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Home My WebLink About2016-00371 (sewer & water reconnect) CITY OF ORONO * 2 PJ 1 6 - 0 0 3 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: 04/14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3185 CASCO CIR PIN : 20-117-23-43-0057 LEGAL DESC : SPRING PARK : LOT MB BLOCK MB PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�T TYPE : RE-CONNECT NOTE: SAC GRANDFATHERED IN-H/U#2283 10/6/69&HOME PRIOR APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 WATERCONNECT/DISCONNECT/REPAIR 50.00 COPPIN SEWER&WATER STATE SURCHARGE SEWER&WATER 1.00 864 QUAIL PKWY WATERTOWN,MN 55388- TOTAL 101.00 (612)508-9974 Payment(s) Minnesota State License#: SW-57329MR CHECK 4868 101.00 OWNER YAFFE,HARRY&BELLE 2300 ARCHERS LA MINNETONKA, MN 55305- AGREEMEIYT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the 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 goveming this type of work shall be compied with whether or not specified herein.This permit 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 time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. _ ,^ ilt� . , � �%�;� � /,t-� f s � �� /y�/�- Appl cant Permite S�gnature � Date Issued By Signature Date . ,��'^..� FOIg��SE ONLY 0� Clty of Orono Date Received: Peranit# �� '� P.O.Box 66 ! 2750 Kelley Parkway ❑In-_ �e SAC Aetermination F rm ompleted ��►L✓ ��,s� ��' Crystal Bay,MN 55323 � \``�� ,�� (952)249-4600/Fax(952)249-4616 Appro�ed By(I�'�equ�d� I b�lP��P q zr �{'�� \�'��c s�i�¢� CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Departrnent•) (ALL PERMI'I'S- Mav be subiect to turther review and mav not be issued whea the ao�licAtion is receivedl GENERAL INFORA�iA'TIOIV 1. You may apply for utility permits by mail or in person at the City of�ices. 2. Mailed in applications aze subject to the postage and handling fee shown below. Pernut cards will be sent by return mail within 2 business days. 3. Permits are not valid until you receive a permit card. 4. VJork must not begin unless the permit card is available on the job site. 5. Urility 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 ANfl 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 i [�J Residential(May Require Approval) ❑ Commercial(Approval Required) .� ❑ New Connection ❑Additional Connection Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connecri n For Future Hook-Up to Water Job Site/Owner Information: Site Address: �31 `� � �a� ��; L: r Owner: !�,.,�t' .t �,t E F _ Mailing Address: �� AC��,�,�rS� City: �n:r��_��IGa, Zip: �r,��c� Home Phone: ��,- q- �� Alternate Phone: Contractor Information: Contractor: ['.a(��^ 5 ;,�� Wc�,�el Contact Person: �'�;\� �p p;,� Address: �(��-1 Gi�C;;,� �� State License#: J,5 � �a�' !�1 f� City: u�a�-�( �1� Zip:S� Expiration Date: 1 Z.-3�' �L^ Phone: �\�- �sb�r3--q�1� Alternate Phone: . DETER.MINING PERMTT FEES ❑ SAC Charge(2015 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) � ewer Connec �o /Discon�ect/Repair($50.00/Per Stub) $ Pipe size '-{` inches;material Schd 40 air tested; cast iron {�W� er Con tn iec on/Disconnect/Repair($50.00/Per Stub) $ Pipe size ��!inches;material Schd 40 air tested; copper ❑ Water Availability For Future Hook-Up to Water(550.00) $ Water Availabilitv Exulaoation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. Required Before Water Connection Permit is Issued: 1. Issue Water Meter&Horn Permit � 2. Any Additional Connection Fees Paid(If Applicable) lssue Water Connection Permit: 1. Collect Permit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ 1.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ADDITIONAL 1NFORMATION—WATER METERS • WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arat�ermit. ■ 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 ardinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are, true and correct. �'. ,�;�71nn,r,� Date: �-t`�- � � Applicant: �' i l �� -� , � (G%�"" DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �( SCHEDULED ' � PERMIT NO.�<<I(G�"� COMPLETED ADDRESS .3 (,� � C C�'-��' L -�� OWNER TELEPHONE NO. �� `� �� ]� CONTRACTOR � �� DESCRIPTION � ��`�``� �" � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERlCONTRACTOR TO EEi YiOU: YES�NO y COMMENTS: � G ��!v�' . �X � �'/� - a f,�'ia�/ �i rl� �v ! '// 7�j�/4 L E% (N �� J � r/ � � DUC S��I �C� S��w-2y ��is�c.P� o � � � �l6 s� � 7 ,� �c �- ls ��,.:;�s J�//D,� W '�_` � Q � 2 W � W � J O . W�WORKSATiSFACTORY:PROCEED �OJECTCOMPLEfE W` ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDiTiON WITHIN HOURS. ' HOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: �i �� Inspector. <,�.dL� White Copyllnspector's File Canary CopyiSke Notice