HomeMy WebLinkAbout2017-01554 - water meter k CITY OF ORONO
2750 KELLEY PARKWAY * � � 1 7 - 0 1 5 5 4 *
DATE ISSUED: l l/22/2017
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 540 SANDHILL DR
PIN : 33-118-23-24-0019
LEGAL DESC : ORONO PRESERVE
: LOT 12 BLOCK 1
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UPAN INSPECTION,PLEASE CALL:(952)249-4613
5/8"NEPTUNE WATER METER AND HORNS
SERIAL-35736155
ERT HIGH# 1545399566
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 242.65
SABRE PLUMBING&HEATING WATER METER RESIDENTIAL HORN 82.02
15535 MEDINA ROAD TOTAL 324.67
PLYMOUTH,MN 55447- Payment(s)
(763)473-2267 CHECK 32858 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 City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
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 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.
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Applicant Permit Si ature Date Iss By Signature Date
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CITY OF ORONO-WATER METER FORM.
(•;�tote:Samt permits may rrquirc approyal h�-thc Buildine Official and/�r Public Works DcpanmenC«)
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1_ WATFR METERS must be nicked un and»aid for at City Hall_
? If possible,fax in this application ahtad of time;�ve will then cal(yoa and let you know ive have
ihe water metor in stock. Faac Number:{952)249-4616. Aiso,you can call ahead of tim�to mal:e
sure�ve receit�ed the fax,or to�varn us ihat the fax is coming_
3. WAI'ER METERS �aust b� set and seaied bc Orouo VYater Dqr�rt�ne+if (953) 24�-4G06,
apoa coittp{etan af inetdr iastallataa.
_�;�-�: _ :,,;.,,_. : .
e Rosidartial(May Require Approval) ❑Commerciai(Appro�al Rcqvired)
[�NcK Meter �Add'uional Meter-Eor: Q iteplacement Meter
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Site Address: 0 QW1.QAdi(, Y N
Owner: Mailing Address:
City Zip:
H:om.e Phone: Aiternate Phone:
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- - Contractor: � I � 1'-'��j p�a � Contact Person: �(�MG(�V 1
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Ad.dress: �ej���jGj`�,�ju,�( State License#: ��0`� '�J�'-�T_
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City: Zip:�+}� Expication Date: IZ''J' I'.z,O1"]
Phone: ��/J•��3• ZZ(p7 Alternate Phone: �]Il�l• Zr'J.�J•�yf�
[� 5/8"M[T'CR- � 3J4��METER- ❑ 1"M�TCR-
[?r5i8"HORN - ❑ 3/4'`t{ORN - ❑ 1"HORN -
� "WA'fEli METER (THESE WILL HAS'fi TO BE SPECIAL ORDF,RED&PRiCES DETFRMINF.D)
1. METER FEE: $
2. HORN FEE $
3. TOTAL,PERi4ilT FEE(Add Lines 1-2 Above) S
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* Fo:Cusrent Pri:,�itefer to Curr�nt Y�ar- �later Meter Pricing Cha.-t*
BRAND: �Q��I/L✓�.— w.:
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SiZE: 5!8" �]314� „ 5/s"x 3/a"
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ER'T HIGI�#: � ������ S I e�n (if applica e IIIIIIAl1111111111111111N11
1545399566
The undersigncd hereby applies to the City of Orono for issuance of a water meter pe�mit,agrrces
to do all work in strict accordance u�ifh tfie ordinances of the City and the regulations of the State
of Minnesota,and certifies that aIl statemcnts made on this apptication are,true and correct_
Applicant: �(1�dI,DLb r ���� Date: 1�'�'�ll'7
Original: I-�4ddress 7•'i!e
Make Copies Fur: 1-L'tilitv Bi[ling Department 1-Cash Drcrwer
DATE TIME
CITY OF ORONO ALLED IN �
INSPECTIO OTICE SCHEDULED J- �-�7 �
PERMIT NO. — �s COMPLEfED .
ADDRESS v�- ��
OWNER TELEPHONE N0.7�3-'�"7 3 ,'��
CONTRACTOR
� DESCRIPTION N �
4~j ❑ 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
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERI�OMRACTOR TO MEET Y�OU:_YES_NO
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� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK d�PF�CEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC41/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Cail forthe next inspect�n 2a hours in advance. (952) 249-4600
OwneNContractor on site:
Inspector:
White CopyAnspector's Ffle Gnary CopylSNs Notiee