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Home My WebLink About2004-P08061 - sewer repair t � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08061 Crystal Bay, Minnesota 55323 Permit Type: Sewer and water Permit (952) 249-4600 Date Issued: io�i2�2ooa SITE ADDRESS: 4132 Highwood Rd Mound,MN 55364 P I D: 07-117-23-44-0031 DESCRIPTION: Proposed Use: Residential Perxnit Class: General Permit Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer Repair DETAILS: Approved per resolurion#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernvt Fee: $ 35.00 Valuation• $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Roto Rooter Services Co. OWNER: Scott&Catherine Anderson 14530 27th Ave.N. 4132 Highwood Rd Minneapolis,MN 55447 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BU ING CODE REQUIREMENTS. �— �--_ � ,.1:,��.� �'��-- APPL ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: 1-File(SiQnitures Required), 1-Auplicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 � � ` (Updated 1/5/04) CITY OF ORONO APPLICATION FOR UTILITY PERMITS Boz 66(2750 Kelley Pazkway) SEWER/WATER& SAC Crystal Bay,MN 55323 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 We postage and handling fee shown below. Permit cards will be sent by retum mail We same day the application is received. 3. Permits are not vatid 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 conhactors 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 pernut dces 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. JOB SITE ADDRESS• 4132 highwood road Occupancy Type: � Residential Commercial Owner's Name: Scott Anderson Phone Number: (952)472-6089 Mailing Address:4132 Highwood Road City: Orono Zip: 55323 Contractor's Name: Roto-Rooter Phone Number: (763)5449551 Mailing Address:74530 27th ave N City:PLYMOUTH Zip:MN PERMIT TYPE ❑Connections �Repairs ❑Disconnect (Check One) SAC Charge (2003 rate$1,350.00) $ (Set Rate) Sac Charge must accompany all sewer permit applications unless prepaid. � (If not prepaid,a sewer connection will not be issued) Municipal Sewer Connection/Disconnect/Repair($35.00 per stub) $ ;35.00 pipe size 4 inches; material PVC Schd 40 air tested; cast iron Municipal Water Connection/Disconnect/Repair($35.00 per stub) $ pipe size inches;material copper; other WATER METERS must be picked up and paid for at City Hall. Water meters must be set and sealed by Orono Water Department (952-249-4600)upon completion of ineter installallon. REQUIRED minimum setbacks from drain field and septic tanks=75' REQUIRED setback from sewer line=20' PERMIT FEE CALCULATION 1. Subtotal of above pernut requested $535.00 2. State Surchar�e $ .50 (Minimum) The State Building Code Division Surcharge of$.50 per permit must be included for each well,sewer and water connection permit requested. 3. Postage&Handling(Only mail-in applications) $ 1.50 (Mail In Only) 4. TOTAL PERMIT FEE(add lines 1-3 above) $ 535.50 The undersigned hereby applies to e City of Orono for issuance of a Utility Permit, agrees to do all work in strict accordance with the ordinances o City and the regulations of the State of Minnesota,and certifies that all statements made on this application are co ete, and correct. Signature of Applicant: �`'� Date: /D'�G�—�`� R Form �� DATE c� TIME v CITY OF ORONO CALLED IN �' INSPECTION NOTICE SCHEDULED V �/--�,e-f�=-� PERMIT NO. P[.?5�� COMPLETED ADDRESS �" I � Z- f-� ��;�'1 C,�Y�D_� OWNER CONTR. ��'GY- ic��'`(�R� TELEPHONE NO. 1 � J - a�CD"` �3� � DESCRIPTION �� I� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J C�W , ' l ��,i�s t `c�1� (.�. �l O � � O � W � Q � Z W � W � � � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-46�� OwnerlContra n te: Inspector. ' White Copyllnspector's Fil Canary CopylSite Notice