HomeMy WebLinkAbout2018-00208 - water meter R - �
CITY OF ORONO * 2 0 1 8 - 0 0 2 0 8 *
2750 KELLEY PARKWAY DATE ISSUED: 02/27/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 737 STONEBAY DR
PIN : 33-118-23-11-0070
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 003 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)249-4600
5/8"NEPTUNE WATER METER
SERIAL 35736160
ERT 1545395810
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 253.00
WATER METER RESIDENTIAL HORN 82.02
SCHULTIES PLUMBING TOTAL 335.02
1521 94TH LANE NE Payment(s)
BLAINE,MN 55449 CHECK 34162 335.02
(651)786-400'7
Minnesota State License#:plbg-PC644177,mech-MB005379
OWNER
Wooddale Builders
6117 BLUE CIRCLE DRIVE#101
MINNETONKA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned according to
the approved plans and specifications,applicable City 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 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 r work has commenced.
The applicant is responsible for assuring al q ed inspections aze
requested in conformance with the Stat uil ' g C .'This permit may be
revoked at any time for due cause. �
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Applicant Pe ignatur ate Issued By ' ature Date
� 62/.2Z/2018 69:27 7632592299 SCHULTIES PLUMBING PAGE 04/05
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P.O.Box 6C, ��� ��j ��.��y,�' �/,Q�
F' �Vj-1 2750 Reticy P -':'7 1 , ��,�!��� dLJ Q
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Cryatel Ray..MN 553a3 '�pro��tl BY`.'F�f1k' . :., ,.. , . ,
(952)249-4C�0 ��',,
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�'���s�o4`�L CI7'X OF ORONO—WATER NI�'I�R FORM
(Natc:5ortre petmit�mry�quire appmval ry Ntc Buildittg Official and/nr Pubiic Wotks Departrncnt)
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1. WATER 11�ETERS must be picked up and paid for at City Na11.
2. si ie,fax in this application ahead of tim;e;wa wilt titten catl you attd let you know wc have
the water meter in stock. Fax Number:(952)249-4616. Also,you can r�ll ahcad of�ime tv make
SUTc we reccived the fax,pr to warn us that ihe�t1x is coming.
3. WATF.R MET�RS mU9t be i�t And BCAIld by 01�ano WAter UeperttrAent (95Z) 249-�600,
Rpon complEtion Of Itfeter�d5tallatiOp.
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CJ Residential(May Require Approval) ❑Commercial(Appr'oval R�uircd)
�New Meter ❑Addttional Meter—For:
, ❑Rcplacenncnt Mcter
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Site Address: ��
Owner: Mailin,g Address: �l/�� � ��j�
City: _/y���.�i9t1�.r� Zip; ��
Home Phone: �J�" � Aiternate Phonc:
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Contractor: Cantact P�rson:
Address: State Lic�nse#;
�t�3'� Zip,G� Ex.piratian Date: ���/�d
Phone: ���/���- A,Itarnate Phone;
, 02/2�12018 69:27 7632592299 SCHULTIES PLUMBING PAGE 65/65
5/8"METER- ❑ 3/4"M�TER� ❑ 1,�METER.-
5/8"HORN - 0 3/4"HORN -
❑ 1'°F#ORN -
❑ "WA'I'ER METER ('IT#ES�Vy�i.l.AAVE TO BE SPE('fAL ORDR.REb&PR1C�S D�'�'��M1NF:D}
��/ 53 9 5�/o
1. METER FEE: � $
2. HORN F�k� '��,S7 ��p� �U $
3. TOTAL PERMiT�E(Add i incs 1-2.Above) � ���i ��
C�'=USE+ONLY:
'� F'or Current Pricing.Refer to Current Year-Water Meter Pricing Chart *
BR/�11N.p:
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wiiu�uwiuuwi�iui
Sf:RIAL#: 7 5453958 7 0
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�RTHIGH#: (ifapplecable) �545395870
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The undezsigned hereby applies to thc City of Orona for issuance of a water meter permit, agrces
to do all work itt strict accordance with the ordinances oF tlae City a�td the rcgulations of the S�ate
of Minnes�ta,and certifies that all statements m.ade on this appliear.i.on are,true and eorrect.
Applica -� Date: v� � �/��
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Qrip,rnal: 1-Add�ss File
Make C.:'opres For.� !-lJ1i/ity Bllli�g.1Jepurtmerel
, 02/.2Z/2018 09:27 7632592299 SCHULTIES PLUMBING PAGE 01/05
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To: City o�Orono From: Brenda Janes
Fax: �.S o? -07 5/p-y�o 1� Pages: 5 (ineluding cover)
Fhone: N/A Date: 2/27/2018
Re: Watez�Meter Fortns GC: -
Q Urge�t ��ox Review O Please Comment C]Pleas�Reply � Pleese Recycl�:
Attached are the folIowing Water M�ter�'ornis:
t. 739 Stonebay Ari�ve
2. 737 Stonebay brive
Please process these forms as a person from our office will be by to pick up the me�ers this
moming. '
'I'k�ax�lc you.
Brenda Jones
� p E TIME
CITY OF ORONO cnLLED IN � �—
INSPECTION NO �����HEDULEDC�/ �
PERMIT NO. LETED� Y
ADDRESS - j�
OWNER TELEPH NO���J" T.���`"
CONTRACTOR
� DESCRIPTION a�=�7 � ��'�fC�( �v `��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNEA/F�REPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
y COMMENTS:
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� WORK SATISFACTORY:PROCEED ;�'PROJECT COMPLETE
W�CO ORHECT W'ORK�PROCEED � �ISSUE CERTiFICATE OF OGCUPANCY
O ❑(�RRECT NIORK�LL FOR REINSPECTION TEMPORARY
V BEFORE CdVERiNG PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN
INSPECTOR W{lL 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
OwnerlContractor e:
inspector:
White CoPYAnap�ctors Flls Canary CopylSite Nodce