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Home My WebLink About2017-00557 (sewer & water) CITY OF ORONO * 2 0 1 7 - 0 0 5 5 7 * 2750 KELLEY PARKWAY DATE ISSUED: OS/23/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2510 CASCO POINT RD PIN : 20-117-23-21-0016 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 004 BLOCK 006 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DISCONNECTION NOTE: SEWER AND WATER DISCONNECTION APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 WATER CONNECT/DISCONNECT/REPAIR 50.00 OLSON CONSTRUCTION EXCAVATION CO. STATE SURCHARGE SEWER&WATER 1.00 6970 INWOOD ROAD COLOGNE,MN 55322- TOTAL 101.00 (952)448-6674 Payment(s) Minnesota State License#:cont-L1111 CREDIT CARD 3469 101.00 OWNER HART,MICHAEL&KRISTIN 2510 CASCO PT 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 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 l80 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. C�-�.t_a�c..��c�� o L Applicant Permitee Signature Date Issued Signature Date 05/23/17 07:39 OLSONCONSTRUCTION 9524485289 p.02 FOR =T'fY�iJSE ONLY ��3M�, City of Orono I7atei2eceived: ��'�/'�ernut!! ,��- .s.s 7 1.0.I3os 65 �-�T � � 2750 Kelley Pazk�vay ❑In-Iiouse SAC 37etermin�q(on Form Completed � . � Crystnl Bay,MN 55323 �Y � ',�.�''� t '� (952)249-460(?J l�ax(952)249-4G1G Appraved By(If Required): �O�� . A.F511��" ' CITY QF ORONO—SEWER&WATER/GENERAL PERMIT ("Note:Some permits uuty rcc�airc approval by the E3tulding Ufficinl an�2lor Public Works Dt,�ariment") (ALL PERMiTS- Mav be sub�g�tg thrther review xnd mav not be jsxucxl w g�t the app,i�,t�ius received) GENERAL iNFORMATION 1. You may apply for uti(ity permits by maii or in person at the City offices. 2. Maited in applications are subject to the postage and handling fee shown befow. Permit cards will be sent by return mail within 2 business days. 3. Permits are not valid antil you receive a permit card. 4. Work must not begrn unless the permit card is available on the job site. 5. Utility conneetion permits may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for utility stub as-built locations. DO NQT EXCAVATE IN ANY STREET AND DU NUT TAP ANY MAIN without express approva)of the Public Works Department. Issuance of a permit does not gant this approval. 7_ AI1 work must be done in accordance with State Cale requirements. 8. All work must be inspec#ed before it is cc�vered. Call(952}244-46(30,24+hour notice required. TYPE OF PERMIT Check All That A I �Residentia((May Require Approval) ❑Commercial(Approval i�equired) � ❑New Connection ❑Additional Connection ❑Re-Connection ❑Repairs �Discannect ❑ Water Availabiiity Connection For Future Hook-Up to Water Job Site/4wner Information: Site Address: �� ('(�,��-�-� Owner:(Y�i C.,��(1{',_1�t�il��j�-�{�_�-�-��-Mailing Address: �•5�� (�(]�(ij��(�� City: �b,�� Zip: _ ��j�� ,....._ Home Phone: Alternate Phone: Contractor Informarion: v�sor��'�n�-� �c�� Contractor: t''�(�n ()`5'�' ��, ��Qntact Person: ��r-�.1� � , '(�� Address: ��7(�_��1�� State License#: ��'�!tO�� f�� City: �C� C /1..Q Zip:�j�;�xpiration Date: I Z.��i "� __�� Phone: ,�;�- ��-��'(�'o�� Alternate Phone: �-,�(��'��...�j'�. 05/23/17 07:39 OLSONCONSTRUCTION 9524485289 p.03 rfl�{y�{'°r*}A'� t�Gc7,4..�'�,,�fFsy rr;1t:S'�) �fu� .'. -,. ,.. • . .� � '�s t {r:. v�t il 1ti! �'� t3Y.�1�j��roq�.z7 n�.;i:� ,4�-r,,�..,�� .;.:d"n`,�1 ,tr t.-� �n., i•>�,�s�,� .;_� �. .�.'; �' �� f �...'.. . �'�,: ii..i"�y�'A,fi��,t�lt��y�i3rlu��",��y,�4;,'�4,�T��k��5��,1��- ❑SAC Charge(Z016 Rate=52,485.00) $ (SAC Charge must accompany ali sewer permit applications unless prepaid) (Orono City Staffcar►determine if applicable} (If not prepaid,a sewer connection permit will not be issued) �Sewer Connection isconnect Repair($50.00/1'er Stub) $ y�� Pipe size inc es;ma enal Schd 40 air tested;_.___cast iron �Water Conaection Disconnec 1 Repair($50.00/Per Stnb) $ �� Pipe size inc es; nal Schd 40 air tested;_. copper ❑Water Avaitability For Future Haok-Up to Water($50.00) $ ___ T Water Availabilitv Exnlanatioo: Contractor installed Eine to inside of house for future hook-ug. This line witl be inspected by the Public Works Department. R�e uired Before Wat�r CQnnection Permit is Issued: l. Tssue Water Meter 8z.Horn Permit 2. Any Additional Connection�ees Paid(If Applicable) Issue Water Conaection Permit: i. Collect Permit F'ee&Issue Water Connection Permit 1. SUBTOTAL,of Perznit Requested: $ � ��O� 2. S1'ATE SURCHARGF, � �,pp 3, POSTAGE&FIANDLtNG(Only on Mail-Tn Applications) $__ �.Oti. �(� 4, TQTAL PERMIT FEE(Add Lines E-3 Above) $ �� ,Q� AADI'TIONAI.INFURMAT'Tt7N-W,ATER 11iI�TERS ■ WATER METERS must be picked up and paid for at Orono City Halt,these are on a,�parate permit. ■ WATER METERS mnst be set and sealed by Orono Water Department (952) 249-4600, upon comptetion of ineter installation. The undersigned hereby applies to ttze Czry 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 atl statements made on this application are, true and correct. Applicant: �� (��_ Date: ��,� 05/23/17 07:39 OLSONCONSTRUCTION 9524485289 p.04 SEWER&WATER PERMIT IN HOUSE FORM-TO HELP DETERMINE SAC UNITS �"U1t CTT'Y US�ONLY t*Ptease Key'this in�arma6on On Co�nment Line Of Fermit*)- Date Completed: #Of SA�tlnits Campleted By:,_; ❑ *SAC Previously Paid- Permit# ; Date of PermiE *Charge i SAC Unit Fer�^Tome *Tf MuTtipie Homes Or Units-May'Need To Aay Additional SAC Charges [� �SAC Gr�ndCathered tn— �ermit# Date ot Permit *Must have hxd Hook Up 8c Hame Prior To January'1,19'i3 '` '"Tiefer ta Helpful Hint SheeYs,Or Ask If Neeessary #[f Multiple Units-May Neetf To Pay t4dditional SAC Charges ❑ *Commercial�- Permit#Acrounted For Date of Rermit [} •Leitcr From Met C,,ounci!—5howing Usc'-Ur Additionai Units Needed» *Contact dodi at(65 i j 602-1113;Tc�Qbtain i,etter(Usuaily Building t�tTicial Obtains) '�Copies To:Lyle,Sue�t�'ile L��ne On Capy Of Permit�or Reportin� *Tf unablo to dctermine;will have ta waiti W be issued uniil determination can be made [] SEPTIC Area- **#WATCH FOR THES�CONNECI'I(3NS*�'* *Person`Will Hawe�"n Pay Connectio��ces:&Assessments-�-SAC Charge� *itefer To Cwrent Year Fee Sehedule! Don't Release Untii�ees Are.PAill! `(Ask for Seou or T.in's H�lp With 1'hese) *Will Need Approvai From Pub(ic'Works�Scott} [] Speciai Crrinder Pnmp Needed *13ave Them Ta3�c Ta SCotG For QuesCions&'Pricing '''Give T6em Speciai Hand Outs!(In llrawcr With Se'�er Pcrmiy ❑ Permit Needs 1#pproval From Public Warks: : Approved By: �`3icle note,�onnectioii Perunits--Cover Septic Tnnk Abandonment Also,Per Ly1e C /l� !r- _ � j- ZS�l7— //,'3 c� � � —� T TIME CITY OF ORONO ' CALLED IN S-� -I INSPECTION OTICE SCHEDULED PERMIT NO. - c MPLETED ADDRESS O� S�C� C��'d J"OL.Gt� vC� OWNER TE PHONE NO.�s� T��T CONTRACTOR �- - � - �� !� � � � DESCRIPTION � 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � J� t � COMMENTS: �I�� C c� ��D,9c�� L�f'Y ,jC>�'�I/6p � �`/�'�/ c��S�o��e.��f� � � 0 �. o� 0 � W � Q � 2 � W � � � W �WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE � ❑CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: % �� ' Inspector. � White CopyAnspector'a File Canary CopylSite Notke