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Home My WebLink About2009-00209 - sewer connection CITY OF ORONO PERMIT NO.: 2009-00209 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/05/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4060 DAHL RD PIN : 07-117-23-11-0020 LEGAL DESC : P[RATES COVE : LOT 016 BLOCK 001 PERMIT TYPE : SEWER& WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: NEW SEWER CONNECTION-4" PIPE-MATERIAL-PVC SCHEDULE 40 APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 WENZEL- PLYMOUTH PLUMBING LLC STATE SURCHARGE SEWER&WATER 0.50 1710 ALEXANDER RD EAGAN, MN 55121- TOTAL 50.50 (65l)452-1565 OWNER NEVE, MR& MRS. JAMES 4060 DAHL RD MOLIND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be per}ormed according to the approved plans and specifications,applicable City approvals,and [he State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pernlit 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 timc after work has commenced. "Che applicant is responsible for assuring all required inspections are reyuested in conforman h the State I3uilding Code.This permit may be revokedat�_Yim��due use. � �� ,�� ;;=�,.�_ �� c.�l — — � � � 5 �� 5 Applicant Permit Signature ' Date ssued By SignaCure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 POR CITI'USE ONL1' � '�(� City Of�rOnO D3te Recei�e�d: Permit# � � � � P.O.Box 66 �- ��'�� 27j0 Kcllc Park�ra . y y ❑ln-I3ouse SAC Determination Fonn Completed .t i�� =t Crystai Bay,MN i5333 �t� '� e�� (952)249-4600 Apprcved By{If Reyuued): 44 ' `�1@dit0.., CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*'_�ote:Somc x;rmits may rcquirc approval by thc Buildi ng Official and/or Public Works Dcpartmcnt*) (ALL PERA�IITS- Mav be subiect to further revieN�and ma��nut be issucd H�hen the aopGcation is rrceived) 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. Pennit 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 issue�d to]icensed contractors only. 6. Contact the Public Works Department(952-249-4600)for utility stub as-built locations. DO NOT E�CAVATE IN ANY STREET AND DO 1�'OT TAP ANY MAIN without express approval of the Public Works Department. Issuance of a pennit does not grant this approval. 7. All work must be done in accordance with State�Code requirements. 8. All �vork must be inspected before it is covered. Call(952)?49-4600,24+hour notice required. TYPE OF PERMIT � (Check All That A 1 ) �Residential(May Require Approval) � Commercial(Approval Required) 0 New Connection ❑ Additiona] Connection ❑Re-Connection ❑Repairs �Disconnect Job Site 1 Owncr Information: Site Address: 4060 Dahl Road Owner: Lecy Brothers, Inc. Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Wenzel-Plymouth Plumbir� Contact Person: Fred Hanson Address: 1710 Alexander Road State License#: 061555-PM City: Eagan Zlp; 55121 Expiration Date: 12/31/09 Phone: (651)452-1565 Alternate Phone: DETERMINII�TG PERMIT FEES ❑ SAC Charge(2009 Rate=$2,000.00) $ (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) $ 50.00 Pipe size 4 inches;material Pv� Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size inches;material PVC Schd 40 air tested; copper 1. SUBTOTAL of Permit Requested: $ 50.00 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ `z ''.�—�_ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 50.50 ADDITI�NAL TNFORMATION-VVATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate pennit. ■ 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 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 statem ade on this application are,true and correct. Applicant: Date: 05/04/09 Reset�For� J SEWER& WATER PER11'IIT IN HOUSE FORM-TO HELP DETERMINE SAC UNITS FOR C'ITl'USE ONLY ('�Please Key This Informa6on On Comment Line Of Permit") Date Completed: #Of SAC Units Completed By_ ❑ *SAC Prc��iously Paid- Permit# Datc of Pcrmit *Charge 1 SAC Unit Per Home *]f Multiple Homes Or Units-May Need To Pay Additional SAC Charges ❑ *SAC Grandfathered In— Permit# Date of Permit *Must have had I��ook Up&I�Tome Prior To)anuary 1,]973 *Refer to Helpful Hint Sheets,Or Ask IfNecessary *If Multiple Units-May Need To Pay Additional SAC Charges ❑ *Commercial— Permit#Accounted For Date of Permit ❑ *Letter�'rom Met Council—Showing Us e-Or Additional Units Needed- *Contact Jodi at(651)602-]I 13 To Obtain Letter {llsuaily Buiiding Ot�icial Obrains) *Copies To:Lyle,SVeet File&One On Copy Of Permit For Reportin� *Ifunable�to deternline;�vill have to wait to be issued until determination ean be made ❑ SEPTIC Area- *'�*WATCH FOR THESE CONNECTIONS*** *Person Will Have To Pay Connection Fees&Assessmznts+SAC Charges *Refer To Current Year Fee Schedule! Don't Kelcase Until Fees Are PAID? (.Ask for Scott or Lin's Hetp With These) � � *Will Need Approval From Public Works(Scott) ❑ Special Grinder Pump Needed *Have Them Talk To Scott For Questions&Pricing *Give Them Special Hand Outs±(In Drawer Wit}�Se4r°er Pennit) ❑ Permit Needs.Approval From Public Works: Appro�-ed Bq: *Side note,Connection Pennits—Cover Septic Tank Abandonment Also,Per Lyle L�P ATE TIME � CITY OF ORONO CALLED IN ✓ / �� INSPECTION NOTICE S�{HEDULED � //�' �t7 PERMIT NO. O�l�� "�I "DDo�OCOMPLETED � ADDRESS "�� OWNER C R. �� / TELEPHONE NO. �� 3 - � - �� DESCRIPTION � ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � ,� v 0 � � I � �f� ��"� ��S .� � �i�S �t � � u n �-�`� b(i"��c...J�y W / , � �r-�� i�� ' t eL � Q , � z w � W � � d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTtON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. (,�/7J Call for the next inspection 24 hours in advance. �952� 249-46QQ K/ OwnerlContractor on site: ' ! /a • � inspector. White Copyllnspector's File Canary CopylSite Notice