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Home My WebLink About2016-00220 (water meter) � CITY OF ORONO * z 0 1 6 - 0 0 z z 0 * 2750 KELLEY PARKWAY DATE ISSUED: 03/07/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2470 CARMAN ST PIN : 20-117-23-12-0066 LEGAL DESC : LEHMAN LAGOON : LOT 1 BLOCK 1 PERMIT TYPE : WATER METER-RESIDENTIAL PROPERTY TYPE : RESIDENTIAL C01�1STRUCTION TYPE : WATER METER-RESIDENTIAL ACTIVITY : O/S GENERAL NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 1°METER& 1"HORN SERIAL#53591583 ERT HIGH# 1541659258 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 372.06 WATER METER RESIDENTIAL HORN 144.64 DIVERSIFIED PLUMBING TOTAL 516.70 P O BOX 91 Payment(s) CHASKA, MN 55318- CREDIT CARD 5033 516.70 (763)221-5441 Minnesota State License#: PLUM-71354924 OWNER JARNES,JEFF&JACQ 2470 CARMAN ST 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 afrer 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 FOR CiTY USE ONLY �O�O City of Orono P.O.Box 66 Date Received: Permii# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:(IfReqaired): (952)249-4600 ��k�. o��.�'� CITY OF ORONO—WATER METER FORM SH ote:Some ermRs ma re uire (N p y q approval by the Building Official and/or Public Works Department) GENERAL INFORMATION 1. WATER METERS must be picked up and paid for at City Hall. 2. If possible,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 swe 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 �esidential(Ivbay Require Approval) ❑ Commercial(Approval Required) ❑ New Meter ❑Additional Meter—For: ❑ Replacement Meter Job Site/Owner Information: Site Address:��-! �� G,�'`�-2�,�1 �T Owner: Mailing Address: City: �d�0 !/�� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: 'JE',�`� � �c� c�t6.�'1.� Contact Person: � l � Address: �� .��c�'� �} � State License #: �i'�! O � �� City: ' ��5��. Zip: Expiration Date: I� �� '-! � Phone: �l� �`��S�� Alternate Phone: WATER METER PERMIT�'EES WILL BE�AULULATED BY CITY STAFF ❑ 5/8"METER- ❑ 3/4"METER- � 1"METER- ❑ 5/8"HORN - ❑ 3/4"HORN - � ]"HORN - � "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) 1. METER FEE: $ 2. HORN FEE $ 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ �--� � �� CITY-USE ONLY �_ ---__ * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * \� � BRAND: �� — 2 � � � � �� SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑Other � — --+C, �-- - SERIAL#: � � �,�3 ED2F11 RDG3 � i., � �591583 ERT HIGH#: ` IIIIIIII,IIII�IIIIIII'II II II!II III II 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 statements made on this application are,true and correct. Applicant: Date: Original: 1-Address File Make Copies For: 1- Utility Billing Department �� k �� DATE TIME CITY OF ORONO � 2��ALLED IN =?� � INSPECTION NOTIC � SCHEDULED � PERMIT NO. ' COMPLEfED ADDRESS 2'� �C'` � ��1'6��1'lc�i'�1 ;�-�' . OWNER TELEPH E NO. �'�� c� 7�' �SCZ CONTRACTOR �/ ��'�'S��c� p/u��, � DESCRIPTION ��f � � e� � � �� ❑ FOOTING ❑ DEMO-FINAL �� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 �4 ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ PTIC INSTALL Q OWNERICONTFiACTOR TO MEET YOU: YES_NO � COMMENTS: � �.er ✓` yLt��f' .��' S ��5 :� � a ��s 5 o � S`�/ s�/ 2-S �v' � � �v�v� � 0 � Q .s� -� �_3 ��r ��'3 � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANEN7 ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlCon ctor on site: Inspector. � � White Copyllnspector's File Canary CopylSite Notice