The URL can be used to link to this page

Home My WebLink About2017-00056 - sewer/water connect ' CITY OF ORONO * Z 0 1 7 - 0 0 0 5 6 * ' 2750 KELLEY PARKWAY DATE ISSUED: OS/1U2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3472 LYRIC AVE PIN : 17-117-23-43-0074 LEGAL DESC : NAVARRE HEIGHTS : LOT 018 BLOCK 005 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: SEWER CONNECTION WATER AVAILABILITY FOR FUTURE HOOK-UP SAC GRANDFATHERED IN-H/U#3171 06/27/1972 AND HOME PRIOR APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 WATERCONNECT/DISCONNECT/REPAIR 50.00 Joshua Markum Bldrs, Inc. STATE SURCHARGE SEWER&WATER 1.00 7867 EASTWOOD RD MOUNDS VIEW, MN 55112- TOTAL 101.00 Payment(s) CHECK 15249 101.00 OWNER Joshua Markum Bldrs, Inc. 7867 EASTWOOD RD MOUNDS VIEW,MN 55112- 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 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 I80 days of the date of issuance,or if construction is suspended�or a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested i conformance with the State Building Code.This permit may be i, revokec}�at �y time for due cause. �� `� � � � l� '� � ' ��_�.� � �/ � �\�,(�Q,/� ��--L�_( �i. � � � � Ap l'c nt Per 't e Signature Da e Issued By Signature Date � „�,. . �1 '� FO�USE ONLY ' �aNQ` Clty Of�COnO Date Received:� Permit# a�0/r7_ �p P.O.Box G6 6\, 2750 Kelley Parkway ❑In-House SAC Determination Fortn Completed � � + � Crystal Bay,MV 55323 .��F�� (95'_)249�600/Fax(952)249-4616 Approved By(If Required): __., - CITY OF ORONO—SEWER & WATER/ GENERAL PERMIT �/'��`{�� (*Note:Some permits may require approval by the Building Official and/or Public Work�Department"`j (ALL PER�iITS- blav be subiect to further review and mav not be issued when the application 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 rehirn 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 connecrion 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 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. TYPE OF PERMIT Check All That A 1 ) ❑Residential(May Require Approval) ❑Commercial(Approval Required) � New Connection ❑Additional Connection ❑ Re-Connection ❑ Repairs � Disconnect [� Water Availability Connection For Fuh�re Hook-Up to Water Job Site/Owner Information: Site Address: 347��ric Ave Orono, MN 55319 Owner: Joshua/Markum Builders, Inc. Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Joshua/Markum Builders. Inc. Contact Person: Mark Olson Address: 7867 Eastwood Road State License #: BC631542 City: Mounds View Zip: 55112 Expiration Date: 03/31/2018 Phone: 621-998-7818 Alternate Phone: 612-940-0041 (Cor� ►. t, . = DETERMINING PERMIT FEES �% ,, �. ❑SAC Charge(2016 Rate=$2,485.00) $ (SAC Cliarge must acconlpany all sewer pertnit applications unless prepaid) (Orono City Staff can determine if applicable) (If not prepaid,a sewer connection permit will not be issued) �Se� onnectio isconnect/Repair($50.00/Per Stub) $ 50.00 Pipe size inches;material Schd 40 air tested; cast iron �Wate onnection isconnect/Repair($50.00/Per Stub) � ��,� Pipe size inches;material Schd 40 air tested; copper '�Water Availability For Future Hook-LJp to Water($50.00) $ '�'�—' Water Availabilitv Explanation: 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: L Issue Water Meter& Horn Permit 2. Any Additional Counection Fees Paid(If Applicable) Issue Water Connection Permit: I. Collect Perniit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: � �pn nn 2. STATE SURCHARGE $ 1.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2 4. TOTAL PERI�[IT FEE(Add Lines 1-3 Above) $ 10 . lQ/, �� ADDITIONAL 1NFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate perniit. ■ V1'ATER METERS must be set and scaled 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 Pernlit, agrees to do all work in strict accordance with tl�e ordinances of the City and the regulations of the State of Minnesota, and certifies that all stateinents made on this application are, true and correct. Applicant: Date: I�I T�i 7 � ` DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE, � SCHEDUIED O( Ld'_3� PERMR NO. - � COMPLEfED ADDRESS � \ OWNER TELEPHONE NO.��^ 3�O�- � �� CONTRACTOR � � " C � DESCRIPTION �`'�-�� '�`�[=� 4~j ❑ FOOTING ❑ DEMO-FINAL �� g �I� Q ❑ POURED WALL ❑ PLUMBING RI �� NG/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WO ��/FIREPLACE ❑ COMPLAINT v ❑ FINAL ATER HOOK-UP's ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY :. - ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE �$EPTIC INSTALL 2 OWNERKAHfTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: w�' L�tie f Z2 �il c�p�r °L (,v/� --�7"e4~C(�i�` � i.v �� = c.� r b s� i-s 3/„�, � � 0 � , ° �� c1i �0 !D c� C 5�.�.�r �S�ir 1J� co , W � � Q 2 � A� �!' �'S�` '�� TSniisr,t� s /� � Q �- - (�c�� e�-,�e_,,�.-�c�c.�h��e�o� �� r� j � �/ ��n.e �i d� � S�� IORKSATISFACTORY:PFtOCEED �PRWECTCOMPLETE W O COHRECT W'ORK d�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �HOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 rs in advance. (952) 249-4600 OwnerlContractor on site: �� s Inspector. White CopyAnapector's File Cenary CopylSfts NWke