HomeMy WebLinkAbout2013-00965 - sewer/water connection CITY OF ORONO * 2 0 1 3 - 0 0 9 6 S
2750 KELLEY PARKWAY DATE ISSUED: 09/17/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 3590 NORTHERN AVE
PIN 17-117-23-43-0138
LEGAL DESC WILEYS PARK LAKE MTKA
LOT 008 BLOCK 002
PERMIT TYPE SEWER&WATER
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE CONNECTION
NOTE: SEWER AND WATER CONNECTION
SEWER PIPE SIZE-4 INCH-SCHEDULE 40 AIR TESTED
WATER PIPE SIZE-2 INCH-POLY
APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00
WESTONKA SEWER&WATER WATER CONNECT/DISCONNECT/REPAIR 50.00
6501 CO.RD 15
MOUND, MN 55364 STATE SURCHARGE SEWER&WATER 5.00
(952)472-4959 MAIL-IN FEE 2.00
Minnesota State License#: 1804 TOTAL 107.00
PAID WITH CC# 7464
OWNER
MAENNER,BRADLEY&AMANDA
2130 TAMARACK
LONG LAKE,MN 55356-
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 any time for due cause.
1-7
Applicant Permitee Signature Date ssue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
ono 17 13 07:35a Westonka Mechanical 952-472-4961 p.2
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(952)2494600 . :aa:c' l - ,.: �_. .n•.. ,
CI'll•Y OF ORONO--SEWER&WATER/GENERAL PERMff
(•1Vnte;Sumc permit9 may require aWrVvw by tate Duildittgomcial muvor Poblie Warks Depenment•}
(ALL F•RM1T3 Mev he•ubicc 1 further rcvic�OdQ�y not Ar inea6d_wh n the n1pplieskiigail reetiyed)
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1, you may apply for utility pcamits by mail or in person at the City offices.
2_ Mailed in applications are subject to the postage and handling fee shown below. Permit curds will
be sent by reh=mail within 2 business days.
I Permits are loot valid until you receive a permit card.
d, Work must nut begin unless the permit card is asailahle on die.lob site.
5, Utility connection permits may be issued to licensed contractors only.
6. Contact tete Public Works Department(952-249-4600)for utility stub as-built locations.
DO NOT EXCAVATE t'N ANY STREET AND DO]VOX TAP ANY MAIN without express
approval of the Public Works 3)epartmeut issuance of a permit does not grant this approval.
7. Alt work must be done in accordance with State Code requirements.
8. All work must be inspootcd before it is covered. Call(952)249-4600,24+heur nod"required.
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Residcntiat(May Require Approval) ❑ Commercial(Approval Required)
New Connection ❑AdditiotteJ Connection Ro'Conncction ®Repairs ❑ Disconnect
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Site Address:
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
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Contractor: Contact Person: `* — l
Address: �`7y ��' _' f State License A.
City: � Zip:`S 'r Expiration Date:
Phone: > 7 ' 'kty SI Alternate Phone: ��~-7q1- .7 C,
Sep 17 13 07:36a Westonka Mechanical 952-472-4961 p.3
09/16/2013 13:02 9522494blb
(3 SAC Charge(3007 Rate=$1,675.00) S
(SAC Charge must accompany all sewer permit applications unless repaid)
(Orono City staff cast downine if appkabie)
(V not prepaid,a sewer connection permit will not be issued)
wer Ga oa 117risconnecc I (535OOIPer Smb� S
(( Pipe size iec6cs;material SCbd 40 air test; Miff=
—f3-Wster Connection!Disconnect/Repair($35.091Per Stub S
Pipe sine .�- irwAcs;materild Schd 40 air tested;�copper ,e?
1. "TOTAL of Permit Requested: $�
2. STATE SURCHARC`rE S 5
3, POSTAGE&HANDLING(Only on Mail-In ApplicaSions) $ L�
4. TOTAL PEERMIT FEE(Add Lines 1-3 Above) S
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WATERMETERS must be picked up and paid for at Orono City Fall,these are on a s„parate 1=�
s 'WA'T'ER KETXRS must be set and sealed by Orono Water Departmeut(952)2494600,upon
completion of meter installation.
The undersigned hereby applies 10 the City of Orono For issuance of a Utility Pcrwdt,agrees to do
all work in strict accordance with the ordinances Athe UY and the regulations of ate State Of
K wesota,and cea dfies tho.-all smtemcstiS a:* n ig application are,'true and correct.
Applicant. Date: 9—pl,
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QDATE TIME V
CITY OF ORONO CALLED IN `
INSPECTION NOTICE ,,q.5 SCHEDULED
PERMIT NO.610/3 COMPLETED
ADDRESS 359.0 N
OWNER TELEPHQNE NO.952 ��2 e19\d J
CONTRACT —
DESCRIPTION
tL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO l
COMMENTS: _n&ycoh gAg 4r)
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LAJRK SATISFACTORY6 PROCEED ❑ PROJECTCOMPLETE
ccP�,O�
W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CJ 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 t4 hours in advance. (952) 249-4600
Owner/Contractor on site: r
Inspector. i
White Copylinspector's File s Canary Copy/SRe Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E /� SCHEDULED q-
PERMIT NO. qO t le—DD96COMPLETED
ADDRESS t3590
OWNER TELEPHONE NO.
CONTRACTOR ��5 -''�Q S Y`r-"-)
DESCRIPTION .
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL
� [I TREE REMOVAL
❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS- 'S/� �r r- 5 Aow
a _ 4 0 c y ' SCli Ila pa C S0L.ier-
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0
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WORKSATISFACTORY:PROCEED 11PROJECT 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 ❑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 onsite:X)^��f'7
Inspector. _c
White Copylinspeetoes File Canary Copy/Site Notice