HomeMy WebLinkAbout2017 - 01553 - water meter ` CITY OF ORONO I 111111111 ([ I I H
* 2017 - 01553 *
2750 KELLEY PARKWAY DATE ISSUED: 11/22/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2875 WOOD DUCK TR
PIN : 33-118-23-24-0033
LEGAL DESC : ORONO PRESERVE
: LOT 3 BLOCK 4
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)249-4613
5/8"NEPTUNE WATER METER AND HORNS
SERIAL-35736156
ERT HIGH# 1545407108
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 242.65
WATER METER RESIDENTIAL HORN 82.02
SABRE PLUMBING&HEATING TOTAL 324.67
15535 MEDINA ROAD
Payment(s)
PLYMOUTH,MN 55447-
(763)473-2267 CHECK 32857 324.67
Minnesota State License#:mech-MB3392,plbg-PC645349
OWNER
OP5 Orono LLC
15250 WAYZATA BLVD#101
WAYZATA,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 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.
// /e2e;7/7
Applicant Permitee Si tit re Date Issu"By Signature Date
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F4 -c!,T 17EaDMA
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City of Orono
LIQ• OP.O.Box 66 :Date 4000
2750 Kelley Parkway s
o- : Crystal yMN 5 32; 4pPOY.ed 03 {I41 4 rod)
(952)249Ba4600-
CITY OF ORONO—WATER METER FORM
(*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.
y s a
[residential(May Require Approval) ❑Commercial(Approval Required)
121 New Meter [3 Additional Meter—For. ❑Replacement Meter
Site Address: L1 "V J 611t-r— V CfAl
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Vbn� n ac) d#. ?=?. iso.
Contractor: �aN,
- �J�.]f t, aD) .3 )34, Contact Person:
Address: ,� ' i State License #: ¢534
City: Pk9}1101414'1 1 Zip:55141 Expiration Date: 12'31. 7011
Phone: 1( 415. 12 L' Alternate Phone: `7/, 2' .4-.3
F L L fr F_ _C-A1133.1 4 4 Ls=4A, [ ♦�> ?y R _za3?,£n". .- q� a�
5/8"METER- ❑ 3/4`METER- Q 1"METER-
5/8"HORN - ❑ 3/4-HORN - 0 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) $ 32447
s�
* For Current Pricing Refer to Current Year- Water Meter Pricing Chart*
BRAND: OLP\-WV\-51.
.
ED2B11 RDG3
SIZE: 5/8" ❑314" ❑ 1" ❑Other 518"x 314"
35736156
SERIAL: 11111111111111111111111111111111111111111111
ERT HIGH 4: (if applica.L
11111111111111111111111111111
1545407108
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: Q i 1,y h)AMAANAUL Date: 2.()17
'1€,
Original: 1-Address Fi l e
Make Copies For: 1-Utility Billing Department I-Cash Drawer
7
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED `141 7 lv,' 0v
PERMIT NO (-) u/. !1:3CO jPPLET '
ADDRESS c g75 (�1J -/u
OWNER T EPHONE NO70- X73
CONTRACTORco_Wii-19 -/
DESCRIPTION � ,I ti� O(
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O 0 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
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
L.)• COMMENTS:
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W 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED O 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
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copylinspector's File Canary Copy/Site Notice