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HomeMy WebLinkAbout2016-00445 - water meter � • CITY OF ORONO * Z 0 1 6 - 0 PJ 4 4 S * 2750 KELLEY PARKWAY DATE ISSUED: 04/27/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2750 CASCO POINT RD PIN : 20-117-23-24-0020 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 003 PERMIT TYPE : WATER METER-RESIDENTIAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER METER-RESIDENTIAL NOTE: INSEPCT[ONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN[NSPECTION,PLEASE CALL:(952)249-4613 1"WATER METER SERIAL NUMBER 53591585 ERT HIGH NUMBER 1541445672 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 372.06 WATER METER RESIDENTIAL HORN 144.64 KRG PLUMBING INC TOTAL 516.70 1168 IFFERT AVE SE Payment(s) BUFFALO,MN 55313- CREDIT CARD 5600 516.70 (612)282-5041 Minnesota State License#:plbg-PC644046 OWNER Casco Ventures LLC 16192 HIGHWAY 7 MINNETONKA,MN 55345- AGREEMENT AND SWORN STATEMENT The work for which this permi[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 rype 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 1 SO 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. ! Q �/ �/� Applica ermitee Signature Date Issued By ignature Date � CITY OF ORONO * Z 0 1 6 - 0 PJ 4 4 5 * - 2750 KELLEY PARKWAY DATE ISSUED: 04/27/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2750 CASCO POINT RD PIN : 20-117-23-24-0020 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 003 PERMIT TYPE : WATER METER-RESIDENT[AL 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 1"WATER METER SERIAL NUMBER �^ ERT HIGH NUMBER 1541445672 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 372.06 � WATER METER RESIDENTIAL HORN 144.64 KRG PLUMBING INC TOTAL 516J0 1168 IFFERT AVE SE Payment(s) BUFFALO, MN 55313- CREDIT CARD 5600 516.70 (612)282-5041 Minnesota State License#: plbg-PC644046 OWNER Casco Ventures LLC 16192 HIGHWAY 7 MINNETONKA,MN 55345- 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 se. , �" - � -�7- ��� p l i Applicant P mitee Signature - Date Issued B ignature Date FOR CTl'Y USE ONLY ,�O . `O City of Orono 1V P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Appraved Sy:(If Required); (952)249-4600 �F��kE o��'G� CITY OF ORONO-WATER METER FORM S H (1Vote:Some permrts may require 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 nossible, 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)249-46]6. 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 Che�k All That A 1 [�] Residential(May Require Approval) ❑Commercial(Approval Required) [`Q New Meter ❑Additional Meter—For: ❑ Replacement Meter Job Site/Owner Information: Site Address: �1 ��G C��v� ,��.,�;:.,�- Owner: �k�� Mailing Address: ��"�� C����-� �-�-- �.��- City: c7�z�:��� Zip. ����-�, 3 Home Phone: Alternate Phone: Contractor Informatian: Contractor: f�1`=�; �� -�`� ^` �1�- Contact Person: ��'^� -�'�'`�"�� Address: f l��� �7��� �a�� �-� State License #: �������������-� City: �+'a� Zip:����'� Expiration Date: j Z� 3 i-��.- Phone: (���Z- Z�C��� `�°�'' Alternate Phone: WATER METER PERMIT FEES WILL BE CAULULATED BY CITY STAFF ❑ 5/8"METER- ❑ 3/4"METER- � 1"METER- ❑ 5/8"HORN - ❑ 3/4"HORN - 1"HORN - � "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) 1. METER FEE: $ 2. HORN FEE $ 3. TOTAL PERMIT FEE(Add Lines i-2 Above) $ ��( ���` CITY-USE ONLY * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * BRAND: ED2F11 RDG3 'F i� � SIZE: ❑ 5/8" ❑ 3/4" (�11" ❑ Other " 53591585 SE�AL#: IIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII iu ii ni nn in n u i iiii m ii (if applicable) ERT HIGH#: 1541445672 ADDITiONAL INFORI�IATION—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. � �� Date: �-�-1_i �v Applicant: �� 7,/ Original: 1-Address Fil e Make Copies For: 1- Utiliry Billing Department � �� n� DATE TIME �ITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. •�O��O �`��SCOMPLETED ADDRESS "�� �� OWNER TELEPHO E �� �/�� �D��1I CONTRACTOR � DESCRIPTION (/l�a�h-J " �� l� ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a �,.c� l� �sE � r 0 � � ��i � I ���'�TP�` Q / Z �.' /!� �,�.,�� W � W � J � /7��WORK SATISFACTORY:PROCEED �PROJECT COM PLETE ���O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection hours in advance. (952� 249-4600 OwneNContr�ctor on site: ^� - Inspector. �"��i_✓���'c� 0 � ---- White Copyllnspector's File Cenary CopylSfte Notice � � S� n� � �z CJ ' DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �u�C� SCHEDULED �i� PERMIT NO.���h coM ErEo ADDRESS G �`x�C� � OWNER TELEPHONE NO. ��� � JD`1I CONTRACTOR � � DESCRIPTION � � � L�. l ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA�(� / Vt- �/ Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ EPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET�pIl��YES_NO v�, COMMENTS: � 4 r�'�z` IsS�/ �/S/S Iv 77� a o S��i'�/ x�t S���I�s S'S �. 0 � �'c�j���� - �Qa 19��,3 W � Q � 2 W � W � � J �/�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT V1fORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. ���r�/ White Copyflnspector's File Canary CopylSfte Notice