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Home My WebLink About2018-00001 - water meter CITY OF ORONO * z � 1 8 — rn m � � 1 * 2750 KELLEY PARKWAY DATE ISSUED: O1/02/2018 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 723 STONEBAY DR PIN : 33-118-23-I1-0068 LEGAL DESC : STONEBAY THIRD ADDITION : LOT 001 BLOCK 001 PERMIT TYPE : WATER METER-RESIDENT[AL PROPERTY TYPE : RESIDENTIAL COIVSTRUCTION TYPE : WATER METER- RESIDENTIAL NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-46 5/8'NEPTUNE METER SERIAL#69420733 ERT# 1853066419 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 242.65 WATER METER RESIDENTIAL HORN 82.02 SCHULTIES PLUMBING TOTAL 324.67 1521 94TH LANE NE BLAINE, MN 55449 Payment(s) (651)786-4007 CHECK 34109 324.67 Minnesota State License#: plbg-PC644177,mech-MB005379 OWNER Wooddale Builders 6117 BLUE CIRCLE DRIVE SUITE 101 MINNETONKA,MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permi[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 permi[s. 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 ti or d e use. � z1 i i Applican ermite ' nature Date Issued By Signature Date .,, ' .� FUR CTTY i7SE Q�ft�X ��A y� City of Orono +r P.O.Box 66 Date Received: Pemut# 2750 Kelley Pazkway Crystal Bay,MN 55323 Appmved By:(If�uired): (952)249-4600 ��, �,C' ' ��'�fSHd��` CITY OF ORONO—WATER METER FORM (Note:Some permits may require approval by the Building Official and/or Public Works Department) �3�''�"��.',�� ' 1. WATER METERS must be picked up and paid for at City Hall. 2. If possible,faac 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 malce 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. ' '�"YPE t�F`PERiViIT , Cl��.A��1"hat A' �Residential(May Require Approval) ❑Commercial(Approval Required) �New Meter ❑Additional Meter—For: ❑Replacement Meter �+D��1t�/��i'�T�'111&�1Ci�: ' � Site Address: Owner: Mailing Address: �/�7 �y�Q /1��1,�9� City: ��ii , , Zip: �� Home Phone: �'' r � Alternate Phone: �ti�tc�t'�c��^t�rt�#�a�3: ' Contractor: Contact Person: �L.Q Address: State License#: d✓� '1 City: �� Zip;�$� Expiration Date: � Phone: 7��i'� ` y Alternate Phone: � ' ' WA"fER METE�R PERMIT�'EES ' ' WILL B�; CAIJLULAT'ED BY CITY STAFF � 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- �5/8"HORN - ❑ 3/4"HORN - ❑ 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) $ CITY-USE ONLY * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * BRAND: ED2B11 RDG3 � 5/8"x 3/4" SIZE: ❑ 5/8" ❑3/4°° ❑ 1" ❑Other �� 69420733 SERIAL#: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIiIII ERT H IGH#: (if applicable) �� 1853066419 ADDITIONAL INFORM�TION—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. Applicant: Date: � �� Original.• 1-Address File Make Copies For: 1- Utility Billing Department ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NO IC SCHEDULED ' -��/_ / d%�� PERMIT NO. - � COMPLEfED ADDRESS / 4� ��-�� OWNER TEL NE NO��'��' s� � CONTRACTOR � DESCRIPTION �"' � 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ 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 HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS:�� W � o � �� -�� '' �p� Lz e� JDo�amc�3 � 0 � W 0� Q � W � W � J� 4�O'WORK SATISFACTORY:PROCEED PROJECT COMPLETE d ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952 j 249-460� OwnerlContractor on site: Inspector: White Copyllnspector's File Canary CopyfSke Notfee