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HomeMy WebLinkAbout2013-00918 - sewer connect -� CITY OF ORONO ` 2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 9 1 B * DATE ISSUED: 09/09/2013 ORONO,MN 55356- (952)249-4600 FAX: 952)249-4616 ADDRESS : 4395 NORTH SHORE DR PIN : 07-117-23-43-0018 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 018 PERMTT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: SEWER CONNECTION-4'PIPE-MATERIAL-SCHEDULE 40 APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 ABLE EXCAVATING STATE SURCHARGE SEWER&WATER 5.00 15630 OLD BRICK YARD RD. SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 (952)445-7432 TOTAL 57.00 Minnesota State License#:077992-RP PAID WITH CC# 9988 OWNER CORNESS,JOHN&BARBARA 4395 NORTH SHORE DR MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT T'he work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Bui(ding Code. 1'his 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 type of work shall be compied with whether or not specified herein.l'his 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 asswing all required inspections are requested in conformance with the State Building Code.T'his permit may be revoked at y time for due cause. / / / / Applic t Pe itee ignature Date Issued y ature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . r � ' /OR C1Tl'UMI OMY Q.0 � Rtyeflr�oeo Dt�H.eri•.d: ➢ami�� PO.Bw60 � 273DR.11yPuk�n ❑3e.Oou.SACDaouinWmPamGnolMd � p�rtd Bq.�d 3372) (95�N9�6DDfFo(937�N9�616 A►�se•�d�QfA.q�ind�. C'ITl'OF'ORONO—KL��'ER dk 1VATER/C7ENERAL PERAIIT (•If.r�.6an.0�ti m4�n q�pre�Y q I��9uilsu�CYOCIY�n�a P¢Wlc Wxb Dsyimat� ��($�,�_�I,t_y�nl� rntnrl,2�Mw+�4m+.�o�fr�n�.1�6'aAe�o�4+.hoti/r�wm.A1 I�ENERAL INFC�RN WTIVN 1 You wm�m>yh•toi�rti4h�Qawds Uy wuJ m�u perwo ni t6e Ch'offiees 2 �fnded�q�pluN�a��me mb�etl fo Ihe podnEe nuA hwdlwR tee�4o«v bdotr Peiwd cnM���•dl be eeut lq�rehuu wnd�vdkw 2 Inuwuti dm'� 3 Pe�sMRN�n�lcuWln�W.vetetdr�npamlt���d. 1. Nor��uu�t uot be¢u uuleer Mr pa'md cn A la mT�lnble on�6e�ob ede ! 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OWNER TELEPHONE WO. ���'2 3 2—� `��� CONTRACTOR �� ��• � DESCRIPTION ��'� �`��'"� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG Q � POURED WALL ❑ MECHAIdICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEETYOU:_YES_NO y COMMENTS: � a A�►2',��T c�,k j O � � O � W � Q � 2 W � W � � O W �WORKSATISFACTORY:PRQCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK&PRQCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,GALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTORIMLL REfURPI ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advartce. (952) 249-46�0 Owner/Cantra r ite: Inspector. White CopyMspector's Flle Canary CopylSite Notfce DATE TIME CITY F ORONO CALLED IN IN ECTION NOTICE SCHEDULED P i�T NO. Z�l'3-C�C?�1 �� COMPLETED ,:� � �; � ' t� ;"- DDRESS "? `i �s �'';.�����'-� °;'i��;y�'�::; y�,.,R:-^ OWNER TELEPHONE NO. CONTRACTOR >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION x❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ,�:C3�SEWERHOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL : � OWNERICONTRACTOFi TO MEET YOU:_YE$_NO � COMMENTS: � W a j �. _ �.� r �� p fi� � � A �_ � � O '. ,c ��F^ � 1. ' "� , W - � Q ti 2 I �' ' W � d � , W�,.�f�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT 0 CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor,on s�e: Inspector. �F ��j �9--� White Copyllnspector's File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. a�J3-���g COMPLEfED 4-�3 � / ADDRESS y3°1 s N'v/� �S'A� � % OWNER TELEPHONE NO. � CONTRACTOR � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ IXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL �EWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W a o ��� ��'� �' << � � ° �r,✓L� ,� �r�/fi W � Q � 2 W � W � � �Q � W/CJ WORKSATISFACTORY:PRO�EED ❑PROJECTCOMPLETE �O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Lj BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR difILL RETURPI ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwneriCorrtractor • Inspector. WhRe CopyMspector's File Canary CopylSite Notice