The URL can be used to link to this page

Home My WebLink About2014-00422 - sewer connect ` "' CITY OF ORONO * Z 0 1 4 - 0 0 4 2 2 * 2750 KELLEY PARKWAY DATE ISSUED: OS/08/2014 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1555 MAPLE PL PIN : 08-117-23-33-0030 LEGAL DESC : CRYSTAL BAY VIEW : LOT 008 BLOCK 006 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 STATE SURCHARGE SEWER& WATER 5.00 J P SCHMITZ CONSTRUCTION COMPANY LL TOTAL 55.00 16450 l 17TH AVE N Payment(s) MAPLE GROVE, MN 55369- CHECK 1 1566 55.00 OWNER Maple Place LLC 550 25TH AVE N ST. CLOUD, MN 56303- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. 'Chis permit is Yor only the work described and does not grant permission fbr addi[ional or rela[ed work wfiich requires separate permi[s. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein."I�his 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 alter work has commcnced. 1'he applicant is responsible for assuring all required inspections arc requested in confonnance with[he State Building Code.This permit may be revoked at any time for due cause. - / / A plic nt Permitee ignature Date Issued 13y Si ture Date � ' . FOR CITY USE ONLY �=yt�—��1.f��. City of Orono Date Received: Permit# j+ J '' P.O.Box 66 ,j_ � I 2750 Kelley Parkway ❑In-House SAC Determination Form Completed a , Crystal Bay,MN 55323 ;` '��. �� (952)249-4600/Fax(952)249-4616 Approved By(If Required): CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some pennits may require approval by the E3uilding Official and/or Public Works Department*) (ALI.PGRM[TS- Mac be subiect to further revieN and mac not be issued when the application is received) 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 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-Connecrion ❑Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Owner Information: Site Address: /L�� /��Fi ��-� Owner: �u'T� /��if' � � ,�L'� ` Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �1:� ��/2�� '��1�" Contact Person: ".�� Address: ��T�J� /��/��1� State License#: t�t�� ,�1 � -� } City: �'�/'I�`��4�� Zip:��Expiration Date: / � �� Phone: �GJ�I G�%� l�-/ Alternate Phone: J � DETERMINING PERMIT FEES ❑ SAC Charge(2014 Rate=$2,485.00) $ (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 Connection/Disconnect/Repair($50.00/Per Stub) $ 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 Aook-Up 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: 1. Issue Water Meter&Horn Permit 2. Any Additional Connection Fees Paid(If Applicable) Issue Water Connection Permit: 1. Collect Permit Fee&Issue Water Connection Permit 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) � ADDITIONAL INFORMATION-WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a se�arate permit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completioo of ineter installation. The undersigned hereby applies to the City of Orono for issuance of a Utility Pennit, agrees to do all wark in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and c i that all st ents made on this application are,true and correct. Applicant: Date: � � s;�� ,�.. r. / ,�� 6" � �' �'� � w�aoa �� A� � �` �� _ // 'wl�n9'd'lMrx•Ny �,-, / ' :. �� /' �{ �� . � ��r..� .. . ou.:. ....�..�e � ,�"�� ^! ��,,,,,,�� i ._�. ._.__,� �� • P� i / /��`� . � /�� ^ � �.. M /�. , � /�-�/ . —. _ � �c� - _��.�:, .,,,,.-r' � � � �._�..�. . � / � _ � .A �.. i fl,. �w,..�� 4 ' � �,a.,°'s :;:�� ;. �� ....� �-� �,/ , _ y ry. �b- y. f .� � �� '•'�^ ,'� � ,.4 + � - ,f.,-�''� ,� � ^ - �.� _:_/� � REX �=-� r,G; �� ,�. y� '� -�_` . ' ;�;�:�, ___------- ___- ---=-___.------_ � , �► ��- ��- � - -_ ..� �sx i�- �:,.t�.� � —- .�� ' _�«+�7� � ' i . .�' __� ' � �''i�► � .� 't�-''. ��"�"''�° �: . . , ,�� ,.,� ,.,, `�, -•�� , �,��` � `v�.�.;,�.,.�: ��.;� .. _. .. � ._�� '- ��..,r+a!�y�'y6'...� '� •f`I�` .'�.,:. �':��. �. . a.. �--. , -�� i�. -. b`�" �t f��`.,J"' ��_ � W�; ..,, y /s' ,�, ,. �� e�etr. ;4�', .� ��+ ��i . ... �~ �� ``� .�" A� s, . r .�F i�'t _ . � .. : -:r' � •y r4 �,�1�, "y.'" -� j,% �' -.�. ` y,t��' �{�",r,, ts ♦.�' �y�'� `�' : •- �} .��/ Q � '.�I��' . ^ � S*'F. ,�' "Il yx' w ' . �`"��+.' ' _�Yr,... '`-,��,+�.�.d,, y:. 7 � • �F4�`.'�. ,�/, .r- si0.'- � ....�." ��'►� � �.i�r �r �� .+� ...° „ "'+ ?r � . p y�' '��'. ,; . fq•�►�� .�.�;,'•" .s� t .:-� ��'�'!. � .7 ' �q �A• f�� d„ ' F '��Jt �_ .. :• . Y � f+.� ++��/ � - `_, . :!� . - -� -' Y�,' _�1�. .• +,T ' y,•^ �i`,�. •�f . i s ' •r��,a ;+��, y + .ZF• r:�. :�" �. `-a� �-�:� .� .'rs�' , 'i, �,; i.�. .r� �r•►�-� a ,r�„�„ _ �r ., " � ' �p ,�,,. �'... ` �dr.: y e , *' `j '[�'i�a�� ,� � }�' � .w..� .t�- �' - � �;.� f :"�'�t � '� ��'. .WG r. .�!°'1. _�.. � � �'� , � �+��,�,''+r.� ��a� y .� •' `•r'� �{i��'y � �,�i�y -k.;, � t'� ryd� � ,� � �.u` +� o�� '+'`i . .. .•- P ,,, 1 +� .�,.„i `' , �'' _ . ' t. ,3,y w �� ,�y �.,� �'� � . � . y{�., .�. sI' �� +`' ��.� } "� l e �-m .� a:�- J 'L- �` �� _ �I �� ',Y� �1*!y .. . � "C�. +) ',. ♦ .* �� £� .";Y'�5 ��: � � •r� } ,�.�'_- . _��ty y ',.el ':�' �t , � .. . 1 � .. . .;'�w , . , , .' w--..:� „•.,.. � ,'F'd P . t q,�ry - �' .� .� . . � �..� � �� "°, . .,. ,w,��. � 4 . - � .. ��. a - �. ' y ��r . r ;b : � , ' . . : .� ar�f i . � ' „r.''c'X ' ,.. , .� . - + . . . . ' �'�a N � .�, .3 i� " �R��y� . � L. . $ .�r. � ti4' a�J�! ^�'t� S�._,}P �� ,� �'�.. � �r�" �-�:. t . �. �,r!' °"" �;'�t ",�' ,,,� 'j'.� � �y .,�� .,. ..y .i � ��' ;_ r `�,,�" �.�. •'t',s��,� ;. .,.. ,� ,, i ..n-, ti... �G v//� i � . = 'f; �� t f`� ,�!•� w� u _ �+�Y{ .t, "'�j.., v �� s' �� "4" "'� R;�:� �'s� ��' _ ' � �a. �'•f � ��r „ . , . .�'"'�. i-�►' �� , �� i � 1�!.. 1. _ r "!s�y.3 y � y� ' . g t .�.'w y* y, QA �s� ,�J�� 4�.�y� .W�? ,g��m r y "�d . �`' . I . :� ' �� ^` ' ' } �� . � r�� '� � Y+ y � � (�» � . q. .�^�. Y . 0 �6 I� j'l� .� � '� _'�y *,fiY �g� `� �.•• 4� / d �jg,�� . .� :.�� 4 + 'd #'F�' � �^ • �� a... x'�.w�� . ��(„" .� � -i ��€.u. � . f �,^� �� ""�..?"a� - *V '.R �X � a .a� �'. .. .d .. .� �.l�y.,, •.} .-�.: * ... � '�� d ��'= ' - �. . �lj' t � r F.�.. �, � *7 r „� �� riA r� ,: � r,, .�.f- � � � �� . y .� x r r - t sb +v'�� '�'� '`- �y�= r 1 ' ' a� ��'• ,�.. 7S1��J f r' - ,+4.: � � e -fr �'y�+� . ..f; 1 4� � �. .i �7 R �J'�I�N�.A r�J � . ��,/�'� _�...S7nY i^'� iY .'� . w t. + : ,/� . .• . , .. ... ..;S ,� . � .S' � _r . ..i'- . . :t � � � . .�',t3 p��v�� " �p'"�'�' �.�.� .. . ' ... ..,fr I �+r -• •. �' .. � � �• �'f��,...�'�II ��s."+: WwV d��e; sy� � ..�1 y �.,i ,�' r Y - � . .. � �'f� �,,.� N... '��Y' . x,� . r `�.,ydu . . .e , .. �',i �t "°, +� -d� . ��''�',ys ,r'�5+�` u��'r��:K 4 r r��` ..�_ ; ,, ' � � + ��_„� � � � ��. .,. . . ��, � , . . : r�- '+;� ��'{ ':� , '..-'.1'`! ,r�. � /r �_ . ; ' `•.� � � r' •' -- .r� '."',,^ :-:`. ..,'. +� ' ', � . �.0 � r . �, �t � r � y�' �� . '/ �f�, j �A .a �`'�T' r '� �' , � .;N,. � , � L;,,',,��g �� ,w ;:�i ,� ��`.}� ,��' � ... '.+ ,r . �h" �I'�-•�� a-'r °r* �` •' �-� ,r r`j,:+. ...' � � i ' - �+�a1►.� '� ..: •�-,�,�y � �, q.. !/ �r •� . • l'� ,y;i�- . �?� � � �. .�,�+�`"� .rJ�;° �� <� ]iJf '� �a '" � , ��"� .,� ...�:�- ��j� ."6� .x:�':'�'�• ' ..,d'r ~•1 `►" �f �-�� , '' � 1l...�-- JE TIME CITY OF ORONO CALLED IN 7 �� INSPECTION NOTIC SCHEDULED �� PERMIT NO. � '� � COMPLEfED ADDRESS � �� OWNER �. PHONE N� � � Sa CONTRACTOR , � DESCRIPTION � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETIANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICOMRACTOR TO ME�U:_YES_NO / � � COMMENTS: � �l��' S�� D S�— S�'L�Cl, W � o � l�P�.SSC�i'�2 �.s�' ��Or �S ��/ '' /D � 0 � W � Q � � W aC J�j � W/D�WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE . 00 ��RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. Q PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in�vance. (g52) 249-46�� OwnedContractor on site: Inspector: � White CopyAnspector's FNe Canary CopylSMo Notiee