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Home My WebLink About2008-P12158-old PID# - sewer disconnect ' �-_ . � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12158 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Pernut (952) 249-4600 Date Issued: 6/12/2008 SITE ADDRESS: 460 East Long Lake Rd Unit# Wayzata,MN 55391 P�� 35-118-23-14-0003 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Pernut Sub-type(s): Sewer Disconnect DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Sewer Disconnect FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Dave's Construction Services,Inc. OWNER: Amit Sela Holdings Inc. 15700 Juniper Ridge Drive 460 East Long Lake Rd Ramsey,MN 55303 Wayzata,MN 55391 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 BUILDING CODE REQUIREMENTS. APPLICANT PERMITEE SIGNATURE ISSLTED BY SIGNAT[JRE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . - . r FOR CITY LiSE ONLY ,40,�` City of Ol'Ono Date Received: Permit# :O `rO' P.O.Box 66 2750 Kelley Pazkway ❑In-House SAC Determination Form Completed � ��?�� Crystal Bay,MN 55323 ,...*yo�� (952)249-4600 Approved By(If Required): � �rsxo.... CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department") (ALL PERMITS- Mav be subiect to further review and mav not be issued w6eo the aoulica600 is receivedl 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 Departrnent(952-249-4600)for utility stub as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN withoat eapress appmval of t6e 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+6our notice required. TYPE OF PERMIT (Check All That A I ) �Residential(May Require Approval) ❑Commercial(Approval Required) � New Connection ❑ Additional Connection � Re-Connection [�Repairs Q Disconnect Job Site/Owner Information: Site Address: 460 Longlake Road East Owner: Rolling Hills Construction Mailing Address: 233 Walker Ave. N. City: Wayzata Zip: 55391 Home Phone: Alternate Phone: �651) 470-3029 Contractor Information: Dave's Constuction Serv�t� �'.��' . Dave Weller Contractor: ontact Person: Address: 15700 Juniper Rdg. Dr. State License#: 2003-2516 Ramsey 55303 none City: Zip: Expiration Date: (763)422-9074 (612) 685-6780 Phone: Alternate Phone: . w • � , . _ DETERMINING PER]NIIT FEES �SAC Charge(2007 Rate=$1,675.00) $ (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) 35.00 � Sewer Connection/Disconoect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; � cast iron �Water Connection/Disconnect/Repair($35.00/Per Stub) $ � � VJ Pipe size inches;material Schd 40 air tested; 0 copper 1. SUBTOTAL of Permit Requested: $ �� s W 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMI'I'FEE(Add Lines 1-3 Above) $� �'°�� v � ADDITIONAL INFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arate permit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon comptetion of ineter installation. The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota,and c ifies that all statements made on this application are,true and conect. �-,P � �'✓��--� � - /� C$ Applicant: Date: Reset Form �� /�, A/TE TIME V CITY OF ORONO CALLED IN '" �` INSPECTION NO,��s8 SCHEDULED /lJ .;30 PERMIT N0. tJ COMPLETED ADDRESS � ' OWNER CO R. - � TELEPHONENO. �/`� - ��03-��-90�5� DZ '�C.Q: lo/i3- l0�S- lr 7�0 � DESCRIPTION .SP �.� .�2tv c�i�..5 L�v��..e_�' 3� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FIMAL ' ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a � � � � l S l G��n.c�'f � � J � ` ��c. � � � � �l� � � � _ �U�cP .v Q � z W � W � � �'.� �J.� S�� i� �'l�� - �'� � a W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � GTATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next in ctio 4 hours in dvance. �52� 249-4600 OwnerlContractor on sit �• P� �'�"��.. Inspector. �/2�;:��ti/� �r>/'��'�,� White Copyllnspector's File Canary CopylSite Notice