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Home My WebLink About2012-00217 - water connection CITY OF ORONO * z 0 1 z — 0 0 2 1 7 * , _ , 2750 KELLEY PARKWAY pqTE�SSUEn: 03/23/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : IS MYRTLEWOOD RD PIN : 36-118-23-33-0013 LEGAL DESC : MYRTLEWOOD : LOT 001 BLOCK 002 PERMIT TYPE : WATER „ PROPERTY TYPE : RESIDENTIAL ��'�ri�' � "'j`;'�'^ ' ��' CONSTRUCTION TYPE : CONNECTION kecefpt 1V�: ,`s.�'►t�fi57? "4obi .laneswea.kiersl�:<: ., . �r��iau5 6atat�: _ Aerp�:�.t�`n - �12-�k17 aater C�;r,��ect ibn i'� M��rt lew�;:. !�'3, 3�;�;,(i ��~hanicatl5ep':i€l�h� � `"��f Nits � � � -��-c�e�rr �� ;�, ,:�-:c�c3r ;e fio qovt s-5t;,i, :�rnits :,�a Thraa F� Enr �,��,: 1, ��..':',; �:anneciion i: 14yrtl'ewood ` ;01-2C�'7 ` � liayzata '�tr15��^ L'unr�ect i.an F�e` �,'inial: �.� - 1,177.G, ��_s��::�_ , ��,k�r� � � . . . . :k NCJ! 45�'t , ��r: _asNe=:,e + �- • � a �ar.�. ....�_a i: APPLICANT WATER CONNECT/DISCONNECT/REPAIR 50.00 AMERICAN MECHANICAL CO, INC. STATE SURCHARGE SEWER& WATER 5.00 7120 71ST AVE.N. TOTAL 55.00 PO BOX 205 LORETTO, MN 55357- (612)750-0278 OWNER JAMESWEATHER, ROBI IS MYRTLEWOOD 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 wi[h 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 I 80 davs at any time after work has commenced. The applicant is responsitile for as�uring all required inspections are requested in conforniance with the State Building Code.This permit may be revoked at a�ry�time for d�use. � , . - /yll�'CI�� l��? l l ._ ..�--i::'`...:: Appli�,ef`mitee Signature Date Issued By S g ature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO , . . F�R GIT'Y USE ONLX � �,�0�� City of Orono DateR�ceived. Pertnit#�� P.O.Box 66 ' ' 2750 Kelley Parkway ❑ln-Hpuse SAC.Determination Fomt Comple#ed � . � >. � Crystal Bay,MN 55323 �e� (952)249-4600 Approued Bg(�f Required}: � � �� CITY OF ORONO—SEWER&WATER/GENERAL PERMIT (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) (ALL PERMITS- Mav be subiect to further review and mav not be issued when the auolication 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 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 pernuts may be issued to licensed contractors only. 6. Contact the Public Works Deparhnent(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 pernut 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 UF PERMIT : Check All That A 1 ) ` ❑Residential(May Require Approval) ❑ Commercial(Approval Required) �ew Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connecrion For Future Hook-Up to Water '-Job Site/Owner Information: ' Site Address: �5 m�1/'�'��c� �� ,� � — �/ 1 I Owner: ��1 `�rvte�t.�Pa��f Mailing Address: City: �rCsnO Zip: 5 S .3� � Home Phone: ��/�^�f%� Alternate Phone: �� ( r Contractor Information: Contractor: �G��ca h l�cG� Contact Person: �q e�.� S• Address: �� l S+ �Ue State License#: City: l C�� ?��8 Zip:�►�/ Expiration Date: Phone: ��SU �� Alternate Phone: . . � ❑SAC Charge(2012 Rate=$2,365.00) $ (SAC Charge must accompany all sewer permit applicarions 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 ...____ 'ater Connec ' Disconnect/Repair($50.00/Per Stub) $ Pipe s�ze inches;material Schd 40 air tested; copper ❑Water Availability For Future Hook-Up to Water($50.00) $ Water Availabilitv Egalanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Deparhnent. Required Before Water Connection Permit is Issued: 1. Issue Water Meter&Horn Permit 2. Any Addirional Connection Fees Paid(If Applicable) Issue Water Connection Pernut: 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 Il'�FOR1�It�TION�-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_ City of Orono for issuance of a Utility Permit, agrees to do all work in strict cordanCe with t ordinances of the City and the regulations of the State of Minnesota, and ce fies that all ements made on this application are,true and correct. � _� r� Applicat�t: , Date: �/'��' �� ,: DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED PERMITNO. °?o/� -00�-� �MPIETED � �� 3:G�� ADDRESS � � �� OWNER o 6 i ��'"�tEPHONE NO. CONTRACTOR _ a DESCRIPTION ��'� �y�� " � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q � TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB �WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:I�� /QS�/C �c/7'/ �ir/e . �-��a� W a J O a � O � W � Q � 2 W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: ��lJY -"OWrv2✓ Inspector. �C�'� White Copyllnspector's File Canary CopylSite Notice