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Home My WebLink About2016-00024 - sewer re-connect CITY OF ORONO I�1I 1 1 111120 1 1 611111111111111111111111111111111111111 2750 KELLEY PARKWAY DATE ISSUED: 01/07/2016 ORONO,MN 55356- " (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 190 ORONO ORCHARD RD S PIN : 02-117-23-21-0009 LEGAL DESC : ORONO ORCHARDS : LOT 048 BLOCK 000 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RE-CONNECT NOTE: NO NEED FOR SAC A RE-CONNECTION AND SAC PAID#P08762 05/23/15 APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 VOEHL EXCAVATING STATE SURCHARGE SEWER&WATER 1.00 P O BOX 295 TOTAL 51.00 PRIOR LAKE,MN 55372- Payment(s) (612)819-8367 CREDIT CARD 5529 51.00 Minnesota State License#: SW-PB644033 OWNER BRUNELLO,JOHN 7513 MAPLEWOOD DRIVE MAPLE GROVE,MN 55311- 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 at any time for due cause. IN\n_< L - 1�. +�� 2r� 1 / Applicant Permitee Signature Date Issued Signature Date • ' Pon CITY USE ONLY 1-81-04t-'8\ City of Orono Date Received: Permit# P.O.Box 66 i 2750 Kelley Parkway 0 In-House SAC Determination Form Completed s E% Crystal Bay,MN 55323 \e�1 ¢�� (952)249-4600/Fax(952)249-4616 Approved By(If Required): kLSH V 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 subiect to further review and may not be issued when the aoolication 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) ❑C s i n ercial(Approval Required) ❑New Connection ❑Additional Connection I i Re-Connection ❑Repairs J ,Disconnect ❑ Water Availability Connection For Future Hook-Up to Water Job Site/Owner Information: Site Address: 19 5VO C't(j0kRNA Owner: - RtW1gt-Z-0 Z— Mailing Address: I£o gO 4o City: (5v6 Zip: ES3fl Home Phone: 11,0 65.b' —`d 6° Alternate Phone: (� -Da/ 'Wes a Contractor Information: Contractor: Vo &L £ C((I4iI Contact Person: 7*, VOCILL Address: Y ' O - Poi 92 s State License#: s3 7aE City: ?C('Ixt �- Zip:� xpiration Date: ,/Voile //9/-V/S- Phone: lila -?,(' - 8 `? Alternate Phone: C- - 'ire-Ia<fcv O77Zei3- RP (Fa 6 -p- p ti`0 Arc fl u`i d's bowl Pis (.4/4/6 :?3 DETERMINING PERMIT FEES 0 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 pre ai a sewer connection permit will not be issued) []'Sewer 'onnectio l j rte.%-'epair($50.00/Per Stub) $ 50.0 0 Pipe s.: inches;m. ena 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: $ 6 0 . 00 2. STATE SURCHARGE $ 1.00 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ C / .0 2.002. `J 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ` , 0' 0 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 a ordance with the ordinances of the City and the regulations of the State of Minnesota, and c rti,es th t all statements ade on this application are,true and correct. P y(.AI c— -- Date: Applicant: r f E //f 51-:14 6,,3DATE TIME V CITY O,ORONO CALLED IN INSPECTION NOTICE SCHEDULED i 81 i(r,_ 1t A-,. Z PERMIT NO. it-C��'I COMPLETED ADDRESS 1 4 C rU i') O crCi- Z --- OWNER OWNER TELEPHONE NO. L 12 9 19- 3 - CONTRACTOR V (fir t.,---, - a DESCRIPTIONS U-�� ►rte cr-nrocf LV ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ti. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY SEWER HOOK-UP 0 FOUNDATION/REMOVAL 2 v ❑ DEMO-SITE S PTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO to)• COMMENTS: cc IQ Q. T`/ pJ G 75c-!t 410 jwP.frr- _(,,UU/G2, cc0 "70 -1 to n1 - /00 14 cam/ ' cc o 5"/6 i9,r ` ej -- ,/-m/,Item S Q W t Z W . CC /)1k10JECT • LU' WORK SATISFACTORY:PROCEED COMPLETE W • 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. HOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. >e>er White Copylinspector's File Canary CopylSite Notice ! ; ' - • •4,,.',';,',., '.,".••4•01,,"4"''''''),,5A!, 5,,114:. ''.':'': •.'''A'Y''154,/''..-..v.5.- - , A_,• ' ,„'N.$ '';•:55,' ..44.fr,4.r ''14. ',i ..,A:',11,.::•\:'•'.; 7;1.''..;,'.''''•:•#÷1P,'' .f•'.;:r:•'• ' 4t,!0',' 'r•fi''-ef 5%,-7". ..t.,-- '-'4L.;'-. -,. • "0 ' .• '9 ';4,' ",., N.• ,'..% , '1r"!' •--.V 44....;•-''a-''N'...1.:i";',,ai• -,•••V•., r . '....1r1.;''''•';''' 4' . 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