HomeMy WebLinkAbout2015-00716 (water meter) CITY OF ORONO * 2 0 1 5 — fd 0 7 1�
2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015
' ORONO, MN 55356-
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 3225 CASCO CIR
PIN : 20-117-23-43-0021
LEGAL DESC : SPRING PARK
; LOT 029 BLOCK 000
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
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 Payment(s)
BLAINE, MN 55449- CREDIT CARD 3580 493.21
(763)614-7963
Minnesota State License#: plbg-066807 PM
OWNER
LEESTMA,MARTIN&KATHRYN
3225 CASCO CIR
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 onty the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming 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]80 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 an,y�f9r-�aq�a �J � /�
��/� // /`'�/ � �/ � ��/ �� / !� / !�
, / - � -� ���
App icant Permitee Signature Date Issued By Sign ure Date
06/05/15 12 : 03PM CDT Spring Plumbing LLC —> 9522494616 Pg 2
/3
FOR CITY i1SE ONLY
City of Orpno
�O�J� P,�,BoX E�6 Dntc Rcccrvod: �. Permh a� � ��I�
2750 Kcll�y Prui:way
Crysmt Hey,MN 55323 Approved E7y;(If Raquirad): �
(952)249-4600
% �'
��.TkE�H�Q,�,L CIT'Y OF ORONO-WA,'�ER METER FORM
.,. (Not¢:Some Exsrmim msy reqwro approval by the Bwlding Clfrtcial end/or Public Worka Depfliim�att)
GENERAL fNFORMATTON
1. WATER METERS must be picked up and paid for at City Hall.
Z. �f nossible,fax in this�pplication ahead of time;we will then call you and let you know we h�ve
the water meter in sWck. Fax Numbe�:(952}249-46x6. Also,you can call ahead of time t4 make
sure we received the fax,or to warn us that the fax is coming.
3. WA7'�Yt 1VY�T�R5 must be get and sealed by Orono Wntcr Uepartment (932) 249-46U0,
upon completion uf ineter instxllntion.
TYf'E OF FERMIT
Check Al1 Thak.A 1
.Q�Residential(May Require Approval) ❑Commercial(Approval R�quired)
�New Meur ❑Additional Mpter—For: ❑�eplseempnt Meter
Job Site/Owner Iaformation:
Site Address: ��� � � ��� l�-�` ' ,
Owner: Mailing Address:
City: Zip;
Home Phone: Alternate Phone:
Contractvr Informapon;
Contractor: ��f � �L����Contact Persan; ,� �-�o��
Address: , � ���i ��n�(G� � State Licerzse#: ���- � Y 3�1.-�/
City: �1�'�'�- Zip��y�J Expiratxon Date; I a'I 3 �IlS�
Phone: �� 3� ��K- �y` � q1Cernate Phone;
06/05/15 12 : 03PM CDT Spring Plumbing LLC -> 9522494616 Pg 3
/3
WA`T�R Ivi�TER PERMIT FEES
'WT[,�,�3E GA,TJLULATEJa BY GITY STAFF
❑ 5/8°�MEr�r�- ❑ 3ia°�ME�rFR- ��ME�R-
0 5/8"HORN - [� 3/4"HO1iN' - ,��1.,NORN -
� "W,F#T���'�`F.� CX'HES6 WII.L HAVE TO HE SPECIAL ORD6RED 8t PEi1C�$DB'fBRMIN�p)
' �� . L �
1. METER FEE: �
2. HORN FEE � � . / �
3. '�OTAL PERMI'T FEE(Add Lines 1-2 Above) S /� � , �''
�'
CITY-USE ONLY
'� For Current�'niciing Re�er to Cu�rent Year-Water Meter Pricing Chart *
B�' 53354889
SIZE; �S/B" �3/4" �1" ❑Other,,,�" II I I II I II I I I II I I I I I II
SERlAL#; -`-�
y ►II III III III I III II III II I IIIII
ERT HIGH#; ,�, 1852988823 (if�pplieable)
ADDITIONAL IN�'OILMATTON—WATE�t ME'T'�RS
The r,uadersigned hereby applies to the City of Orono for issuance of a water meter permit,agrees
to do all work in striet accordance with t�e oxda�nan.ces o�t�e City a�.d t�e reguaations of the State
of IVlinnesota,and certifies that all statements made on this application are,true and correct,
A�,����t: 1�--��� ns�; (� ( S� (� S�
.__ ___� __ _ .
Original.� 1-Addr 1�'iJe ' �r . � � ��
Make C'opies F'or 1-Urrlity Brlling Ue�xrrtment �'; L. �
,� Crl l� �
...._.-. �oa-���t � �
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�-�����`'� _ -- �>�
DATE TIME
CITY OF ORONO CALLED IN ( (�
INSPECTION O SCHEDULED
PERMIT NO. ~ � � b COMPLETED
ADDRESS � �"�^ w
i� OWNER TELEPHONE NO.��,� '2� '��S
�`�' CONTRACTOR
22�
� DESCRIPTION S � M
4� ❑ FOOTING ❑ DEMO-FINAI ❑ 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 MEET YOU:_YES_NO
c�., COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector_
White Copyllnspector's File Canary CopylSite Notice ��
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