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Home My WebLink About2012-00310 - water meter - irrigation 0"' CITY OF ORONO * 20 1 2 - 00 3 1 0 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 875 WAYZATA BLVD W PIN : 35-118-23-44-0011 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : WATER METER PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : WATER METER — J-rr) al-1 r ' NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 1 1/2"WATER METER-SERIAL#70252524-ERT# 1831755073 WATER METER COMMERCIAL HORN 0 WATER METER COMMERCIAL 0 APPLICANT WATER METER COMMERCIAL 621.43 ASSOCIATED MECHANICAL CONTRACTORS, WATER METER COMMERCIAL HORN 72.13 1257 MARSCHALL ROAD SHAKOPEE,MN 55379 MISC FEE 121.80 952-445-5119 TOTAL 815.36 Minnesota State License#:059419-PM PAID WITH CC# 9958 OWNER KA Reality 4210 W. SHAKOPEE RD BLOOMINGTON,MN 55437- 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 responsi for assuring all required inspections are requested' o orm ith tate Building Code.This permit may be rev a C o- .u-. .use. P14fican P- ee Signature Date Issued By Sign tur2 e Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. F C Y USE ONLY i�oo City of Orono q /� O .P.O.Box 66 Date Receive . Permit# r 2750 Kelley Parkway rCrystal Bay,MN 55323 Approved By:(If Required): ' G,- (952)249-4600 CITY OF ORONO–WATER METER FORM (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) GENERAL INFORMATION 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. TYPE OF PERMIT (Check All That Apply) ❑Residential (May Require Approval) Commercial(Approval Required) New Meter ❑Additional Meter—For: ® Replacement Meter Job Site/Owner Information: V(/) 11 57 (�'' Site Address: 5-- IA) • w(e,q Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: /15 (.4 T W A17 L Contact Person: f 2—' .i 0 Ai Address: f 4c 7-411-1?- (41-1( (20 State License #: PC 6 L/3 P"/ City: k7f Zip S�s->1 7 Expiration Date: I) - 3/ r13 Phone: /ca 'y� –5 41'J Alternate Phone: SAY/ �1k�* d-i y �"4 uu 'C r a' ❑ 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- ❑ 5/8"HORN - ❑ 3/4"HORN - ❑ 1"HORN - l/2 "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) 1. METER FEE: I/d 1 (1 ./3) $ 2. t.FEED VO1e 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ 31 5 f iIz Irria1-i i (\ne1 r CITY-USE ONLY * For Current Pricing Refer to Current Year-Water Meter Pricing Chart * BRAND: Vl e— SIZE: ❑5/8" ❑3/4" ❑ 1" ❑Other SERIAL#: /0 P) 5 ERT HIGH#: IIIIIIIIIIIIIIIIIIIIIIIIIIIII (if applicable) 1831755073 ADDITIONAL INFORMATION—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 acc . ' e with the ordinances of the City and the regulations of the State of Minnesota, and ert sif t►.'t a sta = ents made on this application are,true and correct. Applica Date: q ?� ( ytir� .r Original: 1-Address File Make Copies For: 1- Utility Billing Department 1-Cash Drawer I"' CITY OF ORONO 11111111111111111111 I I I I I I I IIII * 2012 - 00310 * 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 REPRINTED ON 4/19/2012 ADDRESS : 875 WAYZATA BLVD W PIN : 35-118-23-44-0011 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : WATER METER-IRRIGATION PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : WATER METER-IRRIGATION NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 1 1/2"WATER METER-SERIAL#70252524-ERT# 1831755073 WATER METER IRRIGATION HORN 1 WATER METER IRRIGATION 1 APPLICANT WATER METER IRRIGATION 621.43 ASSOCIATED MECHANICAL CONTRACTORS, WATER METER IRRIGATION HORN 72.13 1257 MARSCHALL ROAD SHAKOPEE,MN 55379 MISC FEE 121.80 952-445-5119 TOTAL 815.36 Minnesota State License#: 059419-PM PAID WITH CC# 9958 OWNER KA Reality 4210 W. SHAKOPEE RD BLOOMINGTON,MN 55437- 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. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. A , ** PICK TICKET ** .FERGUSON WATERWORKS - 2518 Order #: S01358419 . 001 1694- 91ST AVE NE Ord Date 04/18/12 BLAINE MN 55449 Printed: 08 : 42 :48 19 APR 2012 CDT 763-560-5200 Fax 763-560-1799 Page # : 1 of 1 Sold To: 1765 Ship To: 12400 CITY OF ORONO CITY OF ORONO PO BOX 66 2700 KELLY PARKWAY CRYSTAL BAY, DST 55323 ORONO, MN 55356 Customer PO Job Name Ship Date Ship Via Warehouse WTR METER 04/18/12 WC WILL-CALL Shp 3 Ent 3 Writer Freight Salesperson Ordered By Contact# VRUGRODE PPA Todd Phillips SCOTT Ordered Shipped Product Description Net Prc Ext Prc ********* Shipping Instructions ********** * WILL CALL THURS AM * 1III ****************************************** lea lea 69FKB15A 4131-083 610FKIT 72 . 13 72 . 13 1-1/2 METER FLG KIT BRZ 2/SET AYM Loc : M07-002-004 Pn: 20574 Wgt : 5 . 2 lea lea 68T15IGP ET4HRWG1 621 . 43 621 . 43 1-1/2 HP TURBINE METER GAL E-CODER R900i PIT Loc : M09-011-001 Pn: 36886 Wgt : 19 e - ' &-- -9 693 . 56 SALES TAX% 47 . 68 *** Thank you for your Business *** Total Amount 741 . 24 7` /dc/O y./z_ ff3 6 $ 5 36 Filled by 1 7 " , checked by Pieces Total Weight : 24 . 2 7/////7/1. ---C Customer Signature: Date : � //// _ No credit will be allowed for goods returned without permission. Return goods must be in saleable condition. A re-stocking charge will be made on all goods returned for credit . We are not responsible for damage in transit . Claims must be filed with carrier. . . Reprint . . Reprint . . Reprint . . Reprint . .