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HomeMy WebLinkAbout2017-01313 - water meter DAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /4= 2g0 PERMIT NO.02OL7-613 / COMPLETED ADDRESS 701 )(G cey Leaf r OWNER TELEPHONE NO. CONTRACTOR 5W re-- f 1�w 34:M. ;. DESCRIPTION W ❑ FOOTING 0 DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL • ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION • 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q ElFINAL Q WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNER/CONTRACTOR TO MEET YOU:_YES_NO v)• COMMENTS: , f Y �' i _ ,� 53F 7_ _ a. �' 'vl Irj�' g� � cc / F rrt ii 15 'NJ �l O W z cc W ,ft• ]WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �� t White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY ORONO CALLED IN /l INSPECTION O ICESCHEDULED PERMIT NO. Off I G COMPLETED LL€ADDRESS 70) c / A -7)//1OWNER T� P ONE NO CONTRACTOR _ L ..gyp v����- )" N a DESCRIPTION {4(�1 � - C--r4 W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Q OWNER/CONTRACTOR TO MEET YOU:` _YES_NO ti COMMENTS: /� 3744//eci / o Z.-04r Q. `'� lY/S '/c tS > _ CC O Cc 0 W CC CC L RK SATISFACTORY:PROCEED %'�PROJECT COMPLETE W//❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site:y�-- Inspector. White Copyllnspector's File Canary Copy/Site Notice • CITY OF ORONO I I'1 1 l I'i I I 1I I1 2750 KELLEY PARKWAY * 2 1 7 - 0 1 1 3 DATE ISSUED: 10/11 3/2017 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 701 DICKEY LAKE DR PIN : 34-118-23-22-0005 LEGAL DESC : RINGERSWOOD : LOT 001 BLOCK 002 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)249-4600 1'NEPTUNE METER SERIAL#53858366 ERT# 1544456124 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 372.06 WATER METER RESIDENTIAL HORN 144.64 SABRE PLUMBING&HEATING TOTAL 516.70 15535 MEDINA ROAD Payment(s) PLYMOUTH,MN 55447- (763)473-2267 CHECK 32595 516.70 Minnesota State License#:mech-MB3392,plbg-PC645349 OWNER PFINGSTEN,TROY&AMY 701 DICKEY LAKE DR LONG LAKE,MN 55356- 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 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 are • requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. I Applicant Permi ee 'gnature Date Issued By Signature Date FQJ t~ITY VSE ONLY O- , City of Orono P.O.Boa 66 •-Date lfeeedved •„' /313 2750 Kelley Parkway t t , ',jjj Crystal Bay.MN»323 21� roved$y �If ��utred) ' (952)2494600 "" ` � CITY OF ORONO—WATER METER FORM y+, (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) 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 meter installation. ' t4 ° ORPM 1: ..• .., ¢. .-. t y� ate ,>.. ' E Kesidential(May Require Approval) ❑Commercial(Approval Required) New Meter fl Additional Meter—For: ❑ Replacement Meter Site Address: —10 1 1.)l I._U_,IC.t. stY1 Yt Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: x Contractor: ' fJ i /?7 Mt)*w 1.(4 ) Contact Person: ,Ji Address: I cj53►- a I',I , State License#: Pe1/146341 City: il)WIDaii41 Zip:64t4 Expiration Date: 12.31• Z617 Phone: `11j • 113 22.1,1 Alternate Phone: 1f/3•2.56.q-itt & 57,�-'': �� � � �' �, t,`4 � T� � ��.. e i'uY Zs' 1 e+ -C Y" ,111 ❑ 5/8"METER- ❑ 3/4"METER- 13/1"METER- ❑ 5/8"HORN - ❑ 3/4"HORN - 12'1"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) $ 7511n'70 CIT t-USE:0 Y r. * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * BRAND: ED2F11RDG3RE SIZE: [115/8" ❑ 3'4- El I" ❑Other 53858366 SERIAL#: 1111111101111111111111111111111111111 1111111111111 III IIII111II II ERT HIGH#: 1544456124 (if applicable) -- ..... r..,.,.tea r_,a.�._.a«.. ... .. :.....I;i..... ._----..._. ..-.,_.,.._. .x.. ...._ .. ..§; x.zF,.., h��`-��r_.,... ll 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. Applican v)(,t, f Qiju,L Date: 10- 10. 1011 tf tatift K Original: 1-Address File Make Copies For: 1-Utility Billing Department I-Cash Drawer