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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 idy/Lbl:ed13 13:U2 y51Lgy4blb ureUvv rrraa� ��� �� i. X71 I.a-�'�f•i War. I.N` .', dT>tld rs'% +� le y�1:i��.soRilrty j3 city of Orono 0. r.0_Dox bba ;iioti�Faim7oliriild 2150KeilcyPekvey c ,.�..,1Sfr•.. :ysz ._ - 7v tSystal Ray.MN 5 ,;Ar'-12; ur�d,( I�1? syuirpd� 3•ii .;:iii:::.:,': '� f (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) 5 .,�1��-. , •li qr,. �4` i�. `i•:"i F1:1 P"Eg r,. •2,�w 2 x !:`'' .`..jl:��+ 3 v„” (" 'I _ (..I'i4,].:!• •Tiil r b., l•it kt1Y r� '.'�.li I 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. ,`YI i1. l' ti -� • lrl I r. I L, r •Ll?i� int`1 l �7'� �� i... I ICY I`I i� '� y -1'r� I��y.:f ��If,! l�-7Sl'f2LL� .l 1..,`��i •I.r�3'�i�.�fi�ti i �a.. _ E .i , .r Residcntiat(May Require Approval) ❑ Commercial(Approval Required) New Connection ❑AdditiotteJ Connection Ro'Conncction ®Repairs ❑ Disconnect •i�'C3.�3��K�eL,�'i��th21�1'��1i �1�F1:'r �s .:,�.; Site Address: Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: :Cr�Ermr"Ix►�$oc�t�a�ian ' t �i: ,. C t r_ 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 ���}_ �Gb iiyµityuti�r�f 1' fin, ► 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, ve 3 13 Al t• 1) qJ gay �` _� rt•C'' `'. t �{j y+.1.-,'". r' `��.�. -�• , '•c-��t S''�~ yr✓. '" ``-ssem� :3'A .� ! �.�.:/;- �:• ,t�,'��p� '�r�y'•\� �'�ti♦,:.L 4.�.•:�`"°.-s'�.��-;� .c\sc.'" �,,,. 'f,�si•t�+�11 r�� �.. - �`-'S y':.''� ��''r'`�♦: •�,+�� � 'lad •fy� �:♦ "� �:�(1iji�y►}j�: �• �\ t- Z� Y ♦. f ..yam .7a�i_ �,� ...l��i ^ y � � ��_'"''�_�F.��` vim. +y R 1 :�r ��+a'S~M►` ::< ._•iii r .r • .tom �4T KVt_�_ � r tri77 �y .le- , r�� •t•e 7.. .^1."�iL-�i� ♦ `tom • ..fes. w. •�•`, ~r �v t . �� �i�,.., "er°�` .� ... . ice„ "aR �'� � ``d�� °�' _ •;'�•' '` � _ ..,�• - .. Vit,�4 �� ,�� -� -� �. �. -��_� r" - fie- +j*j�y .��;;.- �.� .R.c,._ice'. '�'•�.. � :v. - 4 3, r= � Y r 1r . - A ," .'► .,may r .�', ..- N' . -i.>''� c..: 431 e.•. _ rrru '�.. '*!1 �.p � '� i.✓& mar�ti'�► .���'T'� 4141t I _,� .. _ - �" � J ;:ny - ,✓' !, 1 Tom,. 1J � t � n 1 � .. � �.-,r '^�J�, H i�.� it� '• - � j� - *_�t pp�,� . !r eye,, ,if .. � r 4 •}p �t �Yr 4!. rKL .y-�, ''.J�i.� 1 gl fin, � ���k � z`�+► s ! �'� ���, v- z3�r a? �� ,� .e.r �.;*•:•-��. '. '�17e. r - � LL-*��v�.��.�^.,i•eyt,a� �~ +a c� c �., :. ...:`. .. `�.`;i} '-��, P►•. `tom. �jx ;y, �` � '-y s.> -rV��. . r a A � l � w� d�,_ + _'`,.,• '� -?„�.. * .�,�'�� .,�{w'�� .., fir.'� � '-` �J�` c-,-"��� _ 1 •�_ —•-sem_rt'� 4� �a : ° .10 off h ac 7LO Cl � •r i- 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) �O O W W cc Q 2 W Sc W cc 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- 0 Sem vic�J 0 W cc Q 2 W Z W cc Z 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