HomeMy WebLinkAbout2015-00694 - water meter �-- .• _ CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 S - P1 0 6 9 4 *
DATE ISSUED: 06/O1J2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 675 SANDSTONE CIR
PIN : 33-118-23-I1-0040
LEGAL DESC : STONEBAY
: LOT 037 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
3/4"NEPTUNE METER&HORNS
SERIAL NUMBER-53314732
ERT HIGH# 1852891966
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 CHECK 9808 374.84
(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 dces
not grant pennission 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 wiil
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 aze
requested in conformance witt►the State Building Code.This permit may be
revoked at any time for due cause
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Applicant Permitee Signature Date Issue Signature Date
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��T City of Orono
1 VO P.O.Box 66 D�e��� �. ..# ��" ��
2750 Kelley Parkway
Crystal Bay,MN 55323 Sy;(�#'�gu�:
(952)249-4600
�`�� �,�Z CITY OF ORONO-WATER METER F
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(Note:Some permits may require approval by the Building Of�'icial and/or Public Works Department)
GENERAL�TFtJ�TION
1. WATER METERS must be picked up and paid for at City Hall.
2. I�ossible,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.
' TYP�4�PE�T'T '
G��cic AIl Th�t A
�Residential(May Require Approval) ❑Commercial(Approval Required)
�New Meter ❑Additional Meter—For: ❑Replacement Meter
Jarb S�te/O�r Ir.��r��n: `
Site Address: �� �'i�a�� C ��
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Owner: Mailing Address:
City: ��'�� O Zip:
Home Phone: Alternate Phone:
Co�tract�r Tri�'o�a#ron:
Contractor: �-e c�Sa a� ���`%� �'�Contact Person: /V!��2�
Address: �ta� �'�c�.2rt c�NE State License#: /�G �4 .� C��
City: ��,�l<<�z�� Zip:�37,6 Expiration Date: �2-3�'��
Phone: ��3 ^4�7-7��6 Alternate Phone:
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WATER ME'TER PERMIT FEES
WII,L BE CAULULATED BY CITY STAFF
❑ 5/8”METER- 3/4"METER- ❑ 1"METER-
❑ 5/8"HORN - /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: �`e���v �a
—� 53314732
SIZE: ❑ 5/8" '�,3/4" ❑ 1" ❑ Other IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
SERIAL#: � 3 � � �� � 2--
III III III III II II III fl III I IIII �f a hcable)
ERT HIGH#: 1852891966 � pp
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.
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Applicant �� Date:
�
Original: I-Address File
Make Copies For: 1- Utility Billing Department
�� / DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED Z
PERMIT NO. ��l�r-r�c4� COMPLETED
ADDRESS �n � � ��'r�s�� �
OWNER TELEPHO NO��Z���
CONTRACTOR �Jtp�!/�I�D�Y! �lLt/1nI�
� DESCRIPTION � � !��
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA
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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ E ER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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� COMMENTS:
W
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� � �ORKSATISFACTORY:PROCEED ')�PROJECT COMPLEfE
��O CORRECT WORK&PROCEED `� � ISSUE CERTIFICATE OF OCCUPANCY
'� � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
p. � BEFORECWERING PERMANENT
� ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4f)�0
OwnerlContractoronsite: /�P Gt ��� �✓
inspector. ��,�Lt7/
White CopyRnspector's File Canary CopyfSfte No�� 1,��
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