HomeMy WebLinkAbout2018-00077 - water meter �
� CITY OF ORONO * z � 1 8 _ � � � � � *
2750 KELLEY PARKWAY DATE ISSUED: OU23/2018
ORONO, MN 55356-
952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1750 SHADYWOOD RD
PIN : 17-117-23-21-0021
LEGAL DESC : SHADY-WOOD
: LOT 016 BLOCK 000
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
1°NEPTUNE WATER METER AND HORNS
SERIAL-53975098
ERT H[GH# 1545938628
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 372.06
WATER METER RESIDENTIAL HORN 144.64
STEWART PLUMBING, INC. TOTAL S16.70
13025 GEORGE WEBER DR Payment(s)
SUITE#1 CREDIT CARD 3122 516.70
ROGERS, MN 55374
(763)428-1833
Minnesota State License#: plbg-PC000474,mech-MB003262
OWNER
SHAW,GRETCHEN& LYLE
7001 KENESTON DR
EDEN PRAIRIE,MN 55346-
AGREEME1vT 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 separate
permits. All provisions of laws and ordinances governing this type 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any t'me for due cause.
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Applicant ermitee Signature Date Issue y Signature Date
� Stewart Plumbing, Inc. 7634281733 p,1
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F(M CITY USE OIVLY
O City Of OrOnO ,�n
g � P.O.Box 66 Daze Received: '��Pecmit# 'OW
O 2750 Kcllcy Pazicway
Crystal Bay,NiN 55323 �4pproved By�:([FReqicired):
� (952)249-4600
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1"�'fs H oa``` CITY OF OROI'�i0—V{%ATER iViETER FORM
(Nole Some permits may require appraCvai by Lhe Duilding Oiliciai and/ar Public Works Deparbnentj
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GENERAL INFORM�TION
1. WATER METERS must be picked up and paid for at City Hall.
2. lf eossible,fax in this applicalion ahead of timc we will then call you and let you know we have
the water meter in stock. Fax Number:(952)2 9-4616. Also,v�u can call ahead oft�me to make
sure we received the fax,or to���arn us that the is coming.
3. WATER METERS must be set and sealed by Orono Water Departmeat (95Z) 249-4G00,
upoo completio�of ineter installation.
TYPE OF P�RMIT
Check All That A 1
�Residential(May Require Approval) ❑Gommercial(Approval Required}
� New Meter ❑Additional Meter—For: ❑Rep9acement Meter
1ob Site;Owner Information:
S ite Address: �7�� ��(�t7o� �4�
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Owner: �f E�n �J/,�W Mailing Address: I7SO �c✓u� �
City: ��UnQ Zip: S�3q �
Horne Photte: �ora?-�G a" �G Altarnate Phone:
Contractor Information:
Contractor: ��K�" rfu�'►��1� �-rri(, Contact Person: Za��
Address: l�aS(,Pr�We �,/¢�dr StatS License#: Q�0�3y�
City: ��_ Zip:S�i7y E�iaration Date: � 3 ��
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Phone: 7G3"�rd I�3 Atte�nate Phone:
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' Stewart Plumbing, Inc. 7634281733 p.2
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WATER METER�'ERMIT FEES
WILL BE CAULULATED BY CiTY STAFF
❑ 5/8"METBR- ❑ 3/4"METER- l"METER-
❑ 5/8"HORN - ❑ 3!4"HORV - � 1"HORTi -
❑ "WATER METER (THESE R'ILL H.4�'E'RU BE SPECIAI.OADF,REU&PRICES DETERMII�ED)
1. ME7'ER FEE: $
2. HORN FGE � $
3. TOTAL PERMIT FEE(Add Lines 1-2 Ab�ove) �
CiTY-USE ONLY
*For Current Pricing f�efer to Current Year-�'ater Meter Pricing Chart�`
BRAVD: ED2F11RDG3 �
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SIZE:. ❑ 5/S" ❑3;4" �1" Other °� 53975098
SE�A�..�: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
ERT EiIGH#: � 5 y��3���� ' (ifapplicable) ���5938628
ADDlT10NAL 1NFORMATI N—WATER METERS
The undersigned hereby applies to the City of Oronb for issuance of a water meter permit,agr�s
to do al] work in strict accordance with the ordinanqes of the City and the regulations of the State
of Minnesota,and certifies that all statements made on this appEication are,true and correct.
Applicant: Date: ! 7 /
Original: !-Address Fi1e
?I�ake Copi�;For: 1-G'tilityl3illing Departrnent
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DATE I TIME
CITY OF ORONO CALLED IN �
INSPECTION O -7 SCHEDULED
PERMIT NO. ` �7 MPLETED
ADDRESS �a
OWNER T��P�iONE NO. �
CONTRACTO ��J
� DESCRIPTION � C�'e-� {�
t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV�/GRADING/FILLING
y ❑ FOUNDATION DRAIN TILE �PLUMBING FINAL ❑ TREE I�EMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
- Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATEDj WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPIj�A"'INT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLO►v-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNC�ATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET KOU:_YES_NO
y COMMENTS:
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Q ��` 55 �
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W ❑WORK SATISFACTORY:PROCE�D ❑PRW ECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICAT�OF OCCUPANCY
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0 ❑(�ORRECT WORK,CALL FOR R9NSPECTION TEMPOF�ARY
V BEFORECOA/ERING PERMAI�ENT
❑CORRECTUNSAFECONDITIONNVITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL IN$PECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL ll0 ARRANGE ACCESS.
Cal1 br the next in�pectron 24 hours in advance. (g52) �t49-4600
OwnerlContractor on site: �
Inspector: i
White CopyAnspecta's Ffk C�nary CopYfSffa Notlee