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Home My WebLink About2008-P11797 - sewer repair • � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11797 Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: 1/8/2008 SITE ADDRESS: 1380 North Arm Dr Unit# Mound,MN 55364 PID: 08-117-23-32-0025 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Pernut Permit Sub-type(s): Sewer Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 13,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Burschville Construction OWNER: Scott&Carol Sandberg 11440 8th Street NE 1380 North Arm Dr Hanover,MN 55341 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT PERMITEE SIGNAI'URE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . • FOR CITY USE ONLY 0,��Q City of Orono DateReceived; Permit# P.O.Box 66 2750 Kelley Pazkway ❑In-House SAC Determination Form Completed � ;.� Crystal Bay,MN 55323 : �yy (952)249-4600 Approved By(If Requiredj: 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 aoalication is received) GENERAL INF�3RMATION 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 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 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 P�RIV�IIT : � �� Ch�ck All Th�t A �1 � � �� Residential(May Require Approval) ❑ Commercial(Approval Required) �New Connection ❑Additional Connection �Re-Connection �Repairs ❑Disconnect Job"`Site/Owner Inforrnation: ' Site Address: /3S[� �11�d��1► IQr,K �r� k _ Owner: ��}1 �..,al b�cT_ Mailing Address: �3�vO 1l� - �4rN. �r, City: Dro>�o Zip: �5�� Home Phone: �5�.y7/-$�o��_ Alternate Phone: Lo)a2- 5�7- y008 Contraetor:Information: Contractor: R�.�r�1,�� (�e,,,�t�rre,� Contact Person: �;�K �c.r•d,�( � z+�. /rtc�c A P,�I T�:�:,,� C�.r�;�'.�,o,+� Address: 11�}�0 8 s� �E State License#: a33� City: n1 Zip: Expiration Date: � +4 Phone: 7l03- `/97- �/o�N�2 Alternate Phone: Jla3-�$Co- �f7/(n • � � SAC Charge(2007 Rate=$1,675.00) $ (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can determine if applicable) (If not prepaid,a sewer connection permit witl not be issued) �Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ j✓ �Q� Pipe size�_inches;material�/�Schd 40 air tested; � cast iro ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; 0 copper 1. SUBTOTAL of Permit Requested: $ . 2. STATE SURCHARGE $ .50 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ADDITIONAL INFORMATION—WATE�METERS ■ WATER METERS must be picked up and paid for at Orono City Hali,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 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 certifies that all statements made on this application are,true and correct. Applicant: Date: /— 8- pg , � �3 S�� ? ��-�,� �-�.� �� /2� DAT TIME � CITY OF ORONO CALLED IN L a INSPECTION NnOTICE SCHEDULED i < v 8' �� v PERMIT NO. Y'L�7� � COMPLETED ADDRESS �3�v ��t- �Ci�✓1/l_ OWNER CONTR.��- �yl�� TELEPHONENO. ?�3 — '�97 �"a7`"� � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z �ALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � � � �?r/' e ' _J'O � W i � � d W WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContract�n�ite: Inspector. � White Copyllnspector's File Canary CopylSite Notice