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Home My WebLink About2013-00916 - sewer connect r � CITY OF ORONO * Z 0 1 3 - 0 0 9 1 6 * 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1421 NORTH ARM DR PIN : 07-117-23-44-0073 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: SEWER CONNECTION-4 PIPE APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 KNAPP& SONS SEPTIC STATE SURCHARGE SEWER&WATER 5.00 13574 110TH STREET MILACA,MN 56353- MAIL-IN FEE 2.00 (763)477-8566 TOTAL 57.00 PAID WITH CC# 3168 OWNER DJY CONSTRUCTION 3452 PILGRIM LN N PLYMOUTH,MN 55441- 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 sepazate 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 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. ' � � -� C� � �/ 9 // App ' ant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • Sep 13 04:59a Knapp and Sons Septic LLC 320-369-3795 p.1 � • FOR CITY USE ONL��Y�r� p .1�Un/� Clty Of O�"OIIo Date Receiv��Permit uc�Y/ • /�� P.O.Box 66 � 2750 Kdley Parkway ❑In-House SAC Detecmination Form Complaed - � i � � Crystal Bay,MN 55323 ',, ,�!� �: (952)249-460D/Fax(952)249-4616 Approved By(If Raquited): A.J�:1��:- CITY OF OR4N0—SEWER& WATER/GENERAL PERMIT (*Yote:Some permits may require apptoval by the B�eilding Official andlor Public Wodcs Department�) !AI 7 PFRMiT5- Mav be subiect to furtber r iew and mav not be issued w�bee the aoulication is receivedl GENERAL�NFORMATION 1. You may apply for utility permits by mail or in person ax the City of['ices. 2. Mailed in applications are subject to the postage and handling fee shown below. Permit cards will be sent by return maiE 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 pennits may be issued to licensed contractors only. 6. Contact the Public 1�'orks Deparimen2(952-249-460U)for utility stub as-buik locations. DO NOT EXCAVATE IN.A1�1'STREET AND DO NOT TAP ANY MAIN withont ezpress approvaf otthe Public VVorks Department. Issuance of a permit dces not grantthis approval. 7. All work must be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Cail(952)24913600,1A+tiour notice required. TYPE OF PERMIT Chec3c All That A 1 ❑Residential(May Require Approval) ❑Commercial(Approval Required) �New Connection ❑Additional Connection �Re-Connection ❑Repairs ❑Disconnect ❑ 1Vater Availability Connection For Future Hook-Up to Water Job Site/Ov►mer Information: Site Address: f�� :/�/�Ur�-� ,,�,�f-,., �� `•, Owner:�ho��,.! ;�,��,-,�,r.,4,,, Mailing Address: City: Zip: Home Phone: Altemate Phone: Contractor Information: Contractor. �nu�7 �n�l' 4�ns �c. Contact Person: ��J c;•C- � Address: �;�5`7`� �1v�`h Sr�. State License#: /��5/y�3��R � City: /j"/� �Gc�, Zip�/I.il/ Expiration Date: %�� 3i -�fi/� Phone: � G�.� Alternate Phone: 7G 3- �'77- ��S�G . �E 9 13 04:59a Knapp and Sons Septic LLC 320-369-3795 p.2 i DETERMINIl�[G PERMIT FEES ❑SAC Charge(2013 Rate=$2,435.00) S (SAC Charge must aceompany all sewer permit applications unless prepaid) (Orono City Staffcan determine if appl+cab(e) (I#'not prepaid,a sewer connection permit will not be issued) e ' �/Disconnect/Repair($50.00/Per Stub) S ��'., Lj i',� Pipe sixe 7� inc6es;material Schd 40 air tested; cast iron ❑Water C9nnection/Disconnect/Repair(S5U.U0/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper ❑Water A ilability For Fature Hook-Up to Water(3SQ.OU) $ Water vailabili • Ex alanation: Contract r instailed line to insede of house for future hook-up. This lin will be inspected by the Public Works Department. R uir Before Water onnection Permit is Issued: 1. ssue Water M�ter&I-�om Pernt�it 2, ny Additional Connection Fees Paid(If ApQlicable) Tssue W er n cti n Perrnit: 1. ollect Permit Fee&issue Water Conttedion Permit 1. SUBTO of Permit Requested; $ .�- �G 2. S'f'ATE S CE�ARGE $ 5.00 3. POSTAG &I3ANDLING{Only on Mail-In Applications) $ 2,00 4. TOTAL ERMIT FEE(Add I..ines 1-3 Above) $ S7. � U DITiONAL�1FORMA�'ION—WATER METERS ■ WATER METE must be pic[ced up and paid for at Orono City Hall,these are on a senarate permit • WATER ME mast be set and seated by Orono VVater Departmeot(952)249-4600, upon completion of m ter installation. The undersigned he by appl'ses to the City of Orono for issuance of a Utility Permit,agrees to do atl tivozk in stxict a cordance with the ordinances of the City and the reguiations of the State of Minnesota,and ce fies that all statemeMs made on this application are,true arzd correct. p►PPlioant; �- v Date; � - 9" /3 �(�I �,�(s i n f11h�✓ IO AT � �IIOIE ��ITY OF ORONO CALLED IN 3 INSPECTION NOTIC SCHEDULED g � � PERMIT NO �� COMPLETED ADDRESS � �oZ� - R M �� OWNER TELEPHONE NO. ��3 �77�� CONTRACTOR ��}„Q � . /��_ / / ! � DESCRIPTION ��c�1 �7�LC � � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENYETLANDS VS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PqOGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP,i FINAL ❑ FOUNbAl10N/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: �` YES_NO v�i COMMENTS: � �� /!�(/C �`G , �D /r'�O-P a� � 0 � _�,�/D /Vi�e SSr�r e -�S7` G��3 �a/� � .1/o f ,UP�� o� n�i �✓ .�/G f i��.�.P W Q ��i ♦.0 fi�i �j � � 2 � W � J d � ❑WORKSATISFACTORY:PROCEED ❑PRWECTCOMPLEfE W ❑CORRECT Y1fORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREWIRED.CALLTOARRANGEACCESS. Cail br the next inspection 24 hours in advance. 9�2) 249-4600 OwneHContractor on site: / G Inspector. �� White CopyAnspector's Fils Canary CopylSite Notice