HomeMy WebLinkAbout2016-00100 - water meter . CITY OF ORONO * z 0 1 6 - 0 0 1 0 0 *
• 2750 KELLEY PARKWAY DATE ISSUED: 02/OU2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 662 SANDSTONE C[R
PIN : 33-118-23-11-0057
LEGAL DESC : STONEBAY
: LOT 008 BLOCK 002
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
SERIAL#1540097410
ERT#68506706
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 242.65
WATER METER RESIDENTIAL HORN 82.02
PRECISION PLUMBING& HEATING INC. TOTAL 324.67
4124 MACKENZIE CT
ST. MICHEAL,MN 55376 Payment(s)
CREDIT CARD 7719 324.67
(763)497-7486
Minnesota State License#: plbg-PC643806,mech-MB004099
OWNER
Stonebay Builders LLC
14870 BROCKTON LANE
DAYTON, MN 55327-
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 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 l80 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 Permitee Signature Date Issued By Signature Date
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FOR CITY USE ONLY
City of Orono t1 � �!�'
�O�O P.O.Box 66 Date Received: 1`,�Permit# �� " �,� f
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By:(If Required}: °
(952)249-4600
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`�kESHO��G CITY OF ORONO-WATER METER FORM
(Note:Some permits may require approval by the Building Official and/or Public Works Department)
GENERAL 1NFORMATION
1. WATER METERS must be picked up and paid for at City Hall.
2. If nossible, fax in this application ahead of time;we will then call you and let you know we have
the water meter in stock. Fax Number:(952)249-4616. Also,you can call ahead of time to make
sure we received the fax, or to warn us that the fax is coming.
3. WATER METERS must be set and sealed by Orono Water Department (952) 249-4600,
upon completion of ineter installation.
TYPE O�PERMIT
Check All That A 1
/J/�` Residential(May Require Approval) ❑ Commercial(Approval Required)
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�New Meter ❑ Additional Meter—For: ❑ Replacement Meter
Job Site/Owner Information:
Site Address: � ��i.� �.� � �
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractar: `�����h ��.� ��-F«� '�
� Contact Person: � �
Address: �1,�y M�i��,��� ��'�'� State License #: �C �����o
City: ���r��� Zip:�� Expiration Date: I ��j'��
Phone: ���''��Z 7- 7�� Alternate Phone: ��� -��l7"7���
,
WATER METER PERMIT FEES
WII,L BE CAULULATED BY CITY STAFF
;� 5/8"METER- ❑ 3/4"METER- ❑ 1"METER-
�3�8"HORN - ❑ 3/4"HORN - ❑ 1"HORN -
� "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
1. METER FEE: $
2. HORN FEE $
3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $
CITY-USE ONLY
* For Current Pricing Refer to Current Year - Water Meter Pricing Chart *
BRAND: ,r I�=' ��—�T/�--.IC_..-�
SIZE: 5/8" ❑ 3/4" ❑ 1" ❑ Other "
SERIAL#: �n��iusaoo�9��ai�o��
5/8 x 3/4
ERT HIGH#: (if applicaY 68506706
i�l ���I I II I II I I II II I I II
ADDITIONAL INFORMATION—WATER METER� i
The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agrees
to do all work in strict accordance with the ordinances of the City and the regulations of the State
of Minnesota, and certifies that all statements made on this application are,true and correct.
_.._� � � � � /�
Applic Date:
Original: 1-Address File
Make Copies For: 1- Utility Billing Department
DATE TIME
CITY OF ORONO CALLED IN ( S� �-
INSPECTION'NQT� /`(�']��(� SCHEDU�ED
PERMIT NO�� �"� �� �� COMPLETED
ADDRESS�p�,��5 � �����
OWNER TELEPHONE NO?�'�3 �� ��1 � ���
CONTRACTOR (��-C'SC 5 CC� �Io�,�e
� DESCRIPTION �����
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PEFiMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952) 249-460�
OwnerlContrac or on site:
Inspector.
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