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HomeMy WebLinkAbout2013-00411 - adv plan review CITY OF ORONO * Z Q� 1 3 - Pl 0 4� 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2215 BAYVIEW PL PIN : 17-117-23-44-0026 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW ACTIVITY : 434-RESIDENTIAL VALUATION : $ 9,500.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT: $ 9500.00 TYPE OF PERMIT THIS PAYMENT IS FOR: DECK PERMIT#THIS PRE-PAYMENT 1S TIED TO:2013-00412 APPLICANT ADVANCED PLAN REVIEW 124.64 SOLID FOUNDATION CONSTRUCTION TOTAL 124.64 4326 7TH STREET NE COLUMBIA HEIGHTS, MN 55421- PAID WITH CC# 5250 Minnesota State License#: BC646691 OWNER DUNN,TIMOTHY 3010 BROOKS LANE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc 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 docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shali 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 cons[ruction 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 time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , -, ' CITY OF ORONO * 2 0 1 3 - PJ 0 1 6 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/1 U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2215 BAYVIEW PL PIN : 17-117-23-44-0026 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 000 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 5/8" WATER METER-NEPTLTNE-SERIAL#90496189 ERT HIGH- 1831788726 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 245.70 STEWART PLUMBING, INC. WATER METER RESIDENTIAL HORN 68.97 13025 GEORGE WEBER DR SUITE#] TOTAL 314.67 ROGERS, MN 55374 PAID WITH CC# 3122 (763)428-1833 OWNER DUNN,TIMOTHY 3010 BROOKS LANE 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 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 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 time for due cause. 6!'' 'r /Y. ,''' .!__�:::�.-� � . / / � � // //� �� �% Appli�PermiteE�ignature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Mar 11 13 09:35a � Stewart Plumbing Inc. 763-428-1733 p.2 , - � _.. � FOlZCIT1-[TSC(1NLl Cih�of Oruno U�3 _ �y(P� O �O p-O.Box 66 Dara Rzcziti��� � _ Pennit= 2750 Kelley Pedcway a '- � Cn'�1a1 Fiay,MN 55�23 .��.rru��cJ R�:t If Rcy�Tin-�I i: �F � ,, c` (932)249-4600 ��� � ce No�° \ CITY OF ORONO—WATER METER FORl1�i ('Nalc:Some pecmits may rcquire approvaf by ihc Auilding Official andlor Public\Vork:DcpaRmeai*) GE RAI.INFORMA'TTON 1. WA'FER METERS must be pic�ed up and paid Iar at City I�all. �I . If vc�ssible,faK in this application ahead of time;�ve will then call you and let}'ou]rnow we have the water meter in�tock. Fa7c Numbe,�r: (9�2)249-�i616. Nso;yvu can call d}yead of time to make � sure��e received the fa�;,or to warn us lhai the fa�c is coming. 3. WATER METERS must be set :utd 4caled b� Orono Water Department (9S2) 249-4600, upoa completion of ineter inatallation. T'�PE OF PER�I�IT (Check All Tltat A lr.�} �Rc�ictcnlial iN1a� Re.J�iire l�ppru�-.il) ❑ Cammer�ial(Approval Required) i �,New Mcter �Additional Vleter—I'or: �I Replacement Meter Job Site% Owner Informatioi�: s�tg Aaa��S:����r�'��c�,' PL - �rvr�a Owner: ��,n-���U ��nYl Mailing Address: City: Zip: Home Phone: Alternate Phane: Contractor Inforn�ation� i Contractor: J�C?�M 1�� I (�t i - �r�C. Contact Person: �P`�l`(��`1�'� I�I��lY1Y1Q'1� l Address: r�'� �t�� r:�'r State License#: 1�ti`� 1�'1 C�ty: ��j Zip:�j�j7� Expiration Date: Ia "��'�-�'' Phone: ��3-�Z`�-���� Alternate Phone: Mar 11 �3 09:36a Stewart Plumbing Inc. 763-428-1733 p,3 � WATER METER PERNIIT FEES WILL BE CAULULATED BY CITY STAFF 5J8"ME"I'ER- [] 3/4"METER- � 1"M�'I'ER- SI'8"HORN - ❑ 314"I IORN - ❑ 1>'HORN - ❑ "WATER ME7'ER I(THESE WII�I.HAVE T�BE SYECIAL ORIIERED 8c PRZCES II6TERNIINED) � �. �T�r�: $ � � 2. HORN I'L'•E ' 3. TOTA�,PERNIIT FEE(Add Line�1-Z lti.bove) $ J 1`�'� � r — _ . � _ CITY-USE �NLY * For Current Pricing Refer to Current Year -Water Meter Pricing Chart * BT2AND: / v���� �� SI"LE- ��/S"" ❑ ;/-�" ❑ ]" ❑Other " S�RIAI,#: ��`�' ! �o ` g�7 ERT HIGH#: III III II IIII I III IIIII!I!I I!!! {if applicable j 1831188126 r1DD1TION.<1I,INFQRMATION—V�'ATER 1�1ETERS Thc undersigned hcrcby applies to thc City of Orono for issnance of a water mcter permit,agrces to do alI�r•ork in strict accordance with the ordinances of the City and the regu�ations of the State vf Minnes d cerEefi�s that all statemcnis made on this application are,true and corrcct. Applicant: I�' ''/,. � � � Date: ��f�'I� Reset Form � � Ongmal_ 1-�ddress Fzl Illoke Copies Far.• 1- U !ity}3illing Depar/ment 1-Cash Drawer / I