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Home My WebLink About2015-00693 - water meter � CITY OF ORONO * Z 0 1 5 — 0 0 6 9 3 * � 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 24 -4616 ADDRESS : 673 SANDSTONE CIR PIN : 33-118-23-11-0039 LEGAL DESC : STONEBAY : LOT 036 BLOCK 001 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 S/N 53314729 ERT 1852922293 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 294.42 WATER METER RESIDENTIAL HORN 80.42 PRECISION PLUMBING&HEATING INC. TOTAL 374.84 4124 MACKENZIE CT Payment(s) ST. MICHEAL,MN 55376 CREDIT CARD 9808 374.84 (763)497-7486 Minnesota State License#: plbg-PC643806,mech-MB00409 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 separat permits. All provisions of laws and ordinances goveming this type of wo 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 commence The applicant is responsible for assuring all required inspections are , � #� requested in conformance with the State Building Code.This permit may e � ; ) j�' revoked at any time for due cause. �U C,Q i� j �/ �. �/�`"' �r�- ! � .,�, _ , _ . _ ,' ��, i i �_ �_ Applicant Permitee Signature Date Issued By Signature Date �.,. FOR CITY USE ONLY O Cit of Orono t.. � � � P.O Box 66 Date Received: " � �Permit# �� .� �� ? 0 2750 Kelley Parkway Crystal Bay,MT�I 55323 Approved By:(If Required): ' �� (952)249-4600 � � Z • �� yF �qkFSNO��.�' CITY OF ORONO -WATER METER FORM (Note:Some permits may require approval by the Building Official and/or Public Works Department) GENERAL INFORMATION 1. WATER METERS must be picked up and paid for at City Hall. 2. If possible, 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 OF PERMIT Check All That A 1 �,Residential(May Require Approval) ❑ Commercial(Approval Required) �' "�] New Meter ❑Additional Meter—For: ❑ Replacement Meter Job Site/Owner Information: Site Address: �� S`'"�5�'w� C�� Owner: Mailing Address: City: �1 G�a �o Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �'+��s��•� i��v��%s Contact Person: /"�<k�- Address: `t�2� ��-� ��NGState License #: �G �4-�� City: S�,ll�a;C�ctL Zip: ��Expiration Date: (�� 3�-15� Phone: �b-3 ��`�7- 7'�l�3fo Alternate Phone: .� WATER METER PERMIT FEES WII,L BE ��"I;ULA�'�p BY CITY STAFF /8"METER- � 3/4"METER- ❑ 1"METER- /8"HORN - �/4"HORN - ❑ ]„HORN - � "WATER METER L HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) l. METER FEE: $ � �y' J � 2. HORN FEE $ �� ' y� 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ � ?`� • �� CITY-USE ONLY * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * BRAND: �� C �� L.,� `�� sia 53314729 SIZE: ❑ 5/8" � 3/4" ❑ l" ❑ Other '� �� SEWAL#: / � —� �— ERT HIGH#: III III III III II III II III I I III�� (if applicable) 1852922293 ADDITIONAL INFORMATION—WATER METERS 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. Applican • Date: � � � � I� Original: 1-Address File Make Copies For: 1- Utility Billing Department �Se� �/ � DATE TIMEV C TY OF ORONO CALLED IN �,,� INSPECTION NOTICE SCHEDULED � PERMIT NO. ��'�43 COMPLETED � ADDRESS � D��2_�?S�-� ��Q I OWNER TELEPHONE CONTRACTOR `�-� c � �� DESCRIPTION �'� ��' lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL/O%� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 _ J ❑ DEMO-SITE ❑ TIC I TALL 2 OWNERICONTRACTOR TO MEET YOU:�YES�NO � COMMENTS: ��''�� a W C 0 2�� L��r�� 3 y � � � ° �' / �5��' �� 2� � W � Q 2 � `� W � W � j W ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwneNContractor on site: Inspector.� White Copyllnspector's File Canary CopylSite Notice