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Home My WebLink About2011-01206 - sewer repair . ' CITY OF ORONO PERMIT NO.: 2011-01206 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/1U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 880 PARTENWOOD RD PIN : OS-117-23-43-0001 LEGAL DESC : PARTENWOOD : LOT 006 BLOCK 001 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : REPAIR APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 ADVANCED EXCAVATING STATE SURCHARGE SEWER&WATER 5.00 702 RAILWOOD ST W TOTAL 55.00 NORWOOD YOUNG AMERICA,MN 5536& �) Minnesota State License#: 2859 OWNER GRAY,JERRY&CYNTHIA 880 PARTENWOOD RD 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 sepazate permits. All provisions of laws and ordinances goveming 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 1 SO 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. � 1 � iv� �� i A plicant Pe 'ee Signature Date I s By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Mike 9524679058 p.2 ` O�t-06-2011 OA:Z1am FrortrClTY OF ORONO f95224a4616 T-212 P.DO1/00Y F-601 , � 0201/-D l�•b 55,oa •,.��•:�� ,�.;� ,� . .;;:,�.,,,��..., Ci otOrono �.�,..;� a �•� wr::�� .�"r,"�e�k,';;::i!. �.;.�;'• A� �/1 P:g07166 ''' :ti e , {�a j�.P1'6� 'C'S: .�5i...+.�'Ci1;1;:{.:�ti,�..:'•: V � T750KeIkyParkaay '�(�Tn�ioi+6i:SI�e1t��ia�mxo�p�le�'.�"! „r • � . �. �4F�.� r1'("{,.�;. J�r�tl �r .ro"N. � � Cry�o183y�MN 55913 �%;i��ii";t��;�"�z �1;,1 .�.:_� �f'�l:��;i a:':r',' •.•� (95Z)24f1-46D0 � .....• �ry'� .��.�'�^• ..r,�1�. �,..,,.. ::��,r,^: �� ".�..� •r t�. �..�.y. ..,,� CITY OF U�20N4—SE'VVER&WATEA/C�1�'ERA�.p�:RMCT (*�Iute:sorrr pem:u m.y r�equire sppiovrl by►he Bwlaing ol�iciat anaror Pubt�a wark.D��mmrnt''? �.r t PE.n�CY'S-I�t �he ar ireLtb hinAer review aed wns�rnt ba I�meA �whe�tl�r.�nelkslk►tl i9 rtetirbin � �i�'�i7vf+�F�r'lSr�„'*„ .l�Q ;,.�f�..,� ! :.F •.: r..r o-ieM4:¢I��:.l.q..�.+t{.��T�'�'� ,�1✓;��. � � '�� F•1'1' '��•..f�r..:t:• �'S.;:+:• �.^�Je��.. ,�7'i,r!•'�I...p�-•;,;��'.•:• ��rI ^'�'. 't S��}• l. You maY�PPiy fa�ualiry peru,irs by ma�l or ia per�oa 8c che Ciry o�iees. 2. Maiied ia applicarians ara subjecc to the po9mge and bnndling fee showra belo w. Pe�mi�cards will be sent by return saai�within a busii►es9 d�ys. 3. Perm�ts are not valid un�7 ruu receivc a perrmt eard. a. Work must not besin unless�he paaut card is availabla on tbs job sive. 5. �Utility coaneclion pe�m�y be isaued to liemscd conuactars osily, 6. Cflntaci thc Public WorYs DCporCa�at(952-24��600)f�utility stub as-bu7�locations. DO NOT EXCAVA'i'E IIV ANY S�ET A1VU UO 1VOT TAp ANY MA1N w;t6out rxpre�s approval ot tbe Pabiie Works Depa�tmeot. Issuaace of a peratiit does no��rant this approvaL 7. All waik mnsc bc done in accordance with Sta�e Code requiremmas. 8, All wo=k must be iaspected before it is covt[�d, Call(952)249-4600,24+hour notia reqnired. i��„�``'�C'�' "•L'i'�:;f!!�'�:��r<f��1^'•y.f.,��1�•w•.�1';^•.: (I;�fC,'.�D� :i��•+6��S. �N'J14�!'�1�� ✓°i.ti' �{1.��,��rin':F+i:M .i!�� :t .i.:� ''� i��. _ '��.��-�: I w_ F��✓F � ,' I �.�:�Y �; •;��':•. ti.e�',� '�.�.. '•��: � � 4 :•<4 . ' .j-, :^;,M �,.� y r i }, iF'��,I�� rt'i` �:1►•• I• '�.;•'J.,• _+,; t -,.� ..�;•,�•��"1 �' '"� ' �1��9�1l�• :��'• ,I:��'' �•'��`'��" �r...�'' -;`' _; :':�- �'�.. ..� 5 .5�•�\Y��'��i��;'..� �' ��. ��.c ��•��` .�.;•� ,: �Rasidenriel(May Req�ue Appmva� ❑Commercial(Approval Reqa�red) ❑lYew Cotmecaon ❑Addirion�l Co�ectia� (.�Re-Camecrion �Repairs ❑ Discaanecz ❑ Vlla�eer pvailability Can�ectioa Fo�Putore$ook Up ro W�ies �•� F '[� ':��J ' ' >3-pi�`$�� 'El�q: ' '.�,:Y�::' ?•;.; Site Address: � �O 0 ParJ�f P_n�Jd��-�t dwner:�/' ' ' Mailing Address: , City: �t'O'i?O Zip: Homc Phonc: �!'r�."'�'I��'�� Alternate Plaone: , ,/��C��.� ]y��.'.r4�:'1:`.�.3•►;r:i'.X.i��'�:;;�;#; tii�:�!�iiii�pvo�:'��`r"'T{.Y:� '.i. :.1�'�:��'9: � Contra�ctor: Arl_i/�etKCPa� �'Co��a��a[act Person_ ��w�z Address: � I'� r � Sf' Stat�Lieense#: � ^ City: ��_ Zip:s� Expiratian Date: �'r'1� . Phone: (��-'3�' 3��7 Alternate Phane: Mike 9524679058 p.3 � Oct-06-2011 08:2ta� Ftom-CITY 4P ORONO +9522461616 T-212 P.002/OOZ f-601 � ❑SAC C�arge(2011 Rate i SZ�Z30.OE1) � (SAC Cherge must accoflopaay all sawer persait applicatioas unless prepuid) (�ono Ciry Stsff cc�u decerr�oue if appIice6le) (Itrot propnid,s►sewer oonca�tio 't aaill bot be issued) �SBweT COR7iCCIlOA/Di�CO4aeM air Sd.00/Per Stub) S_ Pipe si�e iac�s;�aacesial d 40 air�es�ed� CiSt 7t�:M ❑Water Coaaection J D�woonnec�I Rrpair(S50.Oa/Per Stub) S_.. Pipe aiu iaches;maurial Schd 40 air tesred; copper ❑W:ter�►vailability�or Future Hook-Up to'OVacer(F50.00) S_ WateT Availabiiitv Ezplan�tion: Coutractor insmUed lmc m iAside ofbou9e foz fupue hook up. T6i91ine�rill be inspecxd by tht Public Works Depuanent �q}�'ry�BeFore Water Conaecaoo Permit is Cssue,�� I. [seue Wazrr Mcar�Rorn Perm3t 2. Any Ad�di�onal Con�ueetion Faes Paid(Yf Applicable) ��,W,�u�G►nnection Perm'�r. 1. Collxt Permit Fx&lssoe Water Cotmecti�on P�it 1. StJSTOTAL of Permit Requeste�: �� . 2. STA'I�SURCFIARGE S_,,,, 5.00 3. POSTAGE�H,4]VDLW�(Oaly��Ma�7-In Applicsriw�s) S� 200 4. TOTAY.p�RMIT FEE(Add Liaes 1-3 Above) 5_ :tyi'i: � '�`�+' Ty , 'a�: . �... � �+�. i�� I' 'r..�.�.t(�Je..�N� r Yi .��• •��• ��.:iyt�'�J�i;��'�'':�f�Nt�.. � 'WATER 11�TERS musc be picked vp aod paid for�t Orono CitY Ha21,thase are 7o a a�arate n�a,it. � WATfi� MSTERS o�pst b� set �nd eealed by Oro�o Water Depxrtmeru (95Z) Z49-4606� npoa eompletion of�oeCet'ia9tall$tio4. The wzdersigned hereby applics to the Ciry of Orono for issuance af a'U'tility Prrmit,agrecs t4 da sIl v�ork in striet aceordaace with the ord�ances of 1he Ciry and ihe reguia�icros of the State of � Minnesow,and cercxfies tl�at sU st�tcmcats made on this applic�tion s�re,�ve ar,d cotrect. . � Ap�licaaC ��;�� "l r Q'� ODAT j. TIME � CITY OF ORONO CALLED IN t�� INSPECTION NOTICE SCHEDULED /D! �`/ ,'OD PERMIT NO.��1�— �/�� COMPLETED ADDRESS �� LG�� OWNER TELEPHONE NO. ��L .3U �' 3g9� CONTRACTOR > DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADiNG/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 O SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � �- �� J �rl � • �s o �� t : �v e o � �-X� ^ W • � Q � Z W � W � � � a � ❑WORKSATISFACTORY:PROCEED I�iOJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN 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. �95Z� Z49-46�� Owner/Contractor on site: Inspector. l' � Q� White Copy/lnspector's File Canary CopylSite Notice