HomeMy WebLinkAbout2014-00888 (water meter) CITY OF ORONO * z 0 1 4 - 0 0 8 s 8 *
� , � 2750 KELLEY PARKWAY pAT� ISSUE�: 08/13/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2629 CASCADE LA
PIN : 33-118-23-11-0114
LEGAL DESC : STONEBAY FIFTH ADDIT[ON
: LOT 004 BLOCK 001
PERMIT TYPE : WATER METER- RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NO"[�F,: INSFPCT[ONS ARE DONF,BY PUBLIC WORKS DEPARTMEN�I'.
TO SET-UP AN INSPEC"TION,PLEASE CALL:(952)249-4613
NEPTUNE 5/8" WATER M�TER
SERIAL NUMI�ER-9409359
TRT HIGH NUMBF,R- 1850440403
WATER METER RESIDEN"['[AL HORN 1 WATER METER RESIDF.NTIAL 1
APPLICANT WATER METER RESIDENTIAL 245.70
WATER METER RESIDENTIAL HORN 68.97
PRECISION PLUMB[NG & HEATHING INC. MISC FEE 0.00
4124 MACKENZIE CT
ST. MICHEAL, MN 55376 TOTAL 314.67
(763)497-7486 Payment(s)
Minnesota State License#: plbg-PC643806,mech-MB004099 CREDIT CARD 9766 314.67
OWIYER
BUILDERS LLC, STONEBAY
14870 BROCKTON LANE
PL,YMOUTH, MN 55446-
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. 'I�his 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.
l�he applicant is responsible for assuring all required inspections aze
requested in conformance with the State F3uilding Code.This permit may be
revoked at any time for due cause.
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Applic�rft P i e ig ture Date Issue By Signature Date
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CIT USE ONLY / ����
City of Orono � ���/_
�O�O P.O.Box 66 Date Recei � Permit# "r
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By:(lf Required):
(952)249-4600
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`�� �'� CITY OF ORONO-WATER METER FORM
�kESH��� �*]�ote:Some permits may require approval by the Building Official and{or Public Works Department
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GENERAL INFORMATION
l. 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 ineter installation.
TYPE OF PERMIT
(Check All That A ply)
]�esidential(May Require Approval) ❑ Commercial(Approval Required)
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❑ New Meter ❑ Additional Meter—For: ❑ Replacement Meter
Job Site / Owner Information:
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Site Address: ����� f�il.`_�.��;1(���
r----�� , , �_
Owner: ����\ ��C�� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��g '�1.�� \ � � _ --�"til,Contact Person: ���1� � �'J _ �
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Address: `1�� �y�G(��,� State License #: ��<<-�� � �fn
City: � ��� Zip:S`�3l(,: Expiration Date:
Phone: ���~�-t�� �����> Alternate Phone:
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WATER METER PERMIT FEES
WILL BE CAULULATED BY CITY STAFF
❑ 5/8" METER- ❑ 3/4" METER- ❑ 1" METER-
❑ 5/8"HORN - ❑ 3/4"HORN - ❑ ]" HORN -
❑ " WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
1. METER FEE: $ a��, ��
2. HORN FEE $ �Q � � �
3. TOTAL PERMIT FEE (Add Lines 1-2 Above) $ �/ 7• �O �
CITY-USE ONLY
* For Current Pricing Refer to Current Year - Water Meter Pricing Chart *
BRAND: � �J��(,j�`F�
SIZE: [�5/8" ❑ 3/4" ❑ 1" ❑ Other "
SERIAL#; � `'`�v g � � � �J
ERT HIGH#: III IIIIIII I IIII IIIII III I IIIII (if a 1►cable
1850440403 pp �
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 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.
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Applicant: � � Date: � ���� �
Original: 1-Address File
Make Copies For: 1- Utiliry Billing Department 1-Cash Drawer
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CITY OF ORONO ServiceOrderNumber 807
SERVICE ADDRESS DUE DATE: 03/10/2015
2629 CASCADE LA APPT TIME:
CUSTOMER: STONEBAY BUILDERS LLC BILLING HOME PHONE:
BILLING WORK PHONE:
ACCOUNT NUMBER BOOK/STOP:
1-426290-00 101-675
DATE/TIME CREATED CALL TAKEN BY:
03/10/2015 Sandy Pettit
Requested By: homestead sale
NATURE OF WORK ORDER Final Reading _
final read sold
Final Billing Address(Info): Forwarding Address New Customer Information:
Address: Name:
- - _ _.._ _ _ _._.
City, Mailing Address:
State: _ _ _. __.._ _.. .___._
_
_
Zip: Phone:
READING INFORMATION Service Number: 10=Water 20=Deduct Mtr
CURRENT METER SIZE MAKE SERIAL NUMBER LAST READING DATE
5/S INCH NEPTUNE 94096359 12/30/2014
serv�ce Number: Date Installed: ERT ID LAST METER READING
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CURRENT READING
METER REMOVED SIZE MAKE SERIAL NUMBER CURRENT READING
5/S INCH NEPTUNE 94096359 O��`J� �
Service Number: ERT ID � /
�p � Inventory
� Junked I C.,� r � � �3
2S `-Y
METER INSTALLED SIZE MAKE SERIAL NUMBER NEW STARTING READ
service Number: Date Installed: ERT ID _.
� Deduct Meter
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REMARKS:
�7 � Update S/O
Date Completed: J � '" � SIGNED: � I—1 Update Inquiry
/ /� �� DATE TIME ✓
�'� CITY OF ORONO CALLED IN
INSPECTION NOTII�y E �,^� SCHEDULED �
PERMIT NO.��`���b COMPLETED
ADDRESS C�-
OWNER TELEPHON O.�y���77�
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CONTRACTOR /
� DESCRIPTION U�/a�h' S f L— �ri2.�
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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO ME YOU:_YES_NO
� COMMENTS: ��8n`�7�n�r-�n� �Q�I�P� (r��(�
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W ❑WORK SATISFACTORY:PROCEED df PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContract r on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice