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Home My WebLink About2011-01569 - sewer disconnect CITY OF ORONO PERMIT NO.: 2011-01569 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 12/2U2011 Y 952 249-4600 FAX: 952 249-4616 ADDRESS : 940 NORTH ARM DR PIN : 07-117-23-11-0014 LEGAL DESC : PIRATES COVE : LOT O10 BLOCK 001 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DISCONNECTION APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 BOLLIG& SONS,INC. STATE SURCHARGE SEWER&WATER 5.00 11401 COLJNTY ROAD 3 TOTAL 55.00 HOPKINS,MN (612)938-4433 OWNER Guardia Development Group,LLC LLC,GUARDIA DEVELOPMENT GROUP, 2501 WAYZATA BLVD. MINNEAPOLIS,MN 5540 AGREEMENT AND SW 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this rype 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 consVuction 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 revok at any time fo ue cause. �-�'T — � � / / pplicant Permitee Signature Date Issued By Sign re e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB V . � �, ; ��i�,i�L�'�I'��T�.�Y �,�0�� City of Orono Da�c�� er�,it� �� P.O.Box 66 ,;�� '�' 2750 Kelley Parkway �(3��use�`t�119otsFnunatron'�otm�tir�pleted ��° � � ,� � Crysta]Bay,MN 55323 � _ � �80` (952)249-4600 1�P�rc�u�i�By��f�equired=� 3 4 CITY OF ORONO—SEWER&WATER/GENERAL PERMIT (*Note:Some pe�mits may require approva]by the Building Official and/or Public Works Department*) (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoolication is received) °�7��`��1.��. :,:, �. 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. Pernut 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. Urility connection permits may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for utility stub as-built locarions. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without ezpress 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. ��2 = � � r � ;��k � �,� - > # .�1�.,'T�.a �y ❑ Residential(May Require Approval) ❑Commercial(Approval Required) Sc�,,,�. � �� ! ❑ New Connection ❑Addirional Connection ❑Re-Connection ❑ Repairs Disconnect ❑ Water Availability Connecrion For Future Hook=Up to Water 3D�,"��DCTt18I�Q�1�,�1�JT,l _ , , ,,� SiteAddress: �"`1 � /�� "`� /`�� G0.-� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: {�c�ntr�.+r��r��at�c�� ; ' � r(� �� (� Contractor: l l� � �S Contact Person: _..�t w► l��-�� Address: ��G � C� �� State License#: City: � '��`�S Zip:�� Expiration Date: Phone: �,�2- 1 3 g �� 33 Alternate Phone: Gl Z��V�� (� � . , ❑SAC Charge(2011 Rate=$2,230.00) $ (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) wer Connectio�/Disconnect/ pair($50.00/Per Stub) $ � � �� Pipe size inches;mxt�ri�� 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 Ezulanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. Required Before Water Connecrion Permit is Issued: 1. Issue Water Meter&Hom Permit 2. Any Additional Connection Fees Paid(If Applicable) Issue Water Connection Pemut: 1. Collect Pernut Fee&Issue Water Connection Pernut 1. SUBTOTAL of Permit Requested: $ rLj—� � �(� ,� 2. STATE SURCHARGE $ 5.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � � � t �'"Y.i°^fi�, ��,i-.��,� .�� L��,��"��J� ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a senarate 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 ce fies that all tements made on this application are,true and correct. ',/ , Applicant�� Date: _l � —"G � ' l ( �DATE.� / TIME CITY OF ORONO CALLED IN f INSPECTION��T ,�i�/�� SCHEDULED �� PERMIT NO. �� COMPLETED ADDRESS 97� �� OWNER TELEPHONE NO.�`a 3� �d�� CONTRACTOR �l��l �: DESCRIPTION �� '�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � 0 �. � 0 � ti Q s� � . � � �' � � � � W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice