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Home My WebLink About2011-01142 - water meter � Y CITY OF ORONO PERMIT NO.: 2011-01142 • . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 753 BOULDER DR PIN : 33-118-23-11-0074 LEGAL DESC : STONEBAY THIRD ADDITION : LOT 002 BLOCK 002 PERMIT TYPE : WATER METER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER METER NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 3/4"WA'1'ER METER- SERIAL# 52239034 ERT HIGH# 18317130�4 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RES[DENT[AL 303.70 K& S PLUMBING LLC WATER METER RES[DENT[AL HORN 86.64 9572 KNOX AVE.N. BROOKLYN PARK, MN 55444- TOTAL 390.34 (763)425-8760 Minnesota State License#: 065380-PM OWNER O.T. Development, LLC LLC, O.T. DEVELOPMENT, 2670 KELLEY PKWY ORONO, MN 55356- 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 permiL is for only the work described and does not grant permission for additional or related�vork which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 onformance with the State E3uilding Code.This permit may be revoke ny ti e se. ol l,��=i l l i i �Appl'cant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FO CIT USE ONLY t�'�� City of Orono q �O4 �O\ P.O.Box 66 Date Received• � Permi[# �G�!-� �� I ,y,.,.,,� ll 2750 Kelley Parkway �1�j �t,�r.�x;'- �i� Crystal Bay,MN 55323 Approved By:(If Required): '�'d �r�.�,j.o` (952)249-4600 `�saxoaf' CITY OF ORONO—WATER METER FORM (*Note:Some permits may require approval by the Building Ofticial and/or Public Works Department*) GENERAL INFORMATION 1. WATER METERS must be picked up and paid for at City Hall. 2. If�ossibie, fax in this application ahead of time; we will then call you and let you know we have the water meter in stock. Fax Number: (952)249-4616. Also,you can call 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: �.-.5�� v�+(��"t°/t .D�. Owner: C7� � ��;��Orvr�;��« Mailing Address: /��L�b �b��J _ c�ry: p� ou � /1�Ii� zip: ..5`-s-�{�l/ Home Phone: Alternate Phone: Contractor Information: Contractor: l��-S M� ' � Contact Person: -�Ah �l Sy�v�'�= Address: 7.S-7o? ��. N State License#: City: Qt�,k�,� � C Zip:-�S�`t`�`( Expiration Date: Phone: 763- �3�.S'"7�� Alternate Phone: ��.5� y��'�C-�� t WATER METER PERMIT FEES WILL BE CAULULATED BY CITY STAFF ❑ 5/8"METER- /4"METER- � 1" METER- � 5/8"HORN - 3/4"HORN - � 1"HORN - � "WATER METE (THESE WILL HAVE TO BE SPEC[AL ORDERED&PRICES DETERI�IINED) 1. METER FEE: $ 2. HORN FEE $ 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ CITY-USE ONLY * For Current Pricing Refer to Cunent Year- Water Meter Pricing Chart * BRAND: SIZE: ❑5/8" �/4" ❑ 1" ❑Other " SERIAL#: �� O� 7 �� ERT HIGH#: �g31��3054 (if applicable) ADDITIONAL INFORMATION—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 rti ies that al tatements made on this application are,true and correct. Applicant: Date: � dS /� � Reset Form ��.�. Or•igir:al: 1-Address File Make Copies For: 1- Utility Billi�2g Depm�mient I- Cash Dr•ativer R I � � � � ' � ANAMARIE REYES KOLDEN � � � ATTORNEYATLAW �� :� r�>��°;��u��>n�� 'L�nnin�'t�r°��I 61 2.244.2906 � ARKOLDEN@YOSTBAILL.COM ��»�'I�f?' � z'�➢''r:l]1'➢'��71�� RECEIVED April 28, 2ols APR 2 9 2n15 Ms. Monica Fadness C�TY OF OROfdQ City of Orono 2750 Kelley Parkway Orono, MN 55356 Kr,: %53 F3oulder llrive Ylumbing related documents Our File No. 8170M-0162 Dear Ms. Fadness: This letter is in follow tlp to our phone conversation on Monday, April 27, 2015. Enclosed please find a check for $3.00 for the applicable copy fees for the requested docu�nents. We had requested all documents related to plumbing (permits, applications for permits, inspections, etc.) at 753 Boulder Drive. Please email the requested copies to me at dliansen!ci-v��stbaill.com. You may also mail them to me at the address below. Please do not hesitate to contact me with any questions. Thank you. Si cerely, , , -_ _ ----� �' - �� -__ - ____ � Dan . Hansen `-P"aralegal to Anamarie Reyes Kolden (612) 244-2925 dhansen@yostbaill.com \drh Enclosure City ofi Urc�nu Z750 Kelley Parkway y52_2�g-46UU Orono MN 55356 Receipt No: 3.013282 Apr 29, 2015 Dana Hansen Previous Balance: .�0 Other Revenue � �� Copies � 101-34210 �"'�� '� ��-�� 7��'� � ��,�„��,��al Taxable Sales/Service �1)��t) !l",�, f�;�„k f'l„-,.�, >�„��I, 2211 >„�,�1, ��il, ��,•,-,-� :�i(„ ----------3.00 ":C'J,!��;>]»>��• (�l�a,�3t�,(�Oi9��f� '[�'�� ,�1�,;;1-10 1�6�3'i ,_ iotal: -______-___�__- t>i�r��ic��;�i��[1_��i�;:�>>�3� TM:��;��'�7�:c��.a�t��f Cf�heck No: 106625 3.00 Fayol": Dana Hansen t �,, luial �Pf'lled: _ .Cu Chenge Tr.rida�r.d: _ .____