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Home My WebLink About2014-01209 - sewer repair CITY OF ORONOIi 1 I 1' * 2750 KELLEY PARKWAY * 2 1 4 - 0 1 2 9 DATE ISSUED: 10/17/22 014 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 180 ORONO ORCHARD RD S PIN : 02-117-23-21-0010 LEGAL DESC : ORONO ORCHARDS : LOT 050 BLOCK 000 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : REPAIR NOTE: SEWER REPAIR APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 GARY'S SEWER&DRAIN STATE SURCHARGE SEWER&WATER 5.00 4440 ENCHANTED DRIVE TOTAL 55.00 MOUND,MN 55364 Payment(s) CHECK 5230 55.00 OWNER ROKKE,JOSEPH&MARSHA 180 ORONO ORCHARD RD S 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 an ime after work has commenced. The applicant i iponsible for assurin, al quired inspections are requested in.on rm ce with the St. t4 ilding Code.This permit may be revoked a : y i/or ue use. Date t/e 7// Ap al' an Permitee Signature Date Issue y Signature `4 F CIT US ONLY�y �1 Z Q 9 �� City Of Orono Date Rxeiv�� ennit# v'+i L�--C/ P.O.Box 66 I 2750 Kelley Parkway 0 In-House SAC Determination Form Completed i , Crystal Bay,MN 55323)1,4" (952)249-4600/Fax(952)249-4616 Approved By(If Required): str pov-` ` 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) 0 Commercial(Approval R ired) ❑New Connection ❑Additional Connection ❑Re-Connection Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site I Owner Information: Site Address: l ORDn-4 0✓C1,41c f fi---/. Owner: JO-P._ R.C.)/a-e_ Mailing Address: 5r ' '- - City: (J, `O Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: (,9Ecrys J - 1A H Contact Person: C2____ y G#'c.-.rc..-el/ Address: /fWo �iG ,t f _J /OrState License#: eVt.0 Co 20 S 3 City: )04001c/ Zip:55-Z4/ Expiration Date: /Z -V-' ( 4 Phone: F57-Z 4'a- yG 3 7 Alternate Phone: q-rZ"2-Y0-62W 7 DETERMINING PERMIT FEES ❑SAC Charge(2014 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) $ Pipe size 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 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) ADDITIONAL INFORMATION—WATER METERS • WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate peRtit, • WATER METERS must be set and sealed by Orono Water Department (952) 249-4600,upqu 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 that all statements made on this application are,true and correct. Applicant; Date: J D TE TIME CITY OF ORONO CALLED IN /O ` INSPECTION NOTICSCHEDULED JD-1 �Z PERMIT NO 0/ -D! D 9 COMPLETED/� ADDRESS /J C�)' o 6),a/L A'- OWNER T=.NO. CONTRACTOR 06L-ry `~ DESCRIPTION W ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS 0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP IQ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: � (pci r < 4,005115..,cc o /D0X GYM 0 14.W CC Q W W Cc W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED-CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra or on site: Inspector. 42 .77-1:ZWhite 7- /White Copyllnspector's File Canary Copy/Site Notice