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Home My WebLink About2012-00132 - sewer/water connect „ ► -- CITY OF ORONO * z 0 1 z - 0 0 1 3 z * 2750 KELLEY PARKWAY DATE ISSUED: 03/13/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3508 IVY PL PIN : 20-117-23-42-� N;;,N GC 3(�, LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO : LOT 183 BLOCK 000 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: SEWER CONNECTION-4”PIPE WATER CONNECTION- 1"PIPE APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 J.S. STEWART COMPANIES WATER CONNECT/DISCONNECT/REPAIR 50.00 11099 LAMONT AVE HANOVER,MN 55341 STATE SURCHARGE SEWER&WATER 5.00 (763)4249030 TOTAL 105.00 PAID WITH CC# 8391 OWNER RICHTER,ROBERT&TINA 3510 IVY PL 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 requires sepazate 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 responsibl f assuring all required inspections aze requ in confo c ' the State Building Code.This permit may be oked t any tim � � (� �-i /�- I Z plicant Pe �te ignature Date Is By �gnature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. F�? � �USE t3NLY ., / ,�� City of Orono Uat�Received��t# a�+�,f O/�O`—� O O P.O.Box 66 2750 Kelley Parkway �Itt-�csuuse'SAG��rmsnation F4rmCom�lOted.', � � ,, � Crystal Bay,MN 55323 • �_ " . (952)249-4600 ��rpro,��ay��ui��: .,�aeo� CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Of£cial and/or Public Works Department*) (ALL PERMITS- Mav be subiect to further review and mav not be issued when the anolication is received) GENERAL Il�'t}I�ATIt3N :° 1. You may apply for utility permits by mail or in person at the City o�ces. 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 pernuts may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for urility 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 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. "�`��I' � ,.� : ��1P��.c��•-T"�t!�. 1 �Residential(May Require Approval) ❑Commercial(Approval Required) ❑ New Connection ❑Addirional Connection �Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connecrion For Future Hook-Up to Water Job Si��/(�wner Iri�orrnatie�n: � Site Address: 3 J��c.3 S�/`{ N L• Owner: �1�iL ��5 Mailing Address: I �dC� /Ut(�C�✓-}� �I City: �L`i IM 0�15�' Zip: �� Home Phone: ��o� ��S 11� Alternate Phone: Co(Z ,3L� 7�1v z �ontractor Information: Contractor: J S �T�-� L� , Contact Person: �Ji�nn �Jf��,/�(- Address: ( ►s'l��/�i State License#: City: �'��. Zip:`J�'7r� Expiration Date: Phone: 7�3 `7'2T `�b�o Alternate Phone: (o(� �� o�l.( � ❑ SAC Charge(2012 Rate=$2,365.00) $ (SAC Charge must accompany all sewer permit applicarions unless prepaid) (Orono City Staff can deternrine if applicable) (If not prepaid,a sewer connection permit will not be issued) � �ewer Conne tion/Disconnect/Repair($50.00/Per Stub) $ � Pipe size�inches;material�Schd 40 air tested; cast iron �ater 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 Ezulanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Deparhnent. Required Before Water Connection Permit is Issued: 1. Issue Water Meter&Horn Pernut 2. Any Addirional Connection Fees Paid(If Applicable) Issue Water Connection Permit: 1. Collect Permit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ 5.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��• � ` ADD�`�'I4�tAL TNFORNIATIC,��T-WATER METEI�S`' ■ 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 strict accordance with the or 'nances of the City and the regulations of the State of Minnesota,and that all state s de n-this application are,true and correct. Applica • Date:c��[Z— I� �—I � DAT TIME V CITY OF ORONO CA ED IN �— INSPECTION hNOTICE SCHEDULED �-- _/.'�� PERMIT NOd�/�–D��COMPLETED ADDRESS �� OWNER TE PHONE NO�� CONTRACTOR� � �� ///YJ S7�1_ Gti�� >: DESCRIPTION w�Z� v `-'� �� -"`-F'"" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �G��' �..� lv�,r�S � 0 a � � _ � lc��,�� 1r��-�'e � Q � `�- vv� 5 z � 53�-.• � �- �1�.�.� (��--c� � � � e� W � j d W� �Q�VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on sit : Inspector. � � � White Copyllnspector's File Canary CopylSite Notice