HomeMy WebLinkAbout2016-00708 (water meter) CITY OF ORONO * z 0 1 6 - 0 0 7 0 8 *
. 2750 KELLEY PARKWAY DATE [SSUED: 06/20/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3185 CASCO CIR
PIN : 20-117-23-43-0057
LEGAL DESC : SPRING PARK
: LOT MB BLOCK MB
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NOTE: [NSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
1"METER
SERIAL NUMBER-49456223
ERT HIGH- 1541719046
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 372.06
WATER METER RESIDENTIAL HORN 144.64
STEWART PLUMBING, INC. TOTAL 516.70
13025 GEORGE WEBER DR Payment(s)
SUITE#1 CREDIT CARD 3122 516.70
ROGERS,MN 55374
(763)428-1833
Minnesota State License#: plbg-PC000474,mech-MB003262
OWNER
YAFFE,HARRY&BELLE
2300 ARCHERS LA
MINNETONKA, MN 55305-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. 'rhis 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 speciYied 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.
� ._��,� l�L �' � �-o� /lo
Applicant Permitee Signature Date Issue B Signature Date
Stewart Plumbing, Inc, 7634281733 p.2
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F R C1TY USG O�iLY
City of Orono � �
���� PA-Box 6b Date Recci���� Pertni�# �C'��'_����� ���� ���
2750 Kelley P��ukwny
Crysral Bay,v13V 5�323 Approved By:(If Required):
I � (9�21 249-4600 ___.__�_.
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�.vkFs�jo��." CITY OF ORONO—WATER METER FQ12M
_ {\ote:Somc permits may require approval b}'t��e Building Oi�icial a,dlor Public�L'orks Dcpartment)
GEI��ERAL INF�RMATION
1. WATER M�TERS must be picked up and paid for at City Hall.
2. If�ossible,fa�c in t�is app3ication ahead oftime;we wiU then calt you and let you know we have
the water meter in stock. Ftix Number:(952)249-4616. Also,you can call ahead of time to inal:e
sure�ve rec�ived the fax,or to warn as that the fax is coming.
3. WATER METERS must be sei aod sealed by Orono Water Department (952) 249-4600,
upo�compl�tion o(meter installation.
TYPE OF PERMIT
�___ Check All That A 1 -)
�esidentia!(May Require Approval� ❑Commeccial(Approvat Reguired)
�(New Meter ❑Additional Meter—For: ❑Replacement Meter
1�
Job Site/Owner Information: �
Site Address: -2 ��� �`��SC� � 1�
3���� '�r '^��
4�vner:_� -�F,� r L I��tailing Address:
cl�: ���=�� z�p: � �3�t (
Home Phone: Alternate Phone:
Contractor[nfor�-nation: - T_�
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ConUactor. ���`Q-� �.i�d�'t�((�ib Contact Person: �( ��
Address: `��� l��t;� v��t�'��ate License#: �'U l���- _�
Ciry: Zip:���Expiration Date: �- 3�
Phone: �f� ' � A �� Alternate Phone:
Stewaii Plumbing, Inc. 7634281733 p,3
. ,
VI�ATER ME`I'ER PERMiT FBES
WILL BE CAULL"L,ATED BY CITY STAFF
❑ 5/8"METER- ❑ 3!4"M ETER- 1"MET�R-
❑ S.B"HOR':� - ❑ 3!4•,HORN - l"HORN -
❑ "WATER METER (7'HESE W1LL HAVE'I'O BE SPECIAI.OR�ERED&PR4CES DLTERMIYED)
1_ METERFEE: $
2. HORN FEE 5
3. TOTAL PERII�IIT FEE(Add Lines 1-2 Above) �
, eiTY-usE or�LY i
* For Current Pricing Refer to Current Year- Water]�eter Pricing C.hart *
8 RA.ND:
SI2E: ❑5/8" ❑ 3/4" ❑ 1" ❑Othef "
SERIAL#: L.��-(��� � �:,2- '�_�
ERT HiGH#: iiiiuinmuininuinuii (ifapplicable)
1541719046
----_._._--..__._. ___._____----. __-- -----__.__.
ADDITIONAL INFORMATION—WAT'ER IviET�RS ,
The undersigned hereby applies to the City of Orono for issuanee of a water meter permit,agrees
to do all wori:in strict accor�ance with the ordinances of the C:ty and the regulallons of the State
of Minnesota,and certifies that all statements made on this apptication are, teue and correct.
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Applicant: �l� Date: O �
Original: !-Address File
Make Copies For: 1- L'tility Billing Deparlment
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DATE T E
CITY OF ORONO C/�LED IN �/�—c„--�1�
INSPECTION hNOTICE v SCHEDULED � �
PERMIT NO.G�I�' '�in.7Dts COMPLETED
ADDRESS `�� ��� �C�C�"C>
OWNER TELEPHONE NO. ' a' "I =�
CONTRACTOR ��' �-%�-'�t II�.G�Ytb
� DESCRIPTION ��L��-� � � �����
t1� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINd
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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL �
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z O�INNEAICONITRACTOR TO MEET YiOU:_YES_NO
y COMMENT'� ��S �+[`,p'"� C�.- � .
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W ❑WORK SATiSFACTORY:PFiOCEED ❑PROJECT COMPLETE
� ❑CORRECT WORK b PROCEED ❑ISSUE CEFiTIFICATE OF OCaJPY1NCY
W
0 ❑OORRECT WORK,CALL FOR REINSPECTION TEIdPOF1ARY
V BEFORECOVERINO PER�AANENT
O CORRECT UNSAFE CONDITION WRHIN H��• ❑p►{pT0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ��TAT10N ISSUED
❑INSPECiION REQUIRED.CALL TO ARRAN(iE ACCESS.
CaM for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor sRe:
,
Inspector. � ��
Whib CopyAnspector's Fil� C�n�ry CoprlBib Notia