HomeMy WebLinkAbout2006-P09751 - sewer repair PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09751
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued:
4/14,2006
SITE ADDRESS: 4485 North Shore Dr Unit#
Mound,MN 55364
PID: 07-117-23-31-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Roto Rooter Services Co. OWNER: John&Debra Knodel
14530 27th Ave.N. 4485 North Shore Dr
Minneapolis,MN 55447 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO D LL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BU G CODE REQUIREMENTS.
APP ICANT PERMITEE SIGNATURE 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 City of Orono Date Received: Permit#
+ 04 �O P.O.Box 66
2750 Kelley Parkway ❑In-House SAC Determination Form Completed
a
x. Crystal Bay,MN 55323
(952)249-4600 Approved By(If Required):
CITY OF ORONO—SEWER&WATER/GENERAL PERMIT
(*Note:Some permits may require approval by the Building Official and/or Public Works Department*)
(ALL PERMITS- May be subiect to further review and may not be issued when the application is received
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. Pen-nit 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 PERMIT
(Check All That Apply)
2/Residential(May Require Approval) ❑Commercial(Approval Required)
❑New Connection ❑Additional Connection ❑Re-Connection Repairs ❑Disconnect
Job Site/Owner Information:
Site Address:
Owner. Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor. _ fi,�_ ti-- Contact Person
Address: ����- `�� �l� State License
City: Zip: Expiration Date:
Phone: Alternate Phone: `
DETERMINING PERMIT FEES
_SAC Charge(2005 Rate=$1,550.00) $
(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)
Sewer Connection/Disconnect e� pair( 5.00/Per Stub) $
Pipe size inches;material40 air tested; cast iron
Water Connection/Disconnect/Repair($35.00/Per Stub) $
Pipe size inches;material Schd 40 air tested; 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-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 Department (952) 249-4600, upon
completion of meter installation.
The undersigned hereby applies to the City of Orono for issuance of a Utility Permit,agrees to do
all work in strict accordance ith the ordinances of the City and the regulations of the State of
Minnesota,and certifies 11 statements ade on this application are,true and correct.
Applicant: �� Date: �_/�7
Reset Form
0/00 Time Pg 1
881 X Ticket Detail Information
7209 X
1985 L Ticket No.11214391 Customer No.005696935
1215 X Name JOHN KNODEL Contact NO ALT#
2059 X Address 4485 N SHORE DRIVE
3757 X Phones 952 472-4885
2102 A MOUND MN 55364
657 X SchDate 4/14/06 Time 7:00 A Sch/Em Call Type$
861 A
3761 X Comments
XST CTY RD 19/1 MILE FRO
XST M 51 &19TH
CSR DIG LINE PER 881
Option: XAudit S Start Job C Cust Change
M Maintain L Logoff Job H Addtl Driver
I Inquire O Proposal R Resend Page
F12=Prev6ous
F1-Men Time/Emp
F10-Ac 24-Prefs
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE SCHEDULED
PERMIT NO. A41A ,/ COMPLETED
ADDRESS yy�� &7� h s
OWNER CONTR.
TELEPHONE NO. /
DESCRIPTION �ecl
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION ^'
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMENTS:
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ElWORK SATISFACTORY:PROCEED El PROJECTCOMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O %q7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O) BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN
INSPECTOR WILL RETURN
I�ZFOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on-site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
I— �AN TIME J
CITY OF ORONO CALLED IN _oj�
INSPECTIONSCHEDULED` -11
M5Y
PERMIT NO. r/ COMPLETED
ADDRESS '17"95 /len-- i tigt.AZ(�J1
OWNER ppCONTRR..
TELEPHONE NO. 7� 0(a 8!4!j 1
DESCRIPTION Ot�
01 FOOTING11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
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w ORK SATISFACTORY:PROCEED F1 PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OC-) BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52) 249-4600
Owner/Con r site:
r.
Inspecto _
White Copyllnspecto s File Canary Copy/Site Notice