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Home My WebLink About2013-00754 - sewer connect , CITY OF ORONO *�� 2750 KELLEY PARKWAY DATE ISSUED: 08/O1/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRES� : 3059 FARVIEW LA PIN : 04-117-23-33-0008 LEGAL DESC : FARVIEW : LOT 006 BLOCK 001 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NO�f�: SnC PAID 1979 WI"CH BUILDING PERMI�I� APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 E J MAYERS, INC. STATE SURCHARGE SEWER& WATER 5.00 21300 I,ARKIN RD HAMEL, MN 55340- TOTAL 55.00 OWNER BAKER, KAREN 3059 FARVIEW LA LONG LAKE, MN 55356- 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 C3uilding Code. This permit is for only the work described and does not grant pennission 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.'rhis permit will expire and become null and void if construction authorized is not commenced within ]80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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 ny time for due cause. � / �,/ � � ' � < l � I �� Yl.-�✓`„'L�l l Applica ermitee Signature Date Issued By Sig ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO : � . FOR CITY USG ONL1' '��-�� Clty Of 01'On0 Date Received:� � Pennit# � � P.O.Box 66 I i � 2750 kelley Parkway ❑In-House SAC Detennination Form Completed � ��: a Crystal Bay,MN 5�323 ! y `F� .� ��,'� (952)249-4600 � Approved�By(If Required): � � �:��tstroF , � �� `._._._ CITY�OF ORONO — SEWER & WATER/ GENERAL PERMIT (*Note:Some permits may require approval by the Building Official a�d/or Public Works Department*) (ALL PERMITS- Mav be subieet to further revie�°and ma��not be issued when the annlicatimi is received) GENERAL:INFORMATION ' 1. You may apply for utility permits by mai] 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. 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 Apply) ❑ 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: '�.' � r Site Address: �� Owner: ��1'l ��-�J' Mailing Address: �d f j��C� City: � �(� C� Zip: �� Home Phone: Alternate Phone: Contractor Information: r ' � . V Y� .��5.� YI�. Contractor: � Q ntact Person: t�Yl�''� �0� �� Address: C�� r' �j f-1 �d State License #: ��jlr,(q�� City: l Zip��y�xpiration Date: �� L�� r /,,� Phone: ��^ �_l�'�G � �� Alternate Phone: � ��` "� (GV , . � � k„ .`:aa ��.��d��y�`�-�� .3.,,�. \ ❑ SAC Charge(2013 Rate=$2,43�.00) $ (SAC Char�e must accompany all sewer permit applications unless prepaid) (Orono Ciry Staff can determine if applicable) (If not prepaid,a sewer connection permit will not be issued) [� Sew Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe s�z 'nches; materiai Schd 40 air tested; cast iron ❑ Water Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size inches; material Schd 40 air tested; copper ❑ Water Availability For Future Hook-Up to Water($50.00) $ Water Availabilitv Explanation: 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: l. lssue Water Meter&Horn Permit 2. Any Additional Connection Fees Paid(If Applicable) Issue Water Connection Permit: 1. Collect Permit Fee R 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 Hall,these are on a separatepermit. ■ 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 wark iq� str`ict,accor.danc� with'the ordinar�ces of th�e City and the regulations of the State of Minnesota, and certifies that all statements made on this application are,true and correct. 1 ` f - Applicant. ��Q Date: � l � City of Orono Geobase Data by PIN PIN#: 04-117-23-33-0008 PIN: 04-117-23-33-0008 Parent PIN: PID: 3059 Farview La Short Lega] Description Long Lake, MN 55356- Farview Apt:No Block: 001 Lot: 006 Parcel: Primary Owner: Primary Resident: Baker, Karen 3059 Farview La Long Lake, MN 55356- Zoning District Setback- Front Permit Issued? No Lot Size 2.82 Setback- Right Case Issued? No Year Built 1980 Setback- Left Setback- Rear Project Code 16842 Project Name Farview- Sewer Total Project Cost 152,971.00 Project Date Sep 9 2007 Improvement Parcel Cost 7,650.00 12:OOAM #of Parcels 19 Description Sewer Interest Rate 6.25 #Years Payable 15 Impromvements- Notes Related Parcels Assessed SAC Permit Date May 21 1979 SAC Amount Pd 425.00 SAC Permit# 4008 12:OOAM SAC Notes # Of SAC Units I Met Council Letter Date Owner Chgd Swr Conn Permit Swr Conn Date Post Office Notes Reason For Chg Post Office School District Fire Department Precinct Weight Limits Utilities Zoning Date of Permit 10/17/79 Septic S System Type shallow trench In Musa Yes Installer Westonka Plbg. BRs designed for 4 Material precast concrete Shoreland Yes Building Type residence DF Ht above Wt 12 Capacity 1000, ]000, 1000 Treatment Area 1000 Well-DF 200 Type of Filter Setbacks- 50 Report in File Depth 130 Well-Tanks Previous Owners Tank Filter Soil Boring yes Name Paid Via Type of Assessment Amount Paid Date Paid Legal Long Description FARVIEW,,,, Issues Sewer Area: When Hooking Up-Tell Contractor A Special Grinder Pump Is Needed-Hand Outs In Drawer. For Futher Comments Look At Project Notes. Variance 07/16/2013 Page 1 of 1