HomeMy WebLinkAbout2018-00108 - water meter < CITY OF ORONO * z � 1 8 - � � 1 a 8 *
2750 KELLEY PARKWAY DATE ISSUED: OU31/2018
ORONO, MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 565 SANDHILL DR
PIN : 33-118-23-24-0012
LEGAL DESC : ORONO PRESERVE
: LOT 5 BLOCK 1
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CO1vSTRUCTTON TYPE : WATER METER-RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
5/8"NEPTUNE METER
SERIAL 69420732
ERT# 1541771420
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 242.65
WATER METER RESIDENTIAL HORN 82.02
SABRE PLUMBING&HEATING
15535 MEDINA ROAD TOTAL 324.67
PLYMOUTH,MN 55447- Payment(s)
(763)473-2267 CHECK 33293 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 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.
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Appl�cant Permitee Signature � Date Issu� By Signature Date
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/;O-�A�•� City'of arono �� � �;�- �
�� `� ` P.O.Box 66 Datc[2eccivcd ��� Px-�mit*��� ��`�C
'�a" ��;` 27�0 Kclle Park�ca�� - —
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�6 �L�� �`� Crystai Sa1�_n.7N»523 Appco�eci$� (I(iteqnircd)' `
������i' (9S�)249-aG40
CITY OF ORONO-WATER NiETE[2 F�RM
(`Note:Somt peraiits may rcquirc approvat h�thc Buildine O�cial and/or Public Works Dcparcmcnt�)
�������r'��Q�v�'1�2����� ,.�', .. , _.;.'.. , ..;. ': : �,_ .: . ,
i_ WATT;R METERS must be niGked un and naid for at City Hall.
2_ If possible,fax in this application ahead of time;�ve w•ill then catl you and Iei you know tve have
the va•afer meter in stock. I�vc Number:(95�)249-4616_ Also,you can call ahead of time to make
sure�ve receiti�ed the fax,or to�varn us that the fa};is coming_
3. 1VATER h1ETERS mnst be set and sealed by Orono �Vater Depar-finent (952} 249-46QU,
upon completion ot meter instailation.
: �i�Y�'-��d3'-�I3��Ft�h i i�
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Q�Residential(May Require Approval) (�Commercial(Approc�al Required)
�Neu-Meter �Additional Meter-Eor: �Rcplacement Meter
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S ite Address: �(p'=� � �Q�1,1 1(1�(
Ov��ner: Mailing Address:
City: 7ip:
Home Phone: Alternate Phone_
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- - Contractor: 5�,�,�/e, ��,�D� 0 �a� Contact Person_ ��Vl
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Address: ��j'�j�� ���,� State License #: F'(:(��IFJ3i-19
City: 7ip:�i.�1 Expiration .Date: I Z.'�l'ZO l�
Phone: ��i%) �'{-`��j� �,(�7 AlternatePhone: `���j ZGj7j'�7r�
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� 5/8"M�TER- � 3!4`�METGR- ❑ 1" M[=T�R-
Q�Si8"HORN - ❑ 3/4"HORN - ❑ 1"HORN -
� "WATER METER (TIiF,SE WILL HAVE TO BE SPECiAL ORDF,RF,D&PRTCF,S DETF,RMINE,D)
t. METLR F�E: $
2_ HORN FEE $
3. TOTAL PER14i[T FEE(Add Lines i-?Abovej � �Zy'•lQ�
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* F<3i�UT£.,Tlt �i t�iiib 2efer ta Curr�nt Y�ar- F�Jater NiCtCi Pi'iCii����t�i '�
BRANI�:
SIZE: �8" ❑3'4" ❑ 1" ❑Other "
SERIAL#: ����0 / �p�—
EKT HiG[t�: I ��""I I / / � -1 ��,' (if applicabie} Illllill��IIIII11111!!;I111
154�j771420
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The undersigned hereby applies to the Cily of Orono for issuance of a�trater meter pemtit, agrees
to do all work in strict accordance with tfie ordinances of the Cify and the regulations of the State
of Minnesota,and certifies that ali statements made on this application are, true and correct.
Applicant: �Q(�(��� ��,�,V�, Date: �- 3�• ZQ��
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Original: 1-.4ddress File
?vfuke Copies Fvr: 1- L•`tiiitti Bi/ling Departmenl F-Cvsh fJrcnver
�ti���
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION�Q,T E SCHEDULED �—
PERMR NO.�+ ' ��� COMPLETF��
ADDRESS ��'� S�� r`� � �.�, —
OWNER TELEPHONE N0.�3•�3-���
CONTRACTOR ��
� DESCRIPTION � � �� �� ��`^-�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEEi YOU:_YES_NO
y COMMENTS:
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W ❑WORK SATiSFACTORY:PROCEED ❑PRW ECT COMPLETE
� O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 �CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call rorthe next inspection 24 hours in advar�ce. (952) 249-4600
OwnerlContractor on site:
Inspector:
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