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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: Wcc i7 A CAW✓e c�Y j < o Yl" i/c Lt,7 Ll U_ G11 SLLe W CC Q z W z W z Z) d W ElWORK SATISFACTORY:PROCEED El PROJECTCOMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 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: cc LQ t r AS LaJ s e-►M ezni— W CC Q — Z — W W — CC Z) d 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