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HomeMy WebLinkAbout2011-00363 - new sewer connect _ _. ' CITY OF ORONO P�RM1T No.: 2oli-oo363 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/18/2011 952 249-4600 FAX: 952 249-4616 REPRINTGD ON 5/18/2011 ADDRESS : 1155 HERITAGE LA PIN : 10-117-23-13-0022 LEGAL DESC : FOXHILL : LOT 002 BLOCK 003 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE . NEW �chY��'�(�� NOTE: SEWER CONNECTION PERMIT HOMEOWNER PAID SAC CHARGES OF$2230.00 AND CONNECTION TO LEVY$22,440.00 APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 GROTH SEWER& WATER STATE SURCHARGE SEWER& WATER 5.00 �' 775 TOWER DRNE � HAMEL, MN 55340- TOTAL 55.00 � (763)478-6712 Minnesota State License#: 058606-PM OWNER VILTOFT,JORGEN &LUCILLE 115� HERITAGE LA WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for��hich 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 tor additional or related work which requires scparate pennits. 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 the date of issuance,or if construction is � suspended for a eriod of 180 days at any limc after work has commenced. '; The applicant is r sponsib � assurin�all required inspections are requested in n ce w the dui ing Code.This permit may be �� revoked at a y � e fo e c� " � � ��/�i //� �5� l�' l Applicant Permit e Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FO Tl' 1SE ONLY ""���``�� Clty of Or'ono Date Received: � �crmit# o�OJ�`� � !O4 `�'O�\ P.O.I3ox 66 3750 Kelley Parkway ❑In-House SAC Detennination form('ompleted � ,»ti � �*��' Crystal 13ay,MN 55323 � ''-t r�o��� (952)249-4600 Approved[�y(If Requircd): �<aQrexoe., CITY OF ORONO—SEWER& WATER/ GENERAL PERMIT (*V'otc Somc permits m�y rcquirc appiaval by the I3uilding Otticial and/or Public Works Dcpaitmcnt*) (AI.1.PEIZJII'I'S- Vlav be subiect to further review and ma��not bc issued�r�hen the annlication 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 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. [ssuance 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 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: Site Address: ���S ���% �,Q 5 � �n J , Owner�� V, �`�'�� '�— Mailing Address: �/S S/�Qr, I`� �� 1,,.; � City: �i�� i,�► � Zip: SS s' � f Home Phone: �S�- � y7 j � �f=lv� Alternate Phone: Contractor Information: Contractor: ��rz��� ��-w�,a�l. �-� Gontact Person: � ✓' Address: ��7'5���,� �/L State License#: Gity: f��.fM-�'� Zip�y� ExpirationDate: Phone:�� � �7 F - �"7/ Z� Alternate Phone: ��Z - z `� �, ���� S� � DETERMINING PERMIT FEES ❑ SAC Charge(2011 Rate=$2,230.00) $ (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) ❑ Se�ver Connection/ Disconnect/Repair($50.00/Per Stub) $ d �� �� Pipe size inches;material 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: 1. Issue Water Meter&Horn Permit 2. Any Additional Connection Fees Paid([f Applicable) [ssue Water Connection Permit: 1. Collect Permit Fee& Issue Water Connection Pei7nit l. SUBTOTAL of Permit Requested: $ ��, � 2. STATE SURCHARGE $ 5.00 3. POSTAGE&HANDLWG(Only on Mail-[n Applications) $__�� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ,��, �v ADDITIONAL 1NFORMATION—WATER METERS • WATER METERS must be picked up and paid for at Orono City Hall,these are on a se�arate permit. ■ WATER METERS must be set and sealed b�� Orono �i�ater Department (952) 249-4600, upon completion of'meter installation. Tlie undersigned hereby applies to the City of Orono for issuance of a Utility Pern�it, agrees to do all work in strict accardance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are,true and correct. Applic nt: Date: � � �� r � �. ' Barb Silus From: Barb Silus Sent: Monday, April 04, 2011 11:46 AM To: Scott Oberaigner Subject: 1155 Heritage Lane I checked the records here and there are no indications that they paid the assessment with the original project or that they paid SAC. Connection charge would be $22,440 plus$2230 SAC as well as the permit fee for the contractor of$55.00. These prices are good through Dec. 31, 2011. Barb Silus City Of Orono ��� � � / ���� 952-249-4605 � /�(/// / ���� � L� ;1��� ,� ��� . c.'::�, re�'t�et Fart�,ea:r ►s�trm3 �! 55',5� 45c-�43-�v4 � � �t ldr�: 3.!��t4�f,�q ARr {�4f �'�ii � Lucille and Jor en Viltoft '''`�"°ft ; g , �, 1155 Heritage Lane ;.,�r:.��ae �r; ���,Y �� �,��,.��, ; Wayzata, MN 55391 ;3Yq�5 ��� �� �,� ! ��� I`� �;: ~ �'y i:';;�.;.t;U ' Tel.952-473-0865 �-� ;;�LL�Qr �anr�ti��n Fc� � �~L+^��� ' i 155 k►erita�F Lr, Levp lk c�,44+`�.C�U � 4u4 , 60'-?i�r91 , S��iBt' :,�Ii�PC'�lr�� G FE , __�_._.�____ i To#aI; �,4��i.�,�} j ��_..__..,._ ; � Ch�c� � '�'.h�cl� N�: ii:3E,i �4,Fs7C�.f�1 � Ray��r: � � JorgQn Jiitnof# ! ; Tatal �pRlieo: ---i4.67�,1�QQ _ __ :J 1 �i� • sd'✓I DAT TIME CITY OF ORONO CALLED IN l INSPECTION NOTICE SCHEDULED / I � PERMIT N0. dC�,L/-�U3� COMPLETED ' �•JO ADDRESS ��-s OWNER T E HONE NO. CONTRACTOR rv �- �� ''�/ O��Y� >; DESCRIPTION �LCrC� C��CT�IyLQ �. !/L(_� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL OOWNER/CONTRACTORTOMEETYOU:^��NO / ��jti'� W COMMENTS: v���,�� ,L���l. C � � � ,� �..v•F��c� Tra��� � 0 � W � Q � � d Z � ;�eS U� ��cc><� ,� � �-�- .�-�-�-f r. ����� �� -� 1�:��1�. a W�ORK SATISFACTORY:PROCEED I� ' ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � '=i ISSUE CERTIFICATE OF OCCUPANCY 0 ❑Ct�RRECT WORK,CALL FOR REI CTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site - Inspector. � � White Copyllnspector's File Canary Copy/Site Notice