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Home My WebLink About2012-01145 - sewer connect ' . CITY OF ORONO * z 0 1 2 - 0 1 1 4 5 * , � 2750 KELLEY PARKWAY DATE ISSUED: 1U09/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1865 LAKEVIEW TER PIN : 27-118-23-42-0015 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 003 BLOCK 002 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECT[ON APPLICANT SEWER CONNECT/DISCONNECT'/REPAIR 50.00 CDR EXCAVATING INC. STATE SURCHARGE SEWER& WATER 5.00 10559 CO. RD 16 DELANO, MN 55328- S.A.C. 2,365.00 (952)955-3673 TOTAL 2,420.00 OWNER ASKE-REMICK, SHARILLYN 1865 LAKEVIEW TER LONG LAKE, MN 55356- 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 docs not grant permission for additional or related work which requires 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 afrer 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 ��re key"ah ny time for due cause. � �%�� ) /� � � � c� _ ,� s— -/vL�Z"`� ��#'l � � :� . : ; , v 7'}�c �' � � / / Appl�cant Perm�tee Signature Date [ssued By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � : , + , : �/ . �d �� C7�� `r� ��vz�crra��sr��v�,�r �,¢0�� City of Orono I3a��cei�e� Perrrnt�# ` � P.O.Box 66 � �' � 2750 Kelley Parkway �[�In�FIouse,S�C'Aatet'manari4►i Forrrr-Gor�pSeted, ��'� F � � ,,, � Crystal Bay,MN 55323 ? �,� �o$y (952)249-4600 .Appmc�ed�By�£�equared) , .: �� ,,. ,� , . . , CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some petmits 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 when the aoalication is received) GENERAL 11�QI�AT;IOl�T � 1. You may apply for utility permits by mail or in person at the City offices. 2. Mailed in applicarions 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 pemuts 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. �`��'E�(��:`�"�.'3� _ _� , a4(�1��c��As'�at�� 1 � : 4,' (�Residenrial(May Require Approval) ❑ Commercial(Approval Required) �New Connection ❑Addirional Connection ❑Re-Connecrion ❑Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job.Site./-Owner:Information: > Site Address: / �� i��-r� �_if/L—� Owne��e E�� Mailing'�idress: �l�l0 7r r � �� —_ _ ' City: L/� Zip: �j �.��. Home Phone:(� � � .�9 ��3 Alternate Phone: Contra�toi��I�'formatiori: : ,,/ /� � p�� Contractor: !� !J �ontact Person: Address: ��C�^ v� �G State License#: �,3 .�� City: � Zip: �l?Z�xpiration Date: � �-" � � ' � Z Phone: /,�� ,� Ce �3 Alternate Phone: � �Z � �� ,�� / � � � 1 ❑SAC Charge(2012 Rate=$2,365.00) $ (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/ e,J ai ($50.00/Per Stub) $ Pipe size�inches;material��-�".,hd 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 Exulanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. Reauired Before Water Connection Permit is Issued: . 1. Issue Water Meter&Horn Permit 2. Any Addirional Connectiori Fees Paid(If Applicable) Issue Water Connection Permit: 1. Collect Permit Fee&Issue Water Connection Pemut 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) $ �ALDD�TIO'�AL'I�0 �'�3 l�T--��VATER°�N�ETE�S , k s �. �. - . ,° �. ,: ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a senarate Qernut. ■ 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 sh-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: _�� r ! � `-�� C �!.�"�'�"` i � /DATE i' � TIME � CITY OF ORONO �CALLED IN � � INSPECTION NOTICE SCHEDULED � �'. - I � C'�>�}ry� PERMIT N0.�,.,j=� "��C� COMPLETED ADDRESS � ��C S �Q I��. �. � � �.� ��i' (� OWNER TELEPHONE NO.�� 3�'�3 CONTRACTOR �l C � �� i"�'�� r >; DESCRIPTION �y�� `��'�-'Z- `. /LS� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ SE TI FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO �� COMMENTS: �y � , � ,�� SC� �� i ��c� w,.- o ,�� G�-.5 � ��-�� z /��-v �e a o� —�l.l � .S v o�f .�'e-''� � ? � Blo� G�� Q � B� � Z W � W � 2�, � d W� ❑WORK SATISFACTORY:PROCEED ECT COMPLETE W ❑CORRECT WORK 8�PROCEED,Z,Z�y� LA�(J�RTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTIO TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. � pH0T0 TAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: vUl�/�o� �iu'"'� �/T/� Inspector.��/ White Copyllnspector's File Canary Copy/Site Notice