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Home My WebLink About2016-01146 - inspect after attaching waterline • � CITY OF ORONO * z 0 1 6 - 0 1 1 4 6 * 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3220 NAVARRE LA PIN : 17-117-23-44-0058 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 064 BLOCK 000 PERMIT TYPE : WATER PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : REPAIR NOTE: INSPECT AFTER ATTACHING WATERLINE APPLICANT WATERCONNECT/DISCONNECT/REPAIR 50.00 STATE SURCHARGE SEWER&WATER 1.00 DUSTY'S DRAIN CLEANWG INC TOTAL 51.00 P O BOX 262 Payment(s) ST FRANCIS,MN 55070- CHECK 1547 51.00 (763)286-8741 Minnesota State License#: plbg-PM065901 OWNER HARRINGTON, DEVIN 3220 NAVARRE LANE 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 rype of work shall be compied with whether or not specified herein.This permit will expire and become nuil and void if construction authorized is not commenced within 180 days of the date of issuance,or iY construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. , ___._ ; i _.-- � � ��_ � � z� �� Z� �' i,2l� � �'� Applic t Permitee S' ature Date Issued By ignature Date , . . FOR CITY USE ONLY ��NO City of Orono Date Received: Permit# P.O.Box 66 2750 Kelley Parkway ❑In-House SAC Determination Form Completed �, Crystal Bay,MN 55323 fF �'.�ti�\,��^ (952)249-4600/Fa�c(952)249-4616 Approved By(If Required): c.�,.� CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (•Note:Some permits may require approval by the Building Official and/or Public Works Department') (ALL PERMIT5- Mav be subiect to further review and mav not be issued when the aonlication is receiv�d) 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 Deparhnent(952-249-4600)for urility 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 Approvai) ❑Commercial(Approval Required) ❑New Connection ❑Addirional Connection ❑Re-Connecrion ❑Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Owner Informarion: Site Address: �l�-Q N'�v��c. �A^-'� V�O1'�� Owner:�`�"� ��"�-' '�-`� Mailing Address: �z-O ( b��S"t �,�� 'd City: ��rs 1�- Zip: �5�� Home Phone: �tZ�S�S� Y T Alternate Phone: Contractor Information: COritIdCtOT: Dusty's Drain Cleaining,[nc COritaCt POTSOII: Dustin Guinn f�C�dTCSS: PO Box 262 StStO L10EriS0#: PM065901 Ci�: St.Francis Zip:55070 EXpiTBtlOri D1t0: 12/31/16 Phone: �63-zs6-s�a� Alternate Phone: * , . ❑SAC Charge(2016 Rate m$2,485.00) $ (SAC Charge must accompany all sewer pe�mit applicarions unless prepaid) (Orono City Staff can determine if applicable) (If not prepaid,a sewer connection permit will aot be issued) ❑Sewer Connection/Disconnect/Repair($50.00/Per Stub) S Pipe size inches;material Schd 40 air tested; cast iron �Water Conn�tion/Disconnect Rep ' S0.00/Per Stub) $ Pipe size j inches;material 5chd 40 air tested; copper ❑Water Availability For Future Hook-iJp to Water($50.00) $ Water Availabilitv Eaolanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. R�quired Before Water Connecrion Permit is Issued: 1. Issue Water Meter&Hom Pernrit 2. Any Addirional Connection Fees Paid(If Appticable) Issue Water Connecrion Pernut: l. Collect Permit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: $ 2. STATE SURCHARGE $ 1.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ADDITION,�L 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 Departmeat(952) 249-4600, upon completion of ineter instailation. The undersigned hereby applies to the City of Orono for issuance of a Utility Pemrit,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 ttus application aze,true and correct. Applicant: � � Date: 9/19/16 , � ' SEWER&WATER PERMIT IN HOUSE FORM-TO HELP DETERMINE SAC UNITS FOR CITY USE ONLY (*Please Key T6is Iafarmatlon Ua Comment Ilne Of Per�#') Date Completed: #Of SAC Units Completod By: ❑ *SAC Prevt�asty PaW- Perm## Date�f Permft 'Charge 1 SAC Unit Pe�r Home *If Multiple Homes Or Units-May Need To�ay Additional SACGhargea ❑ *SAC Grandfatherad In— Permit,# Dxtt af�'eerno�t , 'Must have`had Hoak Up Bt Home Prior To January 1,1973 "Refer to Helpful Hint Sheets,Or?►sk If Necessary *If Muitiple Units-May Need To Pay Addirionai SAG Chatges ❑ *Comme�rcisl— Permit#Aeceumed F� Dste of Penm� ❑ *Letter From Met Cwtncil—Showing Use-Or Additiona#Units ldeed�d- �Contact Jodi at(651)602-1113 Ta Obtain Lette7(LTsuelly Bw'ldin�Officiai Obpr;ns) •Copies To:Lyle,Sueet File&One On Cc�sy Qf Permit'For Reporting *If umabte w datermine;will have w wait to be isaiod untii determination can tre made ❑ SEPTIC Aties- •sa WATCH FOR Tf�SE CONNECTIONS�•'� "Per�on Will Have To Pay Connection F�s&Assessments�+SAC Charges 'Refer Tn G`urrent Year Fc�Sehedule! D�'t Releese Urni1 Fces Are PAID! (Ask for Scott or Lin's Help With These) . 'Will Need Approvai�rom Public Works(^scott} ❑ Special Grinder P�ur►p Needed 'Have Tham Talk'fo Scott For Questions 8t Pricing , •Give T'hem Special Hand Outst(In Drawer With Sewer Pernrit) ❑ Permit Needs Approval FTom Public Worl�: Appmved By: � *Si�note,Co�don Pernuts—Cover S�tic Taak Abandonntent Also,Per Lyle � �r�/�c 1��s (� � DATE TIME � �� CALL CITY OF ORONO ED IN INSPECTION NOTJ,C �0/��, SCHEDULED �?��.� ' �, PERMIT NO. 3 � COMPL ADDRESS � C"�'�� OWNER _L�f,�� TEL��HON�.�1�0. ��5�� CONTRACTOR �( /'�/7�it•Yd/� � �� DESCRIPTION ��_�.��'� ,,��1'��— ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ W OD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL �TER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY � ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Q ONfNERICONTRACTOR TO MEET YOU:_YES_NO 2 �,I,�, �� COMMENTS: �o .�� d � � i k,R�.�� a L.dCaK s ��i �� y S � 0 � � 0 � W � Q � 2 W � W � j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINCa PERMANENT ❑COFiRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR W{LL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector.�- � ,�'��'�l�' � White CopyAnspector's File C�nary CopylSita Notics