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Home My WebLink About2015-00548 - sewer/water reconnect CITY OF ORONO * z 0 1 S - 0 0 5 4 8 r" 2750 KELLEY PARKWAY DATE ISSUED: 05/06/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 2490 OLD BEACH RD PIN 21-117-23-22-0005 LEGAL DESC SHORE HILLS LOT 004 BLOCK 000 PERMIT TYPE SEWER&WATER PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE RE-CONNECT NOTE: SAC GRANDFATHERED IN H/U 8/26/70 AND HOME PRIOR. APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 WATER CONNECT/DISCONNECT/REPAIR 50.00 UNLIMITED,INC. STATE SURCHARGE SEWER&WATER 5.00 19960 ST FRANCIS BLVD ANOKA,MN 55303- TOTAL 105.00 (763)753-9867 Payment(s) Minnesota State License#:plbg-PB681459 CHECK 1130 105.00 OWNER MCINTEE,SHAWN&JACQUELINE 2490 OLD BEACH RD WAYZATA,MN 55391- 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 rev any a due cause. n3� ( ,� Applicant Pertnitee Signature •J Date Issued By Signature Date ~A FOR CITY USE ONLY. Q•y 15 — City of Orono Date Received: Permit# `70 P.O.Box 66 2750 Kelley Parkway ❑In-House SAC Determination Form Completed t Crystal Bay,MN 55323 (952)249-4600/Fax(952)249-4616 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 subject 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. Permit 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) ❑ Residential(May Require Approval) ❑Commercial(Approval Required) ❑ New Connection ❑Additional Connection Re-Connection ❑Repairs ❑ Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Owner Information: Site Address: ')_11C)U ow r . k Orbr'o } fy)pj Owner:SSV^ l CU+eZ Mailing Address: City: (36C1n0 Zip: Home Phone: Alternate Phone: Contractor Information: 1`o Contractor: U/',liN4 .L.4. Contact Person: �e�a /S��E�►-� a Address: -/i -P.. Em=45 SvJ State License #: City: o1vrj Zip:-5 -�3 Expiration Date: Phone: -7-40"�. ,3 Alternate Phone: DETERMINING PERMIT FEES ❑SAC Charge(2015 Rate=$2,485.00) $ (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/Repair($50.00/Per Stub) $ 5o. x Pipe size inches;material_�Y\ Schd 40 air tested; cast iron Water Connection/Disconnect/Repair($50.00/Per Stub) $ OU Pipe size_I inches;material o{ Schd 40 air tested; copper ❑Water Availability For Future Hook-Up to Water($50.00) $ Water Availability Explanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. Required Before Water Connection Permit is Issued: 1. Issue Water Meter&Horn Permit 2. Any Additional Connection Fees Paid(If Applicable) Issue Water Connection Permit: 1. Collect Permit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: 2. STATE SURCHARGE $ 5.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $- )05" 00 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 with the ordinances of the City and the regulations of the State of Minnesota, and certifies hat all statements made on this application are,true and correct. Applicant: Date: �L z � • � 4 t s ``mow 40 20 , SPsi 4 #�► 0 30 05 JSC IT lite A . z i"r s ' % r w +• r 1 { � - �. f r i.��•Y F.� � %�Y- - all . - yy.,1�"i+� •l-. _i 1. _ :a 4 t P � ;��1 �> _ ..:..-��•L4..,, n :� � +.- ..tom _ _ imam RK � _ t�`C'� '� tis» _ �'�r'1t•"r'_, ^---- 27 a MUSA N', aw'• ♦-. -' -. -y. 1 ', r` i• � * _'.`..y f '�' a >•r .,,\moi. "'et}i�, Ik 41 .� p r s �: rl y a y - l T , Mo 44 4-1 OL IVA ej' � ,lit. e �. � !1 `',�'•T• y=.ft7 4 f�,J f s 1j � �,• �. NA t•. �� , !. ; �i. �:+i,1R. '# -t! �~' ��. e,,. `• Y7 77 �� .p 'ti •�� t '' � �-• . ��`� .t,� � �'�, ' s fir. � ,: •`;.'' _!z� �> 7,: -,• ice` 1 ' t • •: ��`• .� � 5 k . l� .. "• .. �~• ,,••+ ''•�`'� batt{" '�'�••, �,., jt J) ,,�. s',• z ''� ,a. -s. ✓ • -amid Aq 79 10 £t ,ag� y 'A ' , E ,� ,. •� 1� a.. �<A.. ,+• , • f ail•x r' . .f , w .^,tr Q' �f1 ' r, ��•, v lia r r 1' r TWALw -.I!..,' 74 1� yq Nj� .i. ,� �'<A�7� � .1�,,' '1�A t�p'A`��'L !f4• _1(�.. 1,a ,,,.. 6j.., �� i .:it %�' `.. ,, 49 M .' �"Vy�;.'77 " �� _-Y 'mss � M1�t•3. � �t.`fit r ,.4� d 7 y , ei kab • �y y d .r CCI r'•'� �. t �'�:\ T - ` _ .r. '� t S�u�!�.��.��''b,�� {�A rl�p I r r+ _. ,��r l� +.17rr `�► awlo old 1 eQcG� fCc1 Go•�.s, Sd7e A,.1 sekk—/- cc ih�0 '40 Z/ DATE TIME CITY Of ORONO CALLED IN lUhQmWION NOTIC QSCHEDULED PERMIT NO� zz5zl QQC PLETED ADDRESS � 66 OWNER VEL HONE NO. CONTRACTORG DESCRIPTION U"A ('�Ch W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING H ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: yIr OyL �� 200l #n-_.of' ; LJs� w /dv Bd•-e S L,V ' d� 0 04 �,t'. C4�)rAj c, C �w v�� QAll be C � zCAW ifs Cc j LU )(SORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN 11 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 OwnerlContractor on site: WA Inspector.��— White Copyllnspector's File Canary CopylSite Notice