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Home My WebLink About2015-00427 - sewer reconnect CITY OF ORONO * 2015 - 00427 * 2750 KELLEY PARKWAY DATE ISSUED: 04/14/2015 ` ORONO,MN 55356- (952)249-4600 FAX: 952 249-4616 ADDRESS : 4680 NORTH SHORE DR PIN : 07-117-23-32-0050 LEGAL DESC : TONKAVIEW GARDENS : LOT 000 BLOCK 000 PERMIT TYPE SEWER PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE RE-CONNECT NOTE: RE-CONNECTION ONLY SAC GRANDFATHERED IN BY PERMIT#2745 06-23-71 H/U&HOME PRIOR APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 MINNESOTA DIRTWORKS STATE SURCHARGE SEWER&WATER 5.00 2500 W CTY ROAD 42 TOTAL 55.00 SUITE#105 Payment(s) BURNSVILLE,MN 55337- CREDIT CARD 5419 55.00 OWNER Tonka Lake Properties LLC 3535 CTY RD 44 MINNETRISTA,MN 55364- 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 separate permits. All provisions of laws and ordinances governing this type 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. Applicant Permitee Signature Date Issued By Signatu a Date 0411412015 10:12 A?{} P.0011002 4QQ0 P.O. ax O�rouo Data.•R6c61ved' Pernllts / �� 2750 Kelley Parkway+ (]%Gtn>ipi>se.SAt UemrtoindNOn$orm�Com�lated A Crystal Bay,MN 55323 0fflo (952)2494600/Fax(952)249-4616 Approved:Byr(•IFltequ' a 7 CITY OF ORONO—SEWER&WATER/GENERAL PERMIT "M-v Irl' ("Nota:Some permits may require approval by Itis Building official and/or Public Works Dent°) (ALL PRAM 3- May be sublect to further review and may not be Wad when the soolicatten reeelved) 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. Ptirmit 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. Coll(952)249-4600,24+hour notice require. TYPE OF PE k A-11 T A f Residential(May Require Approval) ❑Commercial(Approval Required) ❑New Connection ❑Additional Connection Are-Connection []repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job SiteAwner fi&rlxl� Site Address: 6(4�0 A2 Shore— Vc• ^O Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: ontractar Infarmatlon: Contractor: /Klnavha Vjct— aorkontact Person: a Address: GXqir_ S?E 1bS State License#: My l City: U� e7c l�e, Zip: $33;7Expiration Date: Phone: �1 -�'��l qgj3 Alternate Phone: 0411412015 10:13 SAX) P.0021002 ❑SAC Charge(2015 Rate-S2,4W.00) $ (SAC Charge must accompany all sewer permit applications unless prepaid) (Orono City Staff can determine if applicable) (};f not prepaid,a sewer connection permit will not be Issued) Sewer Connection/Disconnect/Repair($50.00/Por Stub) S S o r D z_ Pipe size q inches;material Schd 40 air tested; cast iron []Water Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size inches;material Schd 40 air tested;_copper ❑Water Availability For Future Hook-Up to Water($50.00) $ Water Availability Exe nation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the public Works Department. Reaulred Before Water Connection Permit is Issued: 1. Issue Water Meter&Horn Permit 2. Any Additional Connection Fees.Paid(If Applicable) Issue Water ecti n Permit: 1. Collect Permit Fee&Issue Water Connection Permit 1. SUBTOTAL of permit Requested: $ e d� 2. STATE SURCHARGE 3. POSTAGE&HANDLING(Only on Mail-In Applications) 4. TOTAL PERMIT FEE(Add Lines 1.3 Above) ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a semaratc 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 with the ordinances of the City and the regulations of the State of Minnesota,and certifies thV statements made on this application are,true and correct. Applicant: Date: �� — �� '`,(-. ,:- `�'�� . ��' ,. .ar. � �'�, A y 4' �y �� t� ��'� �� )� h� 1- � � � o� ,� � �� fih 5�� . �� 74 l'Sa +► •� { � � :+ $ eta . kv ilk, .".. , "�iw.5�e.° •_d .1�.. - -�` te'Y�• 'PY y �. ;"2F �a".�� 4 9't.,. MA TII ` - k , ?ti r Z � � y e t. t.'aaT'g� �� 1.,, �'-r � � � �'. V •. [1 �`ty�y vM 1L hi.. .�� r S�.u✓�/' _5�a n; �^r/, Silo:�_ v.�_ (� DATE TI E CITY OF ORONO GED IN INSPECTION NOTE SCHEDULED PERMIT NO. I 7 COMPLETED ADDRESS D _N_Sc:�,z OWNER TELEPHONE NO.t0«-919,-,:593,- CONTRACTOR DESCRIPTION 4 - 6767011 MIL I ❑ FOOTING ElDEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ WER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ S TIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TOMEET YOU: YES_NO COMMENTS: (�SC%l� �xe a ce- �-7,a 42�re s� �� a CC W tvQ cc J d WQC ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: /�'1 GJ di / Inspector. 5�1 el White Copy/Inspector's File Canary CopylSite Notice