The URL can be used to link to this page

Home My WebLink About2012-00218 - water pass through fees CITY OF ORONO * z 0 1 z - ID 0 z i s * ' 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2012 ' ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 15 MYRTLEWOOD RD PIN : 36-118-23-33-0013 LEGAL DESC : MYRTLEWOOD : LOT 001 BLOCK 002 PERMIT TYPE : WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : PASS THROUGH FEES NOTE: THIS IS THE WATER CONNECTION FEE FOR PERMIT#2012-00217 SEWER CONNECTION&SAC WAS ON PERMIT#2011-01520 PAID VIA:CHECK 4561 ROBI JAMESWEATHERS APPLICANT WATER CONNECTION CHARGE-WAYZATA 1,122.00 JAMES WEATHER,ROBI TOTAL 1,122.00 15 MYRTLEWOOD RD WAYZATA,MN 55391- OWNER JAMESWEATHER,ROBI 15 MYRTLEWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORI�i 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 sepazate 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 after work has commenced. The applicant is responsible.for all required inspections aze requested in c6n�nance with the _�3ui.lding Code.This permit may be revoked at any ti for du . ; / %� ��'� /2� /�'�p2 / / App,' � itee Signature Date Issued By i ature Dat SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO a�� . o �5� s . � �'tO�C�'X t�SE�N��' � O,¢��O City of Orono T�atel�eeeiusd' Permrt#��""� ,'I P.O.Box 66 � � ��y ;• � � �� _..� � � � 2750 Kelley Pazkway ❑-ln�auseS�CT.1eteFTx►an��[+3�i-��rm�fi�IIp��f�t� ,F: �;. � Crystal Bay,MN 55323 � ,��yo (952)249-4600 Apptaued By(IfI��uired� CITY OF ORONO-HOMEOWNER SUPPLEMENTAL FORM WAYZATA-SEWER&WATER PASS THROUGH CONNECTION FEES& SAC FEES (ALL PERMI'TS-Mav be subiect to further review and mav not be issued when the aaalication is received) PERMIT CODES(IN-HOUSE) Sewer/Residential/Pass Through Fees/Blank Wated Residential/Pass Through Fees/Blank Sewer&Water/Residential/Pass Through Fees/Blank GENERAL INFORMATION 1. SAC& SEWER&WATER CONNECTION FEES CAN'T BE PREPAID—UNLESS THE CONTRACTOR WILL BE PULLING THE PERMIT IN A FEW DAYS. (PER MET COUNCIL). 2. If payments are made: Prior to the actual sewer or water connection permit(pulled by the contractor)the payment will be held until that permit is received and paid for. 3. These payments can only be made with check or cash,because they are pass through fees. 4. If you the homeowner wants proof of this payment,we will hand write a payment receipt. 5. We will not hold this payment more than a few days to one week,at which time if the contractor does not come in we could reserve the right to return your check to you,or collect additional fees that could change. 6. Once the sewer or water connection permit is issued,we will issue this permit and send you the homeowner a copy. T�PE OF PERMIT ;(Ch�ck t�li That A 1 ) ❑ Residential(May Require Approval) ew Connection ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Qvvner I.nform�.tion: ' Site Address: /s m yr�"�eWOD� �-a V Owner: �OC71 �r�es�ct-�-he�� MailingAddress: I S I'h�+'+Iewcxxr� Qo(. c�ty: l,c��z a� z�p: .SS 3 4 1 Home Phone: ��7U��/�� Alternate Phone: ' e ❑ 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 Charge—City of Wayzata(Pass Through Fee) $ (2012 Rate=$590.00) �ter Connection Charge—City of Wayzata(Pass Through Fee) $ � � 22 ' D � (2012 Rate-$1,122.00) ❑ Water Connection Opt-Out—(Please Initial) I am choosing not to hook-ua to water at this time. ❑ Water Availability— (Please Initial) I am choosing not to hook-ua to water at this time. I have chosen to have my contractor make it water available for future hook-up. 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 TOTAL PERMIT FEE(Add Fees Listed Above) $ ��1`r��''�Ar.,n�r�ax�'�'��1�-�v�7r��'r��.� ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arate permit. Typically the contractor will pick-up and pay for this permit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter installation. The undersigned hereby ap e City of Orono for issuance of a Utility Permit, agrees to do all work in strict accordance wit e ordinances of the City and the regulations of the State of Minnesota,and certifies that a.l�tatements made on this application are,true and correct. ,,. , � . , : _. .._-7 _ . Owner: ' D�te: �