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Home My WebLink About2009-00545 - sewer repair � � CITY OF ORONO PERMIT NO.: 2009-00545 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1305 ELMWOOD AVE PIN : 07-117-23-41-0030 LEGAL DESC : SAGA HILL REVISED : LOT 001 BLOCK 007 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : REPAIR NOTE: SEWER REPAIR-PIPE SIZE 4" SCHD 40 APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 ROTO ROOTER SERVICES CO. STATE SURCHARGE SEWER& WATER 0.50 14530 27TH AVE.N. TOTAL 50.50 MINNEAPOLIS, MN 55447- (763)519-3907 Minnesota State License#: 058341 OWNER KUHNE, SCOTT 5832 LINCOLN DR#124 EDINA, MN AGREEMENT 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 oniy the work described and does not grant permission for additional or related work which requires separa[e permits. All provisions of laws and ordinances governing[his 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 c ance wath the State 13uilding Code.This permit may be revoked at a � e for u�c�� l-l�-v� �o � D Applic t P, rmitee Signature Date Iss ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ��SE ONLY � �� Clty of Orono Date Receive Permit#�3� �'"/�O�� P.O.Box 66 ��/� �`? �750 Kelle Parkwa In-House SAC Determination Form Completed �` �' � Y Y ❑ � �7'� ? ' �' Crystal Bay,MN 5�323 �\�� '�i��.��i�� (952)249-4600 ApprovedBy(If Required): \� p6t'. �� CITY OF ORONO—SEWER& WATER/ GENERAL PERMIT (*Note:Some perrrtits 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 aoplication is received) 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 be]ow. 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 Al�'Y MAIN without express approval of the Pubiic 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 Approva]) � Commercia] (Approval Required) ❑New Connection ❑Additional Connection ❑Re-Connection �Repairs � Disconnect / ` Job Site/Owner Information: ' ? -- Site Address: ��L'� �'"� (�� i"� I°Y) t/U, Owner: �k:U� �v�1�L(, Mailing Address: City: (�r�.�p Zip: Home Phone: � � ��J��J— �?`� Alternate Phone: Contractor Information: Contractor: �� :�- U Contact Person: /,�/��'K �C""' Address: �� , `l� ��(�(J, State License #: ��S`�� — r rY) City: � Zip:.�� Expiration Date: �a��(��"J Phone: 7�1�-.5I`� - �1t�� Alternate Phone: �� c).�'J/ ,�, ,!I''' � �� j '�'I: � °�' � '":�ETERIvIIi�1ING PERMIT FEES I � ❑ SAC Charge(2009 Rate=$2,000.00) $ (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can determine if applicab]e) (If not prepaid,a sewer connection permit will not be issued) G� ewer Connection/Disconnect/Re air($50.00/Per Stub) $ `�Q Pipe size�inches;materia]�Schd 40 air tested; cast iron ❑Water Con�ection/Disconnect/Repair($50.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING (Oniy on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE Add Lines 1-3 Above �' ( ) � ��n's ADDITIONAL 1NFORMATION-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 R%ater 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 accorda e with the ordinances of the City and the regulations of the State of Minnesota,and certifies� all sta ements made on this application are,true and correct. r � Applicant: Date: / � /� I Reset Form � .�'..p .. ,� I � I '' . , i ' 1 I � I,r � _� `�"'�� p/ D E TIME �/ CITY OF ORONO �ED IN /` U � INSPECTION NOTICE �,�HEDULED a��'� PERMIT NO.�O��.��i�oMPLETED ADDRESS �� OWNER CONTR. � �� TELEPHONE N0. � �L �— � � DESCRIPTION �I �� ❑ FOOTING ❑ MECH IC L RI ❑ EXCAV/GRADING/ IL ING Q ❑ FRAMING ❑ MEC ICAL FINAL ❑ LAKESHORE/WET DS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ 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 J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: 9 � W a j SC� CfiivrU �jC �;pfZ rC��l,�4Ceci 0 � O�J-�S. �,P �J � �{o�SR � Q��SE6�l�- ° '�� `vi ( (� P�c� , c,9s� i/'�..J o.� t QU �- E-�c��,`S.e - Fe�.�c� S v.� C��.+i,. F��s � � _� > I�'c�c�C�c� O�f S .�P p� (-/o.:s� z W � W � � d W��WORK SATISFACTORY:PROCEED ❑ PROJECT COMP�ETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pH0T0 TAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. (O;a,f�ri �� White Copylinspector's File Canary Copy/Site Notice