� � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WA�L ❑ MECHANICALRI ❑ LAKESHORENVETLANDS H Q O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ATER HOOK-UP ❑ PROGRESS � ❑ FINAL �SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � � COMMENTS:��� ��l f��U C ��� 'r/ f�4C��- w�,.� a h � �+r /� rr��.v o %�/�C�,� '' t'9- i✓ � ° � �i4���C� c� � � �� `�P/ �,a I �,�i�� �.�— W � Q �!� � 2 W � W � J�j � W/�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE °Q� o�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: ��'j Inspector. ��� � White Copyllnspector's Ffle Canary CopylSite Notice