HomeMy WebLinkAbout2012-00300 - water meter , �, CITY OF ORONO * z 0 1 z - 0 0 3 0 0 *
2750 KELLEY PARKWAY DATE ISSUED: 04/19/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2660 CASCO POINT RD
PIN : 20-117-23-24-0002
LEGAL DESC : LJNPLATTED 20 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : WATERMETER
PROPERTY TYPE : RES[DENT[AL
CONSTRUCTION TYPE : WATER METER
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMGNT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
1"METER-NEPTUNE-SERIAL#51559445-ERT 1832383155 AND 1" HORNS
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 392.92
SPRING PLUMBING LLC WATER METER RESIDENTIAL HORN 104.45
11473 KENYON COURT
BLAINE,MN 55449- TOTAL 497.37
(763)614-7963 PAID W[TH CC# 3580
Minnesota State License#: 066807 PM
OWNER
KIMMES, TODD
2660 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according to
the approved plans and specitications,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[ime-for duc�ause�
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App�an ignature Date ssued y Signature D e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
4/18/12 02 : 58PM CDT Spring Plumbing LLC —> Monica 9522494616 Pg ;
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CITY OF ORONO—WATER METER FORM �i /
(•NuFe:8oms pc�iM mqy roqufre�ov�l by[he Didtdt��g Officlal nnd/or Puhiia We(Ka Depataaen►')
GENERAL INFORMATION
1. WATER METER$must be pic3ced up and paid for at City Hall.
2. If i fax in this application ahead of time;we will then cell you and lot you know we have
tho weter meter in stock. Bax Numbea�: (952)249-4616. Alao,you can eall ahesd of time to make
sure wa received the fsx.or to warn us th�tt the fax is co�tiqg,
3. WAT�R METERS atust be set and sealed by Orono Water DepArtmeut ('952) Z49�4600,
upon cOmpletion of ineter Inrtalixtion.
TYFE OF PERMIT
Chcck All That A 1
Q Residan3ial(May Reqaire Approval) 0 Commercial(Approvsl RequiureA)
� Ncw Mcter ❑Additionsl A+ieter—For; �Replecemant Meter
Job Site 1 Owner Iafannation:
Site Address: 2680 Casco Polnt Road
���; Lecy Brothers Homes Mailing Address: 15012 Hwy 7
C��,: Minnetcnka Z1 55345
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Home Phone: Alternate Phane:
Con�actvr lnfarmabion;
3prinQ Plumbing Th�resa Bialon
Contra,ctor: COX�tact�eTso�l'
Address: �1473 K�nyon Court Stata Licanse#: 88807-PM
City; ��aine �p; 55449 Expiration Date: 12/31/2012
Phone: (763)614-7863 Ajternate Phone:
4/18/12 02 : 58PM CDT Spring Plumbing LLC -> Monica 9522494616 Pg :
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�1V'ATER METER;PE�tivIIT.FEES .
� WII�L�E�AL7LLTL.ATED:BY�ITY$TAFF '
� 5/6"H�RN�- LI 3/4"H�RNR_ � 1••HORN�-
❑ "WA�"�B ME�i (�SE W�.i.bTA,V�TO B�9�C�A�,OT,tA��tBD d�PAICEe DETER11�iFD)
1. NtETFR FPE: g
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3, TOTAL PERhIlT FEE(Add Linea 1-2 Above) $
CITY-USE ONLY
* For Current Pricing Refer to Current Yeaz- Water Meter Pricing Chart '�
HRANll: VI/E'�7�(/�L�
SIZE: ❑S/8" ❑3/4" �1" ❑Othe� „
s�x�v.,#: 5!55� �f�
EKT HIc.H� III III III III I III II IIII I II IIII (if appticable)
- 1832383155
ADDITIONAL TNFORMATION—WATER M�TFSRS
Ths uadersigned hereby applies to t1u City of Orono for issuance of a water meter pe:mit, agreee
to do all work in strict accordance w�ith tha ordinenees of tho City and the regulations of thc Statc
of Minnesota,and certifies that all statements made on this a�plication are,true and carrect.
Applicant� f�C � Dg�:
;R��,F��111' '
Original; 1-Addres.r l�Yle
Make Cop�es For: 1-U�Ifry Bfllin�Depasnnent !-Cosh Drawer