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Home My WebLink About2016-01464 - sewer & water disconnect '�� CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 - 0 1 4 6 4 * DATE ISSUED: 11/22/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3907 CHERRY AVE PIN : 08-117-23-33-0027 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 006 PERM[T TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DISCONNECTION NOTE: WATER&SEWER DISCONNECTION PER CITY OF ORONO APPL[CANT SEWERCONNECT/DISCONNECT/REPAIR 0.00 WATERCONNECT/DISCONNECT/REPAIR 0.00 PRIDE CONSTRUCTION&EXCAVATING STATE SURCHARGE SEWER&WATER 0.00 9450 WEST HILL ROAD WATERTOWN,MN 55388 TOTAL 0.00 (952)475-2928 OWNER 1[[,GERALD CLARK 870 CHERRY AVE MOUND, MN 55364- AGREEMENT AIYD SWORN STATEMENT The work for which[his 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 governing 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 Ihe 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 at any time for due cause. , �� i°l l � �� Applicant Permitee Signature Date Issued B ignature Date * , . ..�-� FOR U�E oNLY /�� NO�� City of Orono DateReceived:/��1�e�nitll ��10 �' •� P.O.Box 66 ( ; 2750 Keiley Parkway ❑In-House SAC Determinadon rm Compkt •��,� �-�' Crystal Bay,MN 55323 \\��S�j o¢,,�- (952)249-4600/Fax(952)249-4616 Appmved By(If Requ'ved)• `�•� CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/ar Public Works Departrnent*) (ALL PERMTfS- Mav be subiect to further review and mav not be issued when the aoolic�tion is rcceivedl GBNERAL IIVFORA�IATION 1. You may apply for udlity permits by mail or in person at the City offices. 2. Mailed in applications aze 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 pemut 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 t6e 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. TYP�OF PERIviIT Check All That A i `�esidential(May Require Approval) ❑ Commercial(Approval Required) ❑New Connection ❑Additional Connection ❑ Re-Connection ❑Repairs Disconnect ❑ Water Availability Connection For Future Hook-Up to Wa Job Site/Ovvcier Information: Site Address: (/ f'l�r Owner:� (_�erQ�((`�„� Mailing Address: 36Q C`t?�"r' V'G City: �f�Q/(�� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �jQG (�4�'!�T!'G�77dGj Contact Person: �C/� Yp►/2C{�Q/"�i�QJoy Address: T" W v(l �p� State License#: � 7 8� ( �'`�f7 /� � City: � ��1�/ Zip:�S�� Expiration Date: Phone: �P��"�Z� 1�_ Alternate Phone: � �— � , � D�'I��lN�rG P�II�MIIT FEES ❑ SAC Charge(2015 Rate=52,485.00) $ " � (SAC Charge must accompany all sewer permit applications unless prepaid) /(Orono City Staff can determine if applicabie) / (If not prepaid,a sewer connection permit will not be issued) Sewer Connectio /Disconne /Repair($50.00/Per Stub) $ Pipe size inc es;material Schd 40 air tested; cast iron �Water Connecti Disconnect/ epair($50.00/Per Stub) $ Pipe size es;material Schd 40 air tested; copper ( ❑ Water Availability For Future Hook-Up to Water($50.00) $ Water Availabilitv Eznlanation: Contractor installed line to inside of house for future hook-up. T'his line will be inspected by the Public Works Department. Required Before Water Connection Permit is Issued: 1. Issue Water Meter&Hom Permit 2. Any Additional Connection Fees Paid(If Applicable) Issue Water Connecrion Permit: 1. Collect Permit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ 1.00 3. POSTAGE&HANDLING(Orily on Mai�-Ip 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 separate permit. ■ 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 ih strict accordance with the ordinances of the,City and the regulations of the State of Minnesota, and certifies that all st ents made on this,a}�plication are,true and correct. t • Applicant I � �Date: G+� � �. !�d�� h�e � C �� ,_e�%� r `V � �J DATE TIME CITY OF ORON��' ��`ti��►LLED IN �� - 2�� INSPECTION NOTICE r� HEDULED l/-Z 5/(o /D :�� PERMIT NO. � '�-' Gl T COMP ED ADDRESS -� C/' ��f�-YYZ �'�.G��L-�__. OWNER T EPH E NOI��=5-j��7�� CONTRACTOR Y�'� �I�uG�� — � DESCRIPTION �� `'�� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET�qU:_YEH_NO - // // � COMMENTS: 'Y C�4�/ ..�-��-�t� �ar�//G.� � ��-DOp �I �:�' , � �'/G�r'� /�� 0 �. � ° % �� W � Q � 2 � W � � W�WORK SATISFACTORY:PROCEED /t�PROJECT COMPLETE �'�O OORRECT WORK 8 PROCEED ❑ISSUE CERTiFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECd1/ERINO PERMANENT ❑CORRECT UNSAFE CONDITION WfTHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection ho4rs/in advance. (952) 249-4600 OwnerlContractor on site: �' l i Inspector: '� �� White CopyllnspectoPs Fils C�nary CopylSlt�Notks