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 � /�(///
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1155 Heritage Lane ;.,�r:.��ae �r; ���,Y �� �,��,.��, ;
Wayzata, MN 55391 ;3Yq�5 ��� �� �,� !
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Tel.952-473-0865 �-� ;;�LL�Qr �anr�ti��n Fc� � �~L+^��� '
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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���,��
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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