The URL can be used to link to this page

Home My WebLink About2012-00514 - water meter ., CITY OF ORONO * 2 0 1 2 — 0 P1 5 1 4 * s 2750 KELLEY PARKWAY DATE ISSUED: 06/1U2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3095 CASCO POINT RD PIN : 20-117-23-34-0005 LEGAL DESC : REG. LAND SURVEY NO. 1311 : LOT 000 BLOCK 000 PERMIT TYPE : WATER METER-RESIDENTIAL PROPERTY TYPE : RES[DENTIAL COIVSTRUCTION TYPE : WATER METER- RESIDENTIAL NOTE: INSEPCT[ONS ARE UONE BY PUBLIC WORKS DEPARTMENT. "I'O SE'I'-UP AN INSPECTION,PLEASE CALL:(952)249-4613 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 303.70 SPRING PLUMBING LLC WATER METER RESIDENTIAL HORN 86.64 \\ 11473 KENYON COURT BLAINE,MN 55449- MISC FEE 0.00 (763)614-7963 TOTAL 390.34 Minnesota State License#: 066807 PM PAID WITH CC# 4012 OWNER WHIPPLE, PHILLIP 3095 CASCO PT RD 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 wi[hin 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 a uring all required inspections are requested in a e it e S�ate Building Code.This permit may be revokgd a'f ar� r se. r /�� / / / Applicant ermit �gnature Date Issued By � nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. a 1 FOR C1TY USE ONLY ,;;¢�j��* City of Orono t�� P'O.Box 66 Date Received: Permit# �;, � 2750 Kelley Parkway �� 1�`' �`," �� Crystal Bay,MN 55333 Approved By:(IfRequired): �'.6 �} ♦ �,�rr'o$`� (952)249-4600 \`aric CITY OF ORONO—WATER METER FORM (*Notc:Some permits may require approval by the Building Official and/or Public Works Department*) GENERAL 1NFORMATION 1. WATER METERS must be picked up and paid for at City Hall. 2. If�ossible,fax in this application ahead of time;we wi11 then call you and let you know we have the water meter in stocl<. Fax Number: (952)249-4616. Also,you can cal] 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 1 ❑Residential (May Require Approval) ❑Commercial (Approval Required) � New Meter � Additional Meter—For: � Replacement Meter Job Site/Owner Information: Site Address: 3�`�--� �Sc4 � � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: SpP/!'(G) �� Contact Person: r►�C:r�c-�{ Address: //y 73 ��ia�,��'ov_,T State License #: C+(r��0�7 t�A�'� City: ,i � ;i,c Zip:SS YY� Expiration Date: Phone: 7�0.3 �o /� 7�(O �J Alternate Phone: � . � � �WATER METER PERMIT�EES �� WILL BE CAUI,ULAfCED BY CITY ST4FF ❑ 5/8"METER- 3/4"METER- � l"METER- � 5/8"HORN - 3/4"HORN - � 1"HORN - � "WATER METER (THESE WILL AAVE TO BE SPECIAL ORDERED S PRICES DETERMINED) 1. METER FEE: $ 2. HORN FEE $ 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ � � ' 3 � CITY-USE ONLY * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * BRAND: ��D/ (t�/�—t' � SIZE: ❑ 5/8" �-3/4" ❑ 1" ❑Other " �� ;' SERIAL#: 1831518452 � ERT HIGH#: �(if applicable) ADDITIONAL 1NFORMATION—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 stat ents made on this application are,true and correct. � / � Applicant: � - �\ Date: (j '�� Reset Form Original: 1-Address File Make Copies For: 1- Utiliry Billing Department 1-Cash Drawer � —/� v_ � D TIME �/ � � CITY OF ORONO CALIED IN _�_�.;} INSPECTION OTI E SCHEDULED �<< �" PERMIT NO. �a� C PLETED ADDRESS �� OWNER • TEL O E NO. � 3 �—Z�� CONTRACTOR ' �: DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING I AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANIC L RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � �� c�n� �-�-��- �s-r- � 0 � � ° � � �, 5 � . -� Q �E.tir � c � Z W � W � � GW�jQ(�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site- Inspector. .l�.l White Copyllnspector's File Canary Copy/Site Notice