HomeMy WebLinkAbout2015-01573 - water meter CITY OF ORONO * Z 0 1 5 - 0 1 5 7 3 *
' 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2015
• , ' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2450 COBBLESTONE CT
PIN : 33-118-23-11-0082 �' �
LEGAL DESC : STONEBAY S[XTH ADDITION � ���� �
: LOT 004 BLOCK 001
PERMIT TYPE : WATER METER-RESIDENT[AL
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : WATER METER- RES[DENTIAL
NOTG: INSEPCT[ONS ARE DONE BY PUBLIC WORKS DEPARTMFNT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
5/8"NEPTUNE WATER METER
SERIAL# 1850562758
ERT HIGH#90496226
WATER METER RESIDENTIAL HORN 1 WATER METER RES[DENTIAL 1
APPLICANT WATER METER RESIDENTIAL 242.65
WATER METER RESIDENTIAL HORN 80.42
SCHULTIES PLUMBING TOTAL 323.07
1521 94TH LANE NE
BLAINE, MN 55449 Payment(s)
(651)786-4007 CHECK 33482 323.07
Minnesota State License#: plbg-058799PM,mech-MB005379
OWNER
Wooddale Builders
61 17 BLUE C[RCLE DR
SUITE 101
MINNETONKA, MN 55343-
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 within l80 days of the date of issuance,or if construction is
suspended for a period of I80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked a n time for due cause. ���
�
� /'� "/�,j - /5�-- � � � ���� ��U l z �� � � ��
Applicant ermitee Signature Date � Issued By Signature Date
12/17/2015 09:57 7632592299 SCHULTIES PLUMBING PAGE 06/67
. � , � `3 3.d7
�
��/�� City af Orona , � ^��R�'��"�'�'
Y� P.O�Hox6G bnt�REOc� � � ��!'CtlYlli� �� �,
2750 Ke1lty Parkway
, ' ,r ' , ',
� Crystal 5av.MN 55323 u��pE'bv'Ctl$y'(Ii-�'K¢qqirod);I ��u
� (9S2)249.4600 ,
, � i i�F i �„�
�� � �.
��t��r��Hoe.��� CITX OF ORONO�WATE�N1E'�'E '
Nncc:Somc ���RM
� permita may�gquirc�pprpvnl by YhC 8uil�jpg D�CI11 9nd/or p�iblic Works Dapnrimcnt)
�,V,��''�h�lt�..
����1'�'���
¢ i
]_ WA7'�R ME�'ERS rtaust be picked up and paid for at Ciry Hala,
2. If oQ ssible,faX in t}�Is applic�tt'ion aheAd of tinrle;we will then call ypu 3nd let you know we have
Che v✓ater mete�r in stock. Fax Number�(952)249-4G t G. Also,you e8n csll Ahead of time lo make
surc we�reccived the fax,or to warn us that the fax is coming.
3. WA'TER M�TERS znnst be set and seeled by Orono WateX Department (9$2) 2qg_46p0,
npon co�mpietion of ineteX instaiiAtion.
, ,. , �, '�`�p� r?�'��'�
� , ,, � , � �-;,;,;;;
� ��eck AIl 1�at Ai � � � `
�Residential(l�ay RequireAppro�al) ❑CoirtmerciRl(Approval Reqaired)
�New Mcter ❑Additipnal Meter—For. Q Replacement Mel'Ci'
.Tab Site�CJ�a�r�t��rnirt;���a�'
Site l�lddress: �%�� C, "_��,-��1��.c.�. �
�
,...�..—�
�`'`'��� a�ling Address: �/ 7.� �G������
City: .��� _ Zip� �
Home Phone: � Alternate Phone: ..� �.�/�
+�bfit�l���'���a��1�tl�tt
Contractor; Conl;act Person:
Address: '�yl�'tate Licertsc#: � � Q
Crty: ��, �Zp�Y'�Expizai�ion Date: �"" ' �
Phone: "7,� -- AIt•ernatc Phone: ��" �
12/17/2015 09:57 7632592299 SCHULTIES PLUMBING PAGE 07/07
5/8"METER- ❑ 3/4"METER-
5/8"HORIV - ❑ 3/4"HORN _ ❑ >>,�x�R-
❑ 1"I�QRN -
� "WA,TER MET�R ('x'NE$F,WILi,llnv�TO e�SPECrpL oRAETt�D&ru�CES�ET�RMnvF;D)
1, METLR FFE: $
2. HORIV F�� $
3. TQTAL PER�IT F��(n�d Lines 1�2 Above) �
C�TY-�I�E UT�L"�'
*For CurrenC Pricing Refer to Current Year- Water Mcter Pricing Chart *
BRqND�
5i7E: []S/8" ❑3/4" „
❑ � ❑Other °° �
s�Rrn�.#: �f a 7- � �P �
�RT H�GH#; III III IIII I III I IIIIII I I III III �
1850562758 (if appl9cable}
y4�►T��T��1T'���1�.Tf�k'�0��►'�C,��1'�'`W'�°�R�E'T�?R�� � ' ,
Thc undcrsigned hereby applies to thc City of Qrono for issuance Of A water rt�eter permit, agrees
to db all work ir� strict secordance with the oz�dinar�ces ofthc City and the regulations o'Fti�e State
of Minnesota,a�d eertifies th�t all statements made on this applieation are, true and correct.
Applican •
Dare:—�/� D
Orfgrnal.• !-flddres.e!"iJe
Make C'opies For.� J- Utrlity BillirrR Deperr!»�en7
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OT�E SCHEDULED �� l�� � `� �
PERMIT NO� ' G�5�3 COMPLETED
ADDRESS `��� C�'� ��1 CJ��
OWNER TELEPHONE NO.w Z�ZS� `�--3`�
CONTRACTOR � Cy�'�" ��`�" �1"-��
� DESCRIPTION `��� �`�`�'S` ���`� �� U�
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
�
W
a
o Q�r�.-��- C�C�fJ�d�CC�i
�.
° � �r'SZ>�'��7 5'�
W
�
Q ,�_ �
2 _��� �(/1'/I GF/:.s!`et" (JL9
W
�
W
�
j
W ❑WORKSATISFACTORY:PROCEED ,�PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED O SSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector. G� / � ���
White Copyflnspector's File Canary CopylSite Notice