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HomeMy WebLinkAbout2017-00137 - sewer reconnect ' � �` CITY OF ORONO * z 0 1 7 - 0 0 � 3 � * • 2750 KELLEY PARKWAY DATE ISSUED: Q2/14/2017 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3295 CRYSTAL BAY RD PIN : 17-117-23-41-0013 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 002 BLOCK 002 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�1 TYPE : RE-CONNECT NOTE: SEWER RECONNECTION SAC GRANDFATHERED IN H/U#1936 08/30/68 AND#3281 08/31/72 APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 WATERCONNECT/DISCONNECT/REPAIR 50.00 SCHERBER COMPANY,LLC STATE SURCHARGE SEWER&WATER 1.00 20160 75TH LANE N CORCORAN, MN 55340- TOTAL 101.00 (763)497-1100 Payment(s) CHECK 17827 101.00 OWNER GREG BLASKO&WHITNEY WINDMILLER 3295 CRYSTAL BAY RD WAYZATA, MN 55391- 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 Building Code. This permit is for only the work described and does not grant permission for additional or related work which reqaires 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 the date of issuance,or if construction is suspended for a period of 180 days at any time after 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. �� � lCr:. �-� �� ,) � � � � ' �.�.`- 1_;�.-i� ; ��c��-r_ �� /-_ � �__�;�� .:� , %y, / -? Applicant P mitee ignature Date Issued By Signature Date � i � �= F�oH crrk csr o��.Y r-��'���1'�� City Of 01'ono Date Received: % � -��1 7Permit# ZCr I �7"" _,�;� ��j� P.O.Box 66 r � +�� 2750 Kelley Parkwa}� ❑In-House SAC Determination Form Completed `� k j � Crystal Bay,MN 55323 `�j�C� ���«.,� � �L7 t �`r`�_t``^ (952)249-4600/F�(952)249-4616 Approved By(If Required). CITY OF ORONO— SEWER & WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMI"CS- Mav be subiect to further review and mav not be issued when the a�olication 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. 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 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: 3295 Crystal Bay Rd Owner: Pillar Homes Mailing Address: 1700 Niagara Ln City: Plymouth Zlp; 55447 Home Phone: Alternate Phone: 763-475-1700 Contractor Information: Contractor: Scherber Companies, LLC Contact Person: Kati Scherber Address: 20160 75th Ave N State License #: City: Corcoran Zip:55340 Expiration Date: Phone: 763-497-1100 Alternate Phone: 612-282-9824 .r • DETERMINING PERMIT FEE5 ❑ SAC Charge(2016 Rate=$2,485.00)' $ (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) ❑ Sewer Connection/Disconnect/Repair($50.00/Per Stub) $ 50.00 Pipe size 4 inches;materialendo pu�aSchd 40 air tested; cast iron ❑ Water Connection/Disconnect/Repair($50.00/Per Stub) $ 50.00 Pipe size 1 inches;material PVC 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 Warks Department. Required Before Water Connection Permit is Issued: l. Issue Water Meter& Horn Permit 2. Any Additional Connection Fees Paid(IfApplicable) [ssue Water Connection Permit: 1. Collect Permit Fee& Issue Water Connection Permit I. SUBTOTAL of Permit Requested: $ �00.00 2. STATE SURCHARGE $ 1.00 3. POSTAGE& HANDL[NG(Only on Mail-In Applications) $ . 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 101.00 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 in sU-ict accordance 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. Applicant: � Date: 2-13-17 `\ • \' c.' : `. �D TE TIME CtTY OF ORONO CALLED IN INSP[CTION II�LQTICE SCHEDULED . r�� 3d PERM(T NO. �b17���`�� CO PLETED ADDRESS � OWNER T EP E N0.� "2�2 CONTRACTOR �`' DESCRIPTION � "v ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINCa O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL i dWNERICONTRACTOR TO MEET Y�U:_YES_NO r � COMMENT���l S��f yv Oci c S��.�r c� � t�c�e�� �n y�i C'l� y m ��•� -�-n , 'o ` ' �. � -z �3 � � �� , � �'..Q S�" �i i:7� /'� �i�►v�'c�s /r1 /�C>1\ W � � � � zrs� d6 n�r-e. c��v-� �.�-U�� , w� �i .1�-��r � t��ri�e. - l�ao,�Q ! � �,(�" � u r b s�� W�WORK SATISFACTORY:PFiOCEED �PROJECT COMPLETE W ' ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF O(:CUPANCY 0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERIN(i PERMANENT ❑(ARRECT UNSAFE CONDITION WRHIN H��-��p�{pT0 TAKEN INSPECTORIMLLRETURN ❑STOP OHDER POSTED.CALL INSPECTOR �CITATION iSSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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