HomeMy WebLinkAbout2018-00207 - water meter r
CITY OF ORONO * 2 0 1 8 - 0 0 z 0 7 *
� 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2018
ORONO,MN 5535Cr
(952)249-4600 FAX: 952)249-4616
ADDRESS : 739 STONEBAY DR
PIN : 33-118-23-11-0071
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 004 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-36789309
ERT# 1547961424
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 253.00
SCHULTIES PLUMBING WATER METER RESIDENTIAL HORN 82.02
1521 94TH LANE NE TOTAL 335.02
BLAINE,MN 55449 Payment(s)
(651)786-4007 CHECK 34163 335.02
Minnesota State License#:plbg-PC644177,mech-MB005379
OWNER
Wooddale Builders Inc
6117 BLUE CIRCLE DRIVE
MINNETONKA,MN 55391-
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 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 after work has commenced.
The applicant is responsible for as a r uired inspections are
requested in conformance wi e State Bui mg ode.1'his permit may be
revoked at any time for due ause. •
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Appli i Si te Issu d By ' ature Date
02/27/2018 09:27 7632592299 SCHULTIES PLUMBING PAGE 02/05
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��+��s�oa�' CT'�'Y O�'4RONQ,WATE�t ME7'ER FORM f
(Kote;Some pem�i�a may rcquir�appro�al by the Huitding p('f'�c;al and�or Publia Works lkparsment)
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]. WATER M�TERS must be picked up and paid for at City i�a1I.
2. If��ible,fgx in this applicatioe ahead aftime;we wili t(ten cail you tutd let you knowwe have
thc water meter in stock_ ,Fax Numbe�r;(952)249-46I6. AIso,you ean ca11 ahead oftime to make
sure we receive�the fax,or to warn us that the fax is con�ing.
3. R'ATEXt METERS m,ast be set �nd sealed by Orono WAter Department (952) Z49-4600,
u�op eomplet�on af ineter 9nstallation.
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�Residential{Msy Require Appro�al) ❑Commercial(Approval Reqaired)
�.New Meter ❑AdditionA]Meter�-For;
,�, ❑Replacoment M.eter
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Site Address: 7�
Owner: Mailin.g Address: �2L1�/ � �G�
City: ���� �
_, Zip: ��
Home Phone:������'�,��!� p�ternate Phone:
�'WIVlf���y P
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Contractor: Contact Per�n:
Address: � �7`� 5tate License#:
City: , Z7�7� Expiration Da.te: �
Phone: '"/��` AlternatePhone:
. 02/27/2618 09:27 7632592299 SCHULTIES PLUMBING PAGE 03/05
�I 5/8"ME'�ER.- f] 3/4"M ETER- ❑ ]"METER-
�.5/8"(-fO.RN - ❑ 3/4"HORN - ❑ 1"NORN -
❑ "WAT��t METER (THFSE Wll.i.FIp,VE TU BE Sl'FCfp],ORAERTyp�p(u�,9 DF,T�R�y)7�D)
1. METER FEE: �
2. HORN FEE �
3. TOTAL!'ERMIT FEE(Add f.ines 1-2 Above) $ 3�3 5� D�
CIT1r�CFSE O1�TL'St`
* For Current�'ricing Refer to Cu�rent Year- Water Meter Pricing Chart*
$R�w�� ED2B11 RDG3 �
5/S"x 3/4"
s1zE: ❑s�s°° ❑s�4� ❑ )" p other '^ 36789309
S�RIAL#: — 1647961�424 ,,,� I IIIIII IIIII IIIII IIIII IIIII IIIII�IIII IIIII IIIIIIII
ERT H1GH#: �, IIINIWNINININAWN� (�f applicable)
1547961424
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The undetsi.gned hereby applics to the Gity of Orono for issuance of a.water meter permi.t,agr�es
to do a11 wprk in strict accocdanee with the ordina.nces of the Ciry and the regula#ions of the St�te
of Minnesota,and certifies that all statcments made on this application are,true and corrcet
Applicant• Date: ����
Uriginal.� !-.4ddress File
Make Capies For.� !- C.Irilt�y 8llling,l�epartment
�/�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQ I E�27 SCHEDULED Z—_�/�—
PERMR NO. � COMPLETED
ADDRESS 7
OWNER TELEPHONE NO. � � -��
,
CONTRACTOR
� DESCRIPTION �/ `-�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�� ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTMCTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
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� SATISFACTORY:PROCEED I�,E90JECT COMPLETE
W ❑CORRECT VI�RK 3 PROCEED �❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PEHMANENT
O(bRRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cau br the next inspection 24 hours in advance. (952) 249-4600
OwneNContraator on site:
Inspector:
White Copyllnspecto�'s Flle Canary CopylSke Nofice