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Home My WebLink About2017-00163 - sewer repair CITY OF ORONO * 2 0 1 7 - PJ 0 1 6 3 * 2750 KELLEY PARKWAY DATE ISSUED: 02/22/2017 ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2710 KELLY AVE PIIY : 21-117-23-23-0034 LEGAL DESC : VERN-MAR MANOR : LOT 009 BLOCK 000 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENT[AL CONSTRUCT[ON TYPE : REPAIR NOTE: SEWER REPAIR APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 STATE SURCHARGE SEWER&WATER 1.00 ROTO ROOTER SERVICES CO. TOTAL 51.00 14530 27TH AVE.N. MINNEAPOLIS, MN 55447- Payment(s) CREDIT CARD 8714 51.00 (763)519-3907 OWNER RESTORATION, ROBIN 2080 SHORELINE DR WAYZATA, MN 55391- AGREEMEIYT 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 separate permits. All provisions of laws and ordinances goveming 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. � � � ��a�/,Z Applicant Permitee Signature Date Issued B Signature Date wy � • .. �OR CITY U��.ONLY ��N��\ City of Ol'ono Date Received: Per�it# ; P.O.Boz 66 i. j 2750 Ke(ley Parkway ❑In-House SAC Determinallon Form Comphted � ,�-� Crystal Bay,MN 55323 `��is�`�o�-jf (952)249-4600/Fax(952)249-4616 Approved By(1�'Required): CITY OF ORONO—SEWER&WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Deparfiment") (ALL PERMTI'S- Mav be subiect to further review and mav not be issued when t6e aoolication is receivedl GENERAL INFORMATIOI� 1. You may apply for urility 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. Urility 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 IIV ANY STREET AND DO NOT TAP ANY MAIN without ezpress 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. TYP�OF PERMIT Check All That A i �Residential(May Require Approval) ❑ Commercial(Approval Required) ❑ New Connection ❑Additional Connection ❑ Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connecrion For Future Hook-Up to Water Job Site/Ovvner irs#'ormation: Site Address: v2 7 I o f<c L�L�j �/�E Owner: P�;�� ,� i�'�ti_-2 Mailing Address: o�7 I� � � c��: ��-�-.��-� z�p: s s 3 3 �) Home Phone: S�c--� �LP�� .5�Io�� Alternate Phone: Contrac�or Information: Contractor: ��-tv � �c��-�P�' Contact Person: V'� � � f'� Address: �`�5�ti ��/�,��' 1v� State License#: Pl�l �� 1 � � City: � Zip: �S�`��Expiration Date: ��1 � "o Phone: 7�3 "��'a 1�� Alternate Phone: 7(v3��17�, P� .� aa��y • �. D�'�'£��lM�I1�3�G P��vIIT FE�S ❑ SAC Charge(2015 Rste=52,485.00) $ (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 Conn tion/Disconnect/Repair(550.00/Per Stub) $ � `J I �� 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 Eanlanation: 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(If Applicable) Issue Water Connecrion Permit: 1. Collect Pertnit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: $ �d • � 2. STATE SURCHARGE $ 1.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ . � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �r` U v ADDITIONAL INFORMATION-WATER METERS • WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arat�ermit. ■ 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 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: �- o� �_ _ _ � � V ��z�G/` / �/�G�� DD� TIME �� CITY QF ORONO caLLED IN _ _ ' INSPF�C`TION�NOTICE // SCHEDULED � �7 � �AIT NO. ,t„��/`�I_ �OD!1(/� COMPIETED �Z G� 0�2 � /a .�--C�r/ I�vz" AD�RES� _ " lc��`''� �� _ �NNiFA _� TELEPHONE N �� '�� COMrRAC10R r j � - j�� _� _ ��%� �`-'��' i � � DESCRIPTION I � `� � ❑ FOOTING � DEMO-FINAL ❑ SEPTIC FINAL ' - � f- – Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ' �� 'G� �Q �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL - Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � �� Q ❑ 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 _ _� J ❑ DEMO-SITE ❑ SEPTIC INSTALL ' Z OMfNHYCO1dTRACTOR TO MEET YiOU:_YES_NO � COMMENT'� 1-�2.:-�7 �o '+ f�/�/,� S�.S/ yo ' W c L� @ BT AJf tcT To �'evr'7s�i'�p�c1 — � .� I � /(}�1) f�lu--?.,�-�` I � � � 4 1 � �"1 � /�'��'Z �jP ��jC��J_--- - - - � i � � � Q � � � _ W _ t�y � � 2-� � — � - W �WOIiKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE ' W�p CORRECT VMORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY _ i 0 ECT K,CAL R EINS ON TEMPORARY --- — -- ___ V F E E N PERMANENT ❑COR UNSAFECONDITIONWITHIN H��• �pHpTOTAKEN -------i -- --------- -- INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �aTATION iSSUED ------� -- — -------- - — ❑INSPECTION RE(]UIRED.CAIL TO ARF�NGE ACCESS. CaN for the next inspectlon 24 hours in advanoe. (952) 249-4600 owne�lcontractor o�sne: ��l G Ra7� l2t�o�— ��: � ��. ��s�� MTit�CoPYMsp�ctor's FlM C�nary CopylSi�Nodce �� . �,_ � DATE TIME CITY OF ORONO cnLLED IN ��-� -;�� INSPECTION NOTICE SCHEDULED � —� —/ 7 PERMIT NO. c�2D��—��2� coy+��e ADDRESS 7 ` OWNER �IyEP�ONE NO. S-7sj�z 7LLS CONTRACTO � , D � DESCRIPTION �' `"�� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FiNAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL �TER HOOK-UP f� ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY WER h19CKrt1P 1�+�❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑ IC INSTALL v i OWNEWCONTRACTOR TO MEET YW: YES_NO � COMMENTS: � ��r ��Gcl2l2.. S��?—!J`�C� ��.421F� o .��v� s�P ��ti� � � 0 W OC Q � � W � j `/ � O WORK SATISFACTORIP.PFiOCEED �PRW ECT COMPLETE W ❑CORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCl1PANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERING PERMANENT ❑CaRRECT UNSAFE CONDITION WITHIN HOURS. bf6HOT0 TAKEN /(jl�� INSPECTOR W4LL RETURN /'�y ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca8 forthe next inspection 24 hours in advance. (952) 249-4600 OwnenCorttrsator on site: RoTo� 1',oT'!� Inspector: YVhite CopyAnspector's Fil� C�n�ry Copy131N Notlw ,r1 l�/ ��, �� f' �/��/ic- i- :� �?�� , L, � �v�-r�cs � � D� TIME CITY aF ORONO CALLED IN INSPEC�ION NOTICE SCHEDULED � �7 �''� ��MIT NO.,:,��;��'��G'.� coMP��eo AD`�RESE � � I C..' �� C �/! �%�", OWM�R TELEPHONE N �'�!� ��-�1��, CONTRAC'�OR C � � Y � � DESCRIPTION �'� f ��L'� '��'�' �? % � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEAJCONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: 3 L�_� 7 �d ` f�/�� .��"e��/ �o W � E:C-�s�iJ f��"T N�x T ?o !cp vJ�i�� /U� �i�- �� 0 pC � -� -� .-� � /¢/2 �� /7/G��S�� O W aC yQ F: Z W � � � � �� W �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ECT K,CAL OR EtNS C ION TEMPORARY V F RE E IN PERMANENT ❑COR TUNSAFECONDITIONWITHIN HOURS. �HOTOTAKEN INSPECTOR WILL REfURN � � ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED_CALL TO ARRANGE ACCESS. Ca�l br the next inspection 2a hours in advance. (g52) 249-4600 OwnedContractoronsite: ��-�G ��.Td �� Inspector: ��.-- �-T��'� White CopyAnspector's Ffle Canary CopylSite Notice � , � .� � � � � _. _ / �� .� o�� - s � �� / , �� -� ' � � �� z2 -� ,��>l � �?2� -�-�. ` �