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HomeMy WebLinkAbout2015-01572 - water meter CITY OF ORONO * z 0 1 5 - 0 1 5 7 2 * 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2015 � -, ORONO, MN 55356- ' 952 249-4600 FAX: 952 249-4616 AbDRESS : 2498 SANDSTONE LA PIN : 33-118-23-11-0022 �� LEGAL DESC : STONEBAY J C°� `�� : LOT 019 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 5/8"NEPTUNE WATER METER SERIAL#68159556 ERT HIGH# 1852952279 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 242.65 WATER METER RESIDENTIAL HORN 80.42 SCHULTIES PLUMBING TOTAL 323.07 1521 94TH LANE NE Payment(s) BLAINE,MN 55449 CHECK 33481 (651)786-4007 323.07 Minnesota State License#:plbg-058799PM,mech-MB005379 OWNER Wooddale Builders Inc 6117 BLUE CIRCLE DR SUITE 101 MINNETONKA,MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned according to the approved plans and specif►cations,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this rype 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 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 ,n , _ revoked a any time for ue cause. �(��� /2� /��1r'-' ��`f�(.� la-- (� Applicant Permitee Signature Date Issued By Signa re Date 12/17/2015 09:57 7632592299 SCHULTIES PLUMBING PAGE 04/07 �— � ,. ���3. 07 �("�A. City Qf Qrn1�0 !', . ,.��,.: ',� �;4J���1'�'s�;q;:!�,IC�,fy,";,�e„ � r.a.s�,x -� .:,., , ;� �'��,,:�,,>,,,�,�;�, � �,,;;:,.,� �! � ��� ', t,`'" f1� 66 ��r , ��g,ii.:;�� � 2750 Kclley Porkwa ''��:�;,I '{ ��' ���!!`��,I�;;,,r�.�"''1;:,� � ����;,�.;,;; �.�� i 5 � Y '........:.... ..�,i:�'";'�"�.�.. n:�„�„•. ;r,.,nq:;� .;�,�.;.�o,., „n�:�,,,,.G.n,� �TY518�$ay�553Z3 r i�}'�;;���'i;,;,,''i'`,;in;r��n�; �;�rl'i,iiir�,� ;.;�,,; (952)249�4G0(1 i�0'�'�!�;#3j+:;�'�r.,,..���„i � ii�. �.i;: �.:i�. , ';�fi4%)ti:��i)N!i ; �n����i�vi-.f � ��i�.�1' ..� �:I �. i;.J�:.'� ,�i�� ':,���'r�i��i"�..;�i, �i�)!��, �. .Ifin:�ini{.��i�iA�ii�ii�:�'"";'ii � . . `, ,���!cl.r'i��;�.�.���i�,'�:.��i�ii..'�fC"��ni�16i�ii21""I",�eiuii;ic 18c��nlii'i �# s�aa CITY OF QRONO—WA'�'ER 1V�,1'��Fpg� (Note;3omc penuitn m�y roquire approv�by ihe Buildin�q p}�"rci�l attd/ar Publio Wp��cM) „., ,.: , „ �� � �• , „ .: , ,. , .��a �. ,.;, n. �. ..: „ . ... � i i ��a�:. ���..,,.r..�.. ,�i�.: . ... ��..,.. ' , .i �, ,� � . . .. .����....r..��n�.;..:.'. ��i�ii� ��illl^.x��:i�:� � .���;:��:�� :�1.'jl�ii„':�11... !�.'.f,:i ��I,.:'�"I'�1,,�... 'i�l���� � .i.i.. . .�..;.�.:.,.�..i.�.i .,i�i' �i� ' . � ...'i�: .. ��...... '. .'....':.. .�'.: iii.i ...:'. ...i......i�;. �„ii��i�;:. �� . ii .� �fiill'il'.i���.i�''�.:�� 1.. WA,T'ER.MET'EitS mast bc picl�ed up and paid for at City T-�all. Z• I._f po ' le,fax in this app[ication ahead of time;we wi]1 then call yov artd let you krrow we.hav� the'water meter in stock Fax Numbeir:(952)249-4616. Afso,you can calt ahead oftime to malce sure w�received#h,e fax,or to warn us that the ftuc is coming, • 3. WAT�R Nf�TER6 must be set and sealed by Ornno W:te�r Department (952) Z49.�46pp, upon cona�le�tion oimeter insraAation. '�.�!'nilill�lii:llilli..i�.� � . .�i„�.::i�:��i':�.� . .� :.1�. Ili � � i.. . 1(. .'.l.i� ... '.I�� ���'� .., .�ii:,, ... ..�:.. ii i�.i.�.� ���i'��'��(..,., .� I�.ii,��(�:;�, .,' ',�'" �� ,.. .i..,..ii�'.iiii,.�i.;.,;.:ii�, �.�.: . . . '' '�, '(��� i'.�I' �'I:�'��'�' �,.. .. . � �..:�i,.....i�.:i��:�.::' .:i��".��ii.�::.� .. ' �,.i��. .. �':����iii .i.�...i ..... � i.�.,'.. ,'���:,'�.�.:�.'.��i��'�:�'.'...:.�.�..�'�':::�.��II'�I... '� !!�!;�'������i: ������I,�I�il��:ll��ii��'�i�:��� i i,i. ��,���.��i:i����l.,.:.�,..�.,��,.f.�.i��.'' :'',:i�i�i.,.�.�1.��,�.�.,.:: �:���i'�ii'.: il �iql:��:ii��.�. �..'i ii ..'.!Siliii� �.: ,,i �.:. ' . .. . . ,., .i.i ,i�. . '�.:..i..�i�'';, �{. . �": �h� lil) ,����;�. '.�'� .' i....�.i � �... � . ''". i,, �:..... � � ii i . . . "'���.,� �y�� �. ... �,i.:�i�i.��;;���. i, . . ....i. �.' . :i . . . ' � ', . �. .��.� ..., �j ' .'ii:'i::��'� i.. �.. iRL,'Y'� �...�.�n:.... :�1:�� � , ,., \�.i,;:.:;�::�; ;i( ... . .:�: .., ::�..;�,���.�,��;i; ""'tii.,.�...y. . . ,�.�.: . .�. �, . � �..� �.. �'��"�";,.�.:'!�.:����;ii� f Sf Residcntial(May Re�uire Approval) ❑Camincrcial(Approval Required) �New Meter ❑Additiot�al Meter—For; ❑Rcplacerncnt Meter .,.. ,,.,:.. ,,,,, .. ;,: �...,,�:..... ., ��. ;� i�:i;'�Ci�a�tilai'�1�1'S�1'!".�qC�'�: ';;;;,;..'..,;':, Site Address: ���� / � ����Mailing Address: ��J �� /� � �����, /i.� � City: 7�p: � Ho�ne Ph.one: � Alternate Phvae: -,�j f/� i;'���������1.'::;r;;:,�' ;,�:. Contractor: �r " Contact Person: A,ddress: State I ' ,iccnse#: ���': � 7�P�' �xpiration bate: Phone: �7���`!M�j� A,ltern.ate Ph�one: � c� .-� �- 12/17/2015 09:57 7632592299 SCHULTIES PLUMBING PAGE 05/67 < . SB"1�TE.R- � 3/4"METER- [� 1,°METER- 5/8"HqRN - [] 3/4"F�ORN - � 1"'HORN - ❑ "WA7'�R ME'�'ER ('�'AFSR WILL AAV�Y'D ST�SPECfA.�,ORDTy�tEb 8c PR10E5 DET$RMINED) 1. METER F.�E: � 2_ HORN.FEE $ 3. TOTA.L PE�MTI'F�E(Add Lines i-2 Above) � , ; CITY=USE ONLY � "`Fvr Currer�t Pricir�g Refex to Current Year- 'VlTater Meter Pricing Chart* BRAN p: s�s X s�a s1�: p sis" ❑3/4�� ❑ i" ❑Other �, 68759556 S.��AL#: ' IIIIIIIIIIIIIIIIIIInI�IIIIIIIIIIIIIIIIIIIIIIIIII ����������������������������� �RT HIC#I-�#: � 1852952219 (if applicable) „�I;;'Gi;;;i;,in��:lcr;l;i;i;l;i,;�;'; "I;l!x�F�!�.�k: �'�� , "Ir�]Lx'a1v!�y� � , ':iuL „ �, i„i�,.�r„��.r, ,;�.��„�,�, i�.,���1�,,. . • �,. ��� � ,,nrun, ' � , . . ��i� ,. , , ..:.: . ����.:��.. � .. �. „ .. ..... .. ., . , : ,.,. . ,� i. �i i�. .. ..�.�.,i�'^�If'.1:, �I:,���I' ' . ' , ' . .. � :n �� .� ;... �, . . ;�� . .. .... .,.i, . .... � . � ���..� . � .. �., ...,..���il 1...,��...��...., ....:.�� �i.�,� The unders,ignEci hereby applies to thc Ci.ty of Orono for issuar�ce oF a water meter permi�,agrees to d�all work in strict accordance vvith the ordinances of the City and the regulationa of the State of 1V�innesota,and certifies that all stateme�nts made on thi.s applieation are,true and eo.rrect A.ppiicant. Date= � T Ori,girurl; 1-Addre,qs File MAke Copies For: 1, Utility Bill�ng Depar�ment i� � S��� � �'� DATE TIME CITY OF ORONO CALLED IN INSPECTION NO��E SCHEDULED � __�r�� PERMIT NO. � ��L`'/5�� c P��e� ADDRESS � � 7 � � �/�l(����"�l�'- ��� OWNER TELEPHONE N �I- 7��C���`I CONTRACTOR : �'��L� I�/� � DESCRIPTION �.I Y��,�'.-� ���=�' Tz � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADWG/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 HO K-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC TALL 2 OWNERICONTRACTOR TO MEET YOU:_YES� NO \ � COMMENTS:���.(".C�' 1�.,...( �� � . C' W a � J O �. � O � W -• � � �� �s�`�_S� 7g Q � � , . � '� n , � �! '� r ��{.�� j � . , ki,�WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W/ ❑CORRECT WORK 8 PROCEED 'O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERiNG PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. �rL D /�i' White Copyllnspector's File Cenary CopylSite Notice