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Home My WebLink About2009-00762 - sewer connection CITY OF ORONO PERMIT NO.: 2009-00762 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [ssuEn: 10/29/2009 . � 952 249-4600 FAX: 952 249-4616 ADDRESS : 45 MYRTLEWOOD RD PIN : 36-118-23-33-0015 LEGAL DESC : MYRTLEWOOD : LOT 003 BLOCK 002 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: SAC&WAYZATA SEWER CONNECTION CHARGE PAID BY I IOMEOWNER ON CASHIERS CK#731502405 PERMIT#�9A9-99�(r3- a�9 �� APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 COPPIN WATER&SEWER STATE SURCHARGE SEWER&WATER 0.50 864 QUAIL PKWY WATERTOWN, MN 55388- WATER AVAILABILITY 50.00 TOTAL 100.50 OWNER BROWN,JESSICA 45 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 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 a[any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any[ime for due cause. /�) � t • � � / ' �`1'` � `�' �jC�t� �n�l'V1�r� �� (�`� � c�� !/`--`-/�,` � �`Y'�'�-�c-y� � � Applicant Per tee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FO�E ONLY y/� � 04��0 City of OCono Date Received: ermit# �Q—'� /(�a2 P.O.Box 66 �, ; 2750 Kelley Parkway ❑In-House SAC Determination Form Completed � , �� i`' Crystal Bay,MN 55323 ��` ��ya� (952)249-4600 Approved By(If Required): y�o$ 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 anplication 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 pernut 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 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 OF PERMIT (Check All That Apply) ❑ Residential(May Require Approval) ❑ Commercial(Approval Required) � New Connection ❑ Additional Connecrion ❑Re-Connection ❑ Repairs ❑ Disconnect :p�] Water Availability Connection For Future Hook-Up to Water Job Site/Owner Information: Site Address: y 5 .��v,��1f,� Rn Owner: �?Q55: �t��,,,� Mailing Address: �-{ 5 M��\wr,t�c� City: Oi-c�,�r'; Zip: Home Phone: q 5.1- �{��,-��)S Alternate Phone: Contractor Information: Contractor: C-c�� 5�..:r� �- �.:x4.�:' Contact Person: Q-\\ c�P�.(� Address: ��,y�,yu�:` „o�� State License#: 5 73 a`�- ,^1f� City: i,J�.�4ec��.,,r� Zip:�3� Expiration Date: j,a,-;j'�_ pq Phone: �5��-y SS'- �5`c3� Alternate Phone: 6\�- 5�A - `1`1�`i . . � �`��`' N�.`��`E�`� ' ' DETERMINING PERMIT FEES �:� �,, � ❑ SAC Charge(2009 Rate=$2,000.00) $ (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) $ 5 Q ,��,, Pipe size `�%�inches;material�},�,,, Schd 40 air tested; cast iron �c ❑ 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) $ C��_F� 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 l. SUBTOTAL of Permit Requested: $ � �F r,,,�� -� 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 1�b, Sp ADDITIONAL INFORMATION—WATER METERS ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate peimit. ■ 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 far issuance of a Utility Permit, agrees to do all wark in strict accordance with the ardinances 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: f C�� 7�vy . � !/rL �PClI-P/x � ��G�� b'6-� (�z�cril PKWY WalerCown, MN 55388 Phone (952) 955-1588 Fax (9�2) 9�5-3522 Bill@coppinsewerandwater.com October 19, 2009 Sewer system Myrtle wood rd Orono, MN Dear Home owners, We are providing another option to the E-1 sewer system and we are letting you know the disadvantages of this system. Disadvantages: Due to the large capacity(SOOgI) tank system there is a greater risk of sewer odors and hydrogen sulfide gas found in sewer systems. I.f'you feel you have problems with this system in the future contact the contractor not the city about this. Sincerely, Bill Coppin ^.0 � 3 -� -; � � � � � �, � � �. � � � o- � Q Z P b jJ. sj� / � f, !� � . ,� _ . .. � � � fi �. �� ,_. ,� _ ^ _ t _ _ � C> 't � � _. , _ � s b . � �. � s F. � � r , � p � � ` � �� x � r �� 1 � � -� � , � � � � � � � � , , � 1 � � � � r . � � , s f l � � , c � � � � r s � � ' � ° � �, d � ; .' � � � . � � � �; � s.� � � ti� �' -b c-` � � .r. � u= C3 f D T � '�' ...c- '� � £ � ,.C`' � i �1` j� � ,� _''° � a- - - • - - - . _ _ - �- - - _ _ . . _ - - - - _ ._ - - - � -- - - - _-- - - - - � � -��v F• RV` d �� a DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �D� PERMIT NO. o�Od�I�GY>7�Oo�, COMPLETED ' � ADDRESS �S rn�fr�l�wa� � OWNER CONTR. G�D.OD//7 S 'f L(� TELEPHONENO. �1z-- S�B �T97� � DESCRIPTION VE� ��7�pC�� a ��L�Qu� �`�,T � ❑ FOOTING � MECHANICAL RI ❑ EXCA ADING LING u,` Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �%f'l- �" 3 0 �D� .�n�y�c.,�d �`2 ws�-��- a �+- St:w e� �� ,�,.� .a� �C Cc.��",d sT;;�s on/�- .�� o p�� /�t �I� �� 0 � W Q �� i� c-��v� '-� �!� �i� cti L Z ,`-�5' L�:1 � -t w � W � � O W��WORKSATISFACTORY:PROCEED G PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITfONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. :_ 'J .. re � � � White Copyllnspector's File Canary Copy/Site Notice