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Home My WebLink About2015-01462 - water meter CITY OF ORONO * Z 0 1 5 - 0 1 4 6 2 * 2750 KELLEY PARKWAY DATE ISSUED: l U13/2015 ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 681 SANDSTONE CIR PIIV : 33-118-23-i1-0042 LEGAL DESC : STONEBAY ' : LOT 039 BLOCK 001 P;�Fc'f1�IIT TYPE : WATER METER-RESIDENTIAL PROPERTY TYPE : RESIDENTIAL CONSTRiJCTION TYPE : WATER METER-RESIDENTIAL NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 242.65 WATER METER RESIDENTIAL HORN 80.42 PRECISION PLUMBING&HEATING INC. TOTAL 323.0'7 4124 MACKENZIE CT ST.MICHEAL,MN 55376 Payment(s) (763)497-7486 CREDIT CARD 9824 323.07 Minnesota State License#:plbg-PC643806,mech-MB004099 OW1vER Stonebay Builders LLC 14870 BROCTON 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. 1'his 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 shaii 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. ��}/n `� �� ; I , .��.-��] U// �` /� �. � � ( , , Applicant Permitee Signature Date Issued y Signa re Date � �f� Y�� a1+1 1' � City of Orono � �� P.O.Box 66 I�G Rer�ived: ��#. ��., '�J' ; �l y �._. 0 2750 Kelley Parkway Crystal Bay,MN 55323 App�ov��y;(�'A,�tirs+��: (952)249-4600 1 �`�� .�� CITY OF ORONO—WATER METER FORM ,t �'�ESH�� (Note:Some permits may require approval by the Building Official and/or Public Works Department) G�NE�tAL INFORh�ATIOAT 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 Irnow 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. , TY�'�O�'P�;R1�TT : Ch�ck AIl'T'hat � �Residential(May Require Approval) ❑Commercial(Approval Required) /�D1c�Meter ❑Additional Meter—For: ❑Replacement Meter (/ Ja� Si�e/Ov�n�r In�r�n�r�: Site Address: �f � �� C f � Owner: Mailing Address: City: ��'t� Zip: Home Phone: Alternate Phone: Co��racto��r�ormati4n: �C�/ ��c �� Contractor: �Gc�S�o.� P/an.6��,.� Contact Person: � Address: `T�'� ��'t��0�� State License #: (� ��3��0 City: �<<''t=�G� Zip:.�.53��Expiration Date: ��'��"�� Phone: ��'�9"7-�� Alternate Phone: y �' q r�°�� , �` � �'� Y- �,. �l "k � Yf y . z.�ry 1�,� {s, Xfi��? JX� � €� 9K ,r,�` .,4� :ssjq, 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- „HORN - ❑ 3/4"HORN - ❑ 1„HORN - � � ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) 1. METER FEE: $ � ` � �� 2. HORN FEE $ oV� � 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ 3a3 � °� CITY-USE ONLY * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * BRAND: l�,it x 3la SIZE: 5/8" ❑3/4" ❑ 1" ❑Other " 672 346 SERIAL#: IIII�� ERT HIGH#: (if applicable) ��q�llll 1852387910 AD�3ITI�I�AL iNFOi�1�iATION—�VA'TET�.'A�EE1 EII�.S 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. � - Applicant• Date: �� 3 "�� Original: 1-Address File ,/ /�� j_ �� Y �� Make Copies For: 1- Utiliry Billing Department �/ � �y. � S Cc�- DATE TIME CITY OF ORONO CALLED IN �L� � INSPECTION NOTICE ` SCHEDULED PERMITNO. �'U� � ``��`t�Z COMPLETED ADDRESS C�� SC I - > �V��c�Yl�-- �� OWNER TELEPHON O. ��5��R�`��9� CONTRACTOR �C (�� l�f� >`; DESCRIPTION � ��.� ��Qf �—�� , ��' ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 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 2 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL Z OWNERICONTRACTOR TO MEET YOU: YES_NO c�., COMMENTS: �� . a �00�S (�G G� � � ° �,�- � l �s� 3�7�/� o � �' � 0 � � G� s rvv��oas Q � z W � w � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILI RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. ��' White Copyllnspector's Ffle Canary CopylSite Notiee