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HomeMy WebLinkAbout2013-00776 - sewer/water connect or , CITY OF ORONO , �'� ''� �i '�! ��I 11,1111 , 2750 KELLEY PARKWAY * 2 3 - 0 0 7 6 DATTEE ISSUED: 08/07/22 013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2339 OLIVE AVE PIN : 17-117-23-44-0075 LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT 017 BLOCK 000 PERMIT TYPE : SEWER&WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: WATER&SEWER CONNECTION SEWER-4"PIPE-SCHD 40 PVC WATER- 1"PIPE-POLY • APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 J. P. SCHMITZ CONST. CO.,LLC WATER CONNECT/DISCONNECT/REPAIR 50.00 16450 117TH AVE N STATE SURCHARGE SEWER&WATER 5.00 MAPLE GROVE,MN 55311- (763)286-1995 TOTAL 105.00 Minnesota State License#: PB645863 OWNER Bamboo Properties LLC 1171 NORTHLAND DR #100 MENDOTA HEIGHTS,MN 55120- 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 re' confo ••• -with the Sta- : ilding Code.This permit may be r- .: ' ,' r or•,ecaus- •'p scant --' ee Signature Date Issue fp:y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r * �— daQR rl 'USE ONLY ( -Ok vCity of Orono , ate erexved? Perrntt# P.O.Box 66 2750 Kelley Parkway ©in House SA Deterimnation Form Completed " Crystal Bay,MN 55323 .1/4,C7 (952)249-4600 Approved ly(If Bequiratl) <: �ktstto� 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) .GENE ORMA`=t'ION 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. T5 'EO 'EIT (Che At App1' Re •.ential(May Require Approval) ❑ Commercial(Approval Required) 'd New Connection ❑ Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Site Address: 2337 04..750‘/W Owner: it /#741631,16 Mailing Address: City: 4)/19#51) Zip: 5c31ig Home Phone: 7�27'k��/`' y Alternate Phone: Ccnrtor I €olxllalon::" Contractor:'`' ' 1( 1 Contact Person: �` L �, � s g�,r Address: J6V6� J/ /let State License #: c�a City: /14 ICIP‘6P0Vi Zipt5V / Expiration Date: Z9y Phone: 76 Alternate Phone: w % ❑SAC Charge(2013 Rate=$2,435.00) $ (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 Connect' n/Disconnect/Ippaar($50.00/Per Stub) $ Pipe size y/ inches;material $chd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size 1 inches;materilier_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 4. 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) $ - ADDMOW.,-t'1' 2MA N—'WATER METERS AD • 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 hp stiict,accordance ith.the ordinances df.the City.and the regulations of the State of Minnesota,and >-'fees that = statements made on this application are,true and correct. 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"- . . it...t 4 . \''. .k.:41e&t.:i- '''s.:,.‘' ': • , .-, , - .' - .„,...-.11/4Az N.11.01..‘1•1 ,;.,:-.- , \`5, c,,g,,;;;:,:Aijihr 4. , tt: • I',';i:Z7,,r.--,7e -'4.‘,..*4:--': ' ,i,,,S:1:kY(Ns''A ' , ,, 7..• -, -... , .. ' ' ' -• .: ,t, q.;,..," --A,- -- .., . , , • ,, . 4 . t \ ,4. -S.s.., ,, .,„ ss.1 ' .`%.‘ • , ,,,.. i - •:-<,k.'"--,Pf.4'‘' ".. , *616,, ,d,i/(1 / /l — .. • ,1,7,,4:- ,t-i---tg-t-A-k-:,t_e„_•..,1..7.-• •:,--)'... .'..%-••4••,-,`-?--'It•--.•.;."..••%-.:i:.-.•. ... e , , I --'" t ,...it, >•.14., ,4 ,, • -.. .., -,3 _d_.A. n., 1_,Age---vg 9..".- ,,, •-.44/ ?el' M, 5c. 0-7t) DAA TIME I CITY OF,ORONO CALLED IN 6 INSPECTION NOTICE , SCHEDULED :erNDM /1.�0-v PERMIT NO.GSD/c.3 — 4077COMPLETED ADDRESS 47339 e//v' 4—. OWNER TELEPHONE NO. ,d3 2f `795' CONTRACTOR UM-A SQL a DESCRIPTION lIC L Ni Zeig..Gu £4LP C-747 o _ taj ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS h 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP • ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v▪ ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWN ERICONTRACTOR TO MEET YOU:_YES_NO Si COMMENTS: � I f -7C1f C1 447 u < .5�c_,-- 5.-7i/cPi at a Sl 7/C-3 74- 0,e 0 a CC Ll p / !l ///t 51 f C CtiGIS 7`� .-¢'o'CQ fpm, Q X 1/ r urh 574tp, A ew 547 I teo?e v- I,K4-- lj (Oi 2bf , h CUri' 5,4 ," LUZ W ' d LAJ 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING +6 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN wr ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR _11}. ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice