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Home My WebLink About2014-00518 - water meter ,� r , .4 CITY OF ORONO * 2 0 1 4 - 0 0 5 1 8 * 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2755 ETHEL AVE PIN : 20-117-23-24-0017 LEGAL DESC : CASCO HEIGHTS : LOT 006 BLOCK 003 PERMIT TYPE : WATER METER-RES[DENTIAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER METER-RESIDENTIAL NOTE: 1�1SGPCTIONS ARE DONE BY PUBI,IC WORKS DEPAR"I�MG'.�"I�. TO SET-UP AN [NSPEC"I�ION, PI.EASI:CnLL: (952)249-4613 5/8" WA"I'ER MI;TI:R ER'I'IiIGI{ 18�0419638 SER[AL NUMBi��,R 9406974] WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 245.70 COPELAND, DAVID TOTAL 245.70 Payment(s) 2755 ETHEL AVE CREDIT CARD 6875 245.70 WAYZATA, MN 55391- (612) 812-8161 OWNER COPELAND, DAVID 2755 ETHEL AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�he work for�vhich this permit is issued shall be performed accordine to the approved plans and specifications,applicable City approvals,and thc State E�uilding 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."I his 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. `f he applicant is responsible for assuring all required inspections are requested in contormance with the State[3uilding Code.This permit may be revoked at any time for due cause. �' � S ,2� ,/ Applicant Ycrmitee Signaturc Date Issue y Signaturc Datc 1 , . -� CIT E ONLY /� City of Orono / �-��O P.O.Box 66 Date Receive :�` Permit#�� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:(If Required): (9�2)249-4600 � � y � F �q �G CITY OF ORONO—WATER METER FORM KES H�� (*Note:Some permits 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 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 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 ply) ❑ Residential(May Require Approval) ❑ Commerciai(Approval Required) ❑ New Meter ❑ Additional Meter—For: � Replacement Meter Job Site / Owner Information: Site Address: � �S S �� Owner: �3Y�'�C �ia �G, Mailing Address: �S l� � / �'�,-�� City: _��/�. Zip: �.SyC�S Home Phone: G�-2 `-'/ ��,�Alternate Phone: ` --"--- Contractor Information: Contractor: Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Alternate Phone: r. . .. 1 WATER METER PERMIT FEES WILL BE CAULULATED BY CITY STAFF � � 5/8" METER- ❑ 3/4"METER- ❑ I"METER- ❑ 5/8"HORN - ❑ 3/4"HORN - ❑ l"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) $ �7`� .�.�� CITY-USE ONLY * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * BRAND: SIZE: [�,5/8" ❑ 3/4" ❑ 1" ❑ Other " SERIAL#: 9'�(/(Q�,��/ IIIIIIII18151�1�1119fi318111111 --' ERT HIGH#: (if applicable) 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 1-Cash Drawer DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED � �. �� PERMIT NO. �� `� �� COMPLETED, ADDRESS � � �7 �� {� ( � �-� OWNER - T LEPHONE NO. CONTRACTOR �-'� � ��- _5��;�.�, � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: W ��...L� 1�-�.Q�,` ��cD' � �#' I �� a � � � � � O Y�.� Sn_ � �4�c� r�-��i�� G� �z� 1" > (�C� O v Q 1�c.�� ' --- --- - � ,_�, z W � w � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-46�� OwnerlContract t Inspector. ��. � ,-��1 ! 1� � White Copyllnspector's Ffle Canary CopylSite Notice