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HomeMy WebLinkAbout2013-01073 - sewer connect CITY OF ORONO * 2 0 1 3 - 0 1 0 7 3 * 2750 KELLEY PARKWAY DAT� tSSUED: 10/14/2013 � . ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1529 MINNIE AVE PIN : 08-117-23-33-0064 LEGAL DESC : HICKORY HILL : LOT 004 BLOCK 000 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTF: SEWER CONNECTION APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 J. P. SCHMITZ CONST. CO., LLC STATE SURCHARGE SEWER&WATER 5.00 16450 117TH AVE N MAPLE GROVE, MN 55311- TOTAL 55.00 (763)286-1995 Minnesota State License#: PB645863 OWNER Landscource LLC 50 25TH AVE N ST. CLOUD, MN 56303- AGREEMENT AND SWORN STATEMENT The work tbr 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 permi[s. 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 cominenced within 180 days o1'the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. 'Che applicant is responsible for assuring all required inspections are requested in conformance with the SCate Building Code.This permit may be revoked at any time for due cause. �o , i� , �3 � , < �o � � ��� Applicant P rmitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . . . . ,.,:..sww,, .�..,.... .F..... . . .,. y�:a.�..,,.z,.,._.„ ..,w,.. . . .. .... .,.... . .. .... :,,;,,.... . .. .. .. � "' FOR CITY USE ONLY ;-��n/�/� City of Orono Date Received: Pern�it# �/,3-� �7 3 P O. Box 66 /l� 27�0 Kelley Parkway ❑In-House SAC Determination Form Completed �� i � � Crystal E3ay,MN 55323 � � (952)249-4600/Fax(952)249-4616 Approved By(IF Required): �` `. CITY OF ORONO —SEWER & WATER/ GENERAL PERMIT (*Note:Some permits may require approval by the Buildin'Official and/or Public Works Departmen[*) (.ALL PER�IITS- Nlav be subiect to further review and mav not be issued when the apnlication is received) GENERAL 1NFORMATION 1. You may apply for utility pennits by mail or in person at the City offices. 2. Mailed in applications are subject to the posta�e 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 Apply) �,Residential(May Require Approval) ❑ Commercial(Approval Required) ❑ New Connection ❑ Additional Connection � Re-Connection ❑ Repairs ❑ Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site /Owner Information: Site Address: � `� Z� /�'� `^"��� �f� Owner: L"""'SDJri.Q� Mailing Address: S S D z S �-� �-,n� .� City: �T� G��✓�� Zlp: �� 3�� Home Phone: 16� � �5 �'��� Alternate Phone: Contractor Information: � � �G�,w�,-� Vr����r�✓K k. (L SG�.w<< l� Contractor: Contact Person: �` Address: ��'��� �� � t� '�� State License #: � � � ���� �'� City: `�G °�' Zip: 5 S�G� Expiration Date: Z� ��� Phone: �b3 '��1 � L�j Z Alternate Phone: �i�`^^�- ' • . • DETERMINING PERMIT FEES ❑ SAC Charge(2013 Rate=$2,435.00) $ (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 Hook-Up to Water($50.00) $ Water Availabilitv Exalanation: Contractor instal(ed 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 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 separate permit. ■ 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: �� — t�� ' � � � � � � :�� �� � � a , : .a :. <., �. � R:= ��,a.t� , �,: � � t i � � l�� V . ..- . 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Call for the next inspection 24 hours in ance. (g52) 249-4f)�0 OwnerlConVactor on site: Inspector.��°i�� White Copyllnspector's File Canary CopylSite Notice