HomeMy WebLinkAbout2015-041077 (water meter) . . CITY OF ORONO * 2 0 1 5 - 0 1 0 7 7 *
2750 KELLEY PARKWAY DATE ISSUED: 08/24/2015
ORONO, MN 55356-
952 249-4600 FAX: (952 249-4616
ADDRESS : 2490 CARMAN ST
PIN : 20-117-23-12-0065
LEGAL DESC : LEHMAN LAGOON
: LOT 2 BLOCK 1
PERMIT TYPE : WATER METER- RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER- RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DGPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
1"WATER METER
SERIAL#53354890
ERT HIGH# 1852989024
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 372.06
WATER METER RESIDENTIAL HORN 121.15
SPRING PLUMBING LLC TOTAL 493.21
11473 KENYON COURT
BLAINE,MN 55449- Payment(s)
CREDIT CARD 3580 493.21
(763)614-7963
Minnesota State License#: plbg-066807 PM
OWNER
Lakeshore Holdings LLC
153 E LAKE ST
WAYZATA,MN 55391-
AGREEMENT AND SWORIY STATEMENT
"I'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and die
State Building Code. This permit is for only the work described and docs
not grant permission for additional or related work which requires scpar�te
permits. All provisions of laws and ordinances goveming this type of work
shal(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 commcnced.
The applicant is responsible for assuring al►required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
D � � � �/.5
Applicant Permitee Signature Date Issu � By Signature Date
08/24/15 10 ; 34AM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg 2
/3
, , .
7�0� �t' o�.X
�-��/� 9 Bax�roa0 patc Xtcc� . Pe[mit!!��. /D��
�.J 2750 T�elley Perktvey
�Y��aY,�55323 Approved Hy:(ff R6ynired): ��
(952)249-4600
�''
�
`���sz�o��'G �Z�'�F ORO1�0-'i�'ATE�t IYIETER FOR1V�
(Nvte:Some pe�nnits msy mqirirc appre�val by the Duilding Offioiel and/or Public Works Depsrtment)
E�ENE��O�tN�A.'Z'ZON
1. WA�R�ET�RS must ba piciced up and paid for at City Hall.
2. If ossi 1 Pa7c in this applieation ahead of tame;we wz�l then.ca1�you and let you Irn.ow we have
the water zneter in stocic. 2�ax Number:(952)2�19-�616. Also,you cazz call aYzead o�F ticzxe to zna.ke
sure we received tE�e�a�c,oz to warn us that the fax is coming.
3. WATER MFTERS must be set and sealed by Orono Water Department (9SZ) 249-4b00,
upon coAapXeti,an of�nnetex i�stallation.
TY'1'E OF�E�T
Check All Tbat A 1
❑Residential(May Require A��roval) []Commarcial(Approval Required)
�er�v Meter ❑Adc�.tional Mster—For: ❑Re�lacemer�t Meter
Tob Sxte 7 dwner Tnforma�ion:
Site Address: � �� � �� ��� 5�
Q�vner: Mailing Address:
City: Zip: _ _ __
�ome phone: Alternate Phone:
'Contr'aetor S�oz�oa2rti.pzt:
Contractor: lv�"`�,� Coz�tactPerson� l�`�1/���-fJ�a.�d�,.
.A.ddzess: j��� � ��-d'�-K f/�^ � State T��cense#: 1'C� �D ���� �
Cxty: �`�^� Zip: ���yy Expiration Date: ����� �1 �
Phone: '� �3' �P i U �-1�1 !o,' ,�4lterna�e�'hone:
08/24/15 10 : 34AM CDT Spring Plumbing LLC -> Building Dept 9522494616 Pg 3
/3
�,, ��' ,: �VATLR Iv��R P�RIVZIT FE�S
� ' �� � ; ;:� ;;, . W.Q`;�.�3E GAULUT;A:�'El��Y`'��'�'ST,A�?F' � .� -
❑ 5/8"M�'�R- ❑ 3/4"NxE'Z'�R- �1'•METER-
❑ 5/8"T�O�tN - 0 3/4"HORN - C�-1�'�TORN -
❑ "WAT�R ME'�ER (THES&WII+L HAVE'�'O a�S�CTAL o1Zri�D&P2ttIC&S DETERMINED)
X. �`��$: �
2. HOR,'v F�� $
3. T�TAT�PER�M��'�E(Add T,ines 1-2 Abave) �
CITY-USE ONLY� �
* �'or Current Pnici.z�g�Ze�er to Current Year-Watez Mete�Pr�cing Chart*
,
��°�� 53354890
Sl'ZE: [)5/S" ❑3/4" ❑1" ❑Otk�e�r II I I II (I I I I III I I I II II
SERI.AL#:
ERT T-�fCr�T#: ����������������������������� (if applicable)
1852989024
A:Dl7Y'1"SON,A.L�]F'ORMATTOI�—�+TA'X`E3.2�'�RS
T1�e undarsigned heseby app�es to the Czty o�4rono for issuauce of a water meter pezxro,it, agt'ees
to do all work in strict accoxdance with the ordinances o£the City atad t1�e regulations of the State
of Mzz�.asota,arad ce.rCif"ies that a1t statetao�ts zaade rnn this application are,true and correct.
Applicant: �� Date: �/�"K�� � ___
Onginal: .�-,r�ddress FYIe
Make Coples F'or: .f-Utility Billing Depar�hnent
��
.�--"'� � DAT TIME
CITY OF ORONO CALLED IN Z �
INSPECTION NOTIC �l�,� SCHEDULED � /G•' �
PERMIT NO. OMPLETED
ADDRESS �� � �%
OWNER PHONE NO. �— g�� ��
CONTRACTOR � �� �� � � �� ��V�
� DESCRIPTION \`�� � J �'�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z �
� COMMENTS: ����� J�S`«f��^
a �'v!<7
� � �/ d��c�C�� r �� ��-
o �
�.
� � �� ��sa�g y�a� �f
W
�
Q
z �tiJ6 S�y� �����' , � US'f �'s> 5�.4��
w7 � ��'> ov�
� �'�-.��—
a
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT YYORK 8 PROCEED ❑ISSUE CER7IFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952) 249-460�
OwnerlContractor on site:
Inspector. ��_
White Copyllnapector's Flle C�nary CopylSfte Notics