HomeMy WebLinkAbout2018-00109 - water meter ! �
CITY OF ORONO * z � 1 8 - m r� 1 r� 9 *
2750 KELLEY PARKWAY DATE ISSUED: O1/3U2018
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 530 SANDHILL DR
PIN : 33-118-23-24-0020
LEGAL DESC : ORONO PRESERVE
: LOT 1 BLOCK 2
PERMIT TYPE : WATER METER-RESIDENT[AL
PROPERTY TYPE : RESIDENTIAL
CO1vSTRUCTIOIY TYPE : WATER METER-RES[DENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
5/8"NEPTUNE METER
SERIAL 36789308
ERT# 1547938926
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICAI�IT WATER METER RESIDENTIAL 242.65
WATER METER RESIDENTIAL HORN 82.02
SABRE PLUMBING& HEATING TOTAL 324.67
15535 MEDINA ROAD
PLYMOUTH,MN 55447- Payment(s)
(763)473-2267 CHECK 33298 324.67
Minnesota State License#: mech-MB3392,p1bg-PC645349
OWNER
OPS Orono LLC
15250 WAYZATA BLVD#101
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 Ciry 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due ca se.
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App'licant Permitee ignature Date Issue�''By Signature Date
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��� City of Orono ` r ��t '�' s ,��� , . � ;
� O P_O.Box 66 .i3aic��ei+YeB k �'I,.�t��1"+� _ ,r �r.�:
<. 27�0 Kelley Park�t'ay s;,K„,^k# X � '` '" : ���'
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� (9S_)249--0600 ,,�,.Kr^�'�E'�.�":�;z,s��` R c ?`'t�.,�y ;,.
CI.TY OF ORONO—VVATER METER FORM
(•Note:Some permils may require approvat bg tfic Buildi�e Ofiicial and/or Publie Worics Dcpartment•)
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1_ WATF;R ME7'ERS must be picked un and paid for at City HaU.
2_ If possible,fax in this apptication ahead of time;�ve rxill then cal!yov and lei you know ti•e have
ihe v�afer meter in stock. Fax Number:(95?)249-4616_ Also,you can catt ahead of time to make
sure we receit ed the fax or to�varn us that the fa�:is coming_
3. �YATER hiETERS mast be set and sealed bv Oroao Water Depactme+�t (952j 249-460t#,
upoa completion of ineter iastatiatioa.
�ti: ...;�... ,.,.. - ..�. ..� ....-• -- ,
Q�Residenfiat(May Require Appcoval) ❑Commercial(Approval R�quired)
[�Ncx Meter �Additional Meter–For: ❑Re}�lacement Meter —
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Site Address: 53a �Ov�rt��� �� �I V.Q_,
Owner: Mailing Address:
City: Zip:
Hom.e Phone: Alternate Phone:
_. _. -- Contractor: ,L ���4� Contact Person: �ptiN�vl
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Address: �5535�:0�'Vh.�. � State License#: Y�����
City: �� Zip: 55 'J Expi.cation Date: J Z�3l� 20�q
Phone: ��h•�}�I'�•��(o� AlternatePhone: `l(o7J• Z�j�J'�7��
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[� 5/8"M[TL-R- � 3'A=`METER- ❑ 1"MCT�R-
Q�Si8"HORN - ❑ 3/4'`t�ORN - ❑ ]"NORN -
� "WATER METER (THESE WILL HAVE'f0 BE SPECiALORDE,RF.,D&PR[CF.S DETEftM[NE.D)
i. ME"I'ER FEE: $
2_ HORN FEE $
3. TOTAL PERMIT FEE(Add Lines t-2 Aborej 5 �Z��/1
'�-�: ���,'` '�"�.��-s�����;�'����. ��. - � ..n
* For Curr�nt Pri�i�Refer to Current Year-Water Meter Pricing Chart*
BRAND: ED2B11 RDG3 Y�
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s[z�_ �j s,�s" ❑3/4� ❑ i� ❑ott�er °° 36789308
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SERIAL#:
ER?HIGf{�: (if appiicablej ��►7g38926
The undersigned harby applies to the City of Orono for issuance of a water meier pem�it,agrees
to do all work in strict accordance with ti�e ordinances of the City and the regulations of the State
of Minnesota,and cextifies that all statements made on this app[ication are,true and correct_
Appticant: �e��l���/ l��,� Date: �'��•zQ l g
Origina/: 1-�4ddress File
Muke Copies For: 1-Utilitv Billing Departmenl I-Cash Drcrwer
��.��'� � �S�F� ��� �'
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION ��,Y1� SCHEDULED ,
PERMIT NO. • �`1 1 COMPLEfED ��`I CL"g I r�(
ADDRESS �� �'�r' �'`1�
OWNER TELEPHONE NO��"2'����
CONTRACTOR Sc���
� DESCRIPTION
�c�- ° �-� �.�`hr h��
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in adva . (952) 249-4600
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OwnerlContractor on site: --"
Inspector. ,/- �� �-
White Copyllnspector's File Canary CopylSite Notice