HomeMy WebLinkAbout2014-00812 - water meter ; �
CITY OF ORONO * 2 P1 1 4 - 0 0 8 1 2 *
2750 KELLEY PARKWAY DATE tSSUED: 07/30/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2975 CASCO POINT RD
PIN : 20-117-23-31-0045
LEGAL DESC : SPRING PARK
: LOT 089 BLOCK 000
PERMIT TYPE : WATER METER- RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER- RESIDENTIAL
NO'I�F: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPAR"T'v1ENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
NH;PTUNG 1" WATER METI;R
SERIAL#52648031
ERT HIUH# 1834356044
WATER METER RESIDF,NTIAL HORN 1 WATEIZ METER R�,SIDENTIAL 1
APPL[CANT WATER METER RESIDENTIAL 392.92
WATER METER RESIDENTIAL HORN 104.45
STEWART PLUMBING, INC. TOTAL 497.37
13025 GEORGE WEBER DR Payment(s)
SUITE#1 CI3ECK 12422 497.37
ROGERS, MN 55374
(763)428-1833
Minnesota State License#: plbg-PC000474,mech-MB003262
OWNER
GOODWIN, KURT& BARBARA
7310 KURVERS POINT ROAD
CHANFIASSF_,N, MN 55317-
AGREEMENT AND SWORN STATEMENT
The work for which this pennit is issued shall be perfonned according to
the approved plans and specitications,applicable City approvals,and the
State E3uilding 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
expirc 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requcste m confonnance with the State Building Code."I�his permit may be
revoke a any tim for due ca e.
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Applicant Permitee Signature Date Issued Signature Date
Jul 30 14 10:06a Stewart Plumbing Inc. 763-428-1733 p.1
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FO ('ITY iJ E ONLY
Cit}�of Orono
���0 P.O.Box 66 Date R��ceive : Permit#
2750 Keile}Parkway
Crystal Bay,NIIJ 55323 ?.ppro�•ed By:(If Required):
(952}249-4600
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�q,�E���." CTI'Y OF ORONO-WATER METER FORM
(�Note Some pemuts may reqwre approval by the Building O�cial andlor Public«'orics�epartment
a�
GENERAL INFORMATION
1. WA'i'ER&IETERS must be picked up and paid for at City Nall.
2. If possible,fa�c in ihis application ahead of time;we wiil then call you and let you know we have
the water meter in stock. FaSc Number:(952)249-467 6. A1so,you can call ahead of time to make
sure we received the fa�c,or to warn us that the fax is coming.
3. �YA"I'E[t METERS must �e set and sealed by Orono Wxter Department (952) 249-4600,
upon completion of ineter installation.
TYPG OF PERMIT
(.Check All'i'hat.App�y)
ResidenEial(May Require Approval) ❑Commercial(Approval Requircd)
I�Tew Meter ❑ Additional Meter—For: ❑Replacement Meter
Job Site/Owner Information: —__�
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Site Address: � ----
Owner: .L����'� � (��1��,'� � �; Mailing A�dress: ��Y�'��
city: �i�(l�i C� _ zip: �5���
I�ome Phone: Alternate Phone:
' Contractor Information:
Contractor: �T�'�2� l����r���r� Contact Person: C�
Address: ����,� ��"t�.�'.�C� �C� �' State License#: ���'�'� n ��
City: � , -��'S_ Zip:��7�}-Expiration Date:
Phone: ��� `�� `"} ��r� Alternate Phone: ���-���~'"-��� 7
Jul 30 14 10:07a Stewart Plumbing Inc. 763-428-1733 p.2
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WATER METER PERMIT FEES
'I�VILL BE CAULULATED BY CITY S"TAFF
❑ 518"iN_ETER- ❑ 3/4"ME`PER- �fEl'ER-
❑ 5/8"H�RN - ❑ 3/4"HORN - [f l"HORN -
❑ "VVATER METER (THESE W1LL 1)AVE TO BF;SPEC]AL ORDERED&PRICCS llETERMTN�U)
1. I�fETLR FEE: �
2. HORI�T FEE �
3. TOTAL PERMiT FEE(Add Lines 1-2 Above) g
�— CITY-USE ONLY
* For Current Pricing Refer to Current Year- ��ater Meter Pricing Chart *
BRA.ND: ► `� C�p 1 �/�'�—�
SIZE: ❑5/8" ❑3/4" �1" �Other "
SERIAL#: J Z.(.p �-�-gC��'
ERT HIGH n: ��������������������I�������I (if applicable)
1834356044
ADD[T(ONAL 1NFORMATION—V1'ATER METERS
The undersigned hereby applies to the City of Orono far issuance of a water rneter pennit, agrees
to do all work in strict accordance with the ordinances of the City and the regulations of thz State
of Minnesota,and certifies that all statements made on this application are, triie and correct.
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Appiicant:_�! \_^��<:� �--���'',�� ✓�L Date: �
Original: 1-Address File
,'l�lake Copies For: 1- Gtilily Billing Departmenr 1-Cash Drawer