HomeMy WebLinkAbout2015-00695 - water meter CITY OF ORONO * Z B 1 5 — 0 0 6 9 5 *
. 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2015
� ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 677 SANDSTONE CIR
PIN : 33-118-23-11-0041
LEGAL DESC : STONEBAY
: LOT 038 BLOCK 001
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER- RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE QY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
S/N 53314730
ERT 1852888223
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
ST. MICHEAL, MN 55376 Payment(s)
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 �� , ��l
requested in conformance with the State Building Code.This permit may e �
revoked at any time for due cause. C���, D �J�� � j � /
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Applicant Permitee Signature Date Issued By Signature Date
► �C)1 k G`�" ,b. �,
��� City of Orono ��.,�� � ' ��
P.O.Box 66 ���Rcc�iv�d: „�,�_ �i�#
2750 Kelley Pazkway
Ctystal Bay,MN 55323 �y;(�'F�uire�): `
(952)249-4600
�`��q ��Z CITY OF ORONO—WATER METER F
kES H�� (Note:Some permits may require approval by the Building Official az►d/or Pubii'cOWRorMks Deparhnent)
GE1�TE�ZAL IAtF4�'T`TO�d
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.
' TYFE C�'P��I'�' '
C�ec�e All�
�Residential(May Require Approval) ❑Commercial(Approval Required)
�New Meter ❑Additional Meter—For: ❑Replacement Meter
Job S�te/O�er I�'�a�ivn:
Site Address: �, �� ���.� S��K� C��
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Co��a.c�r I�o�i�n:
Contractor: ` ��f5%o� lGrzr %•,�,Contact Person: c' "��
Address: 4�2L� (�l?�Z��� State License#: � �L���f�(�
City: �.M�G�,� Zip�3/� Expiration Date: ���3�—�
Phone: ��3 "��I'? -7�� Alternate Phone:
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WATER METER PERMIT FEES
WILL BE CAULULATED BY CITY STAFF
❑ 5/8"METER- 3/4"METER- ❑ 1"METER-
❑ 5/8"HORN - 3/4"HORN - ❑ l„HORN -
� "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
l. 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 *
���''�--�-/�-^--� 3/4
B�ND: 53314730
SIZE: ❑ 5/8" [�] 3/4" ❑ 1" ❑ Other IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
III
SERIAL#:
III III III III I III III III I I IIIII
ERT HIGH#: 1852$$$223 (if applicable)
ADDITIONAL 1NFORMATION—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.
;-�' _--` )�f
Applican� ' l� Date: � ���/7
Original: I-Address File
Make Copies For.• 1- Utiliry Billing Department
�� DATE �t
CITY OF ORONO CALLED IN
INSPECTION�O��C�, aj��' SCHEDU�ED �� :3v
PERMIT NO. 5 COMPLETED �
ADDRESS �� � ��
OWNER TELEPHONE NO. C � �9 7 � b
CONTRACTOR C�A RU n ��'1
� DESCRIPTION ����'""'"�"S ���
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P � ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB L RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
kJ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advan� 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice