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HomeMy WebLinkAbout2016-01188 - water meter � CITY OF ORONO *�1 6 - 0 1 1 8 8 * 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2460 COBBLESTONE CT PIN : 33-118-23-11-0081 LEGAL DESC : STONEBAY S[XTH ADDITION : LOT 003 BLOCK 001 PERM[T TYPE : WATER METER-RESIDENTIAL 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 5/8"NEPTUNE WATER METER SERIAL#6851675 ERT HIGH# 1540094988 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 242.65 SCHULTIES PLUMBING WATER METER RESIDENTIAL HORN 82.02 1521 94TH LANE NE TOTAL 324.67 BLAINE, MN 55449 Payment(s) (651)786-4007 CHECK 33718 324.67 Minnesota State License#:plbg-PC644177,mech-MB005379 OWNER Wooddale Builders 6117 BLUE CIRCLE SUITE 101 MINNETONKA, MN 55343- AGREEMENT AND SWORN STATEMENT Thc work fbr which this permit is issued shail 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 docs 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 specitied herein.This permit will expire and become null and void if construction authorized is not commenced within l80 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 revo at any ti e for due cause. . ,2� -�� 9 ,� ,/.� Ap cant Permitee Signature Date Issued B ignature Date �$CTT�►'USE ONLY � City of Orono (�11s�lt`�/ `l� �-��� P.O.Box 66 Date Received� ���-ermit# �l� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:(]f Required): (952)249-4600 «� y. � � `� � CITY OF ORONO-WATER METER FORM `qkfSH��� (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 nossible,fax in this application ahead of time;we will then call you and let you know we have the water meter in stock. F�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) [X�,New Meter ❑Additional Meter—For: ❑ Replacement Meter Job Site/Owner Information: Site Address: ..."'f�/G�"� ���r������?i '�`'''�� Owner�,���� i����1.s,,� Mailing Address: �'�,�/�,��-P ,�.�.A,���-�� City: Zip: �� Home Phone:���-��-��'�� Alternate Phone: Contractor Information: � Contractor: - �'�ontact Person: �� - Address: �`� State License#: � � City: '�=z-��+..� Zip:j�� Expiration Date: ��.� ` - � � Phone: ``'�-��� '�l��'�7 Alternate Phone: � �� �� WATER METER PERMIT FEES WILL BE CAULULATE�BY CITY STAF�' 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 1-2 Above) $ CITY-USE ONLY * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * sie X aia B�N°: 68506�05 SIZE: ❑5/8" ❑ 3/4" ❑ 1" ❑Other " �IIII�II�.IIII�II IIIII II����III IIIII I���IIII SERIAL#: ERT HIGH#: (if applicable) III II IIIII I III II IIIIIII III III 1540094988 ADDITIONAL INFORMATION—WATER h�1ETERS 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 ardinances 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: � ��v� .� Original.� 1-Address File Make Copies For: I- Utility Billing Department DATE TIME CITY OF ORONO CALLED IN INSPECTION{�IO ICE/�\t SCHEDULED `1..u��1(;0� PERMR NOd� d' vli�� COMPLETED Z � �D O �L����� �C'��:� ADDRESS � OWNER �, TELEPHONE NO. �`• ��`-5'����"� CONTRACTOR —�--���--�=� ��–Q-� �� � DESCRIPTION �'"9 � �J ���' t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ 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 ? OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � � ���r���� ���� � J � .�%Z T /fS--��C����' �t� 0 � W 0C Q F: Z � W � J � �WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITION WRHIN HOURS. p pf{OTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: �t�—�� White Copyllnspector's File Gnary CopylSM�Notke CtTY 4F ORON se„��,�,,,,,�,,,„�. � SERMCE ADDRESS DUE DATE: �- �/� � � i APPT T{M�' Ct1�'fOIYf�R � ' BILLFNCi HOi�AE PHONE: � BILL�Nti WORK PHONE: At�JNT NtlMB B�OOK1STbP: DATERIME CREAT CALL TAKEN pll: .. - - _ ..� Rpu�bd By: NATlJRE OF WORK O�DER -- ✓e/ � �� ��I��"� 0� ! S p��� Flnat Mflirq A�ddnss(tnfo�:Fo ny Nddn�s I�bwv Custaner IMormafilon: Addrgse: Neme' ___..�.�.__..__..._.__� _.._._____.. .�._.. �...._.__._ .�._ ,_._... (;i�y; I�if�Addroa: ___.__._..___._..�...._..____._._____._.____ _.._..___.._.._. ._.__._..___.._ Sta�Ee: .,,._ __..�.,....___ _._. __.,....._.__. .._._..__._.._ _...�_ ...._.._. �pti; Phor� REApN�i i�A S�rvk�1�tqnbw: 10�iNabr �D�dur.!INtr CURRENT METER _�._ �E SERUIL NUMBER LAST READMtti DATE S��nbw: Date InstaMad: ERT ID LABT METER READiNG �o �--� . CURREN7 READIN6 ��R��p MAKE � 8�1t.NUTABER CURRENT READINQ 1 NEPTIJNE � •^ -7 s�rvic�Numbar. ERT ID C��C7'G'S� ( io .� [] '""�" j ��1�C�O 9 L/'Q b'� D ,��,�a � __ _____-- _ __ - _ METER NV8TALLED -_ _:�� + SERW.N MBER NEW STARTIN6 READ ��%�SO ��7L'� a.�.�: �.in�.a: � �r io Q c��a�� ,-a�r�R�:���-- S�_ � �,,,�.S�S /'�c'A��S_ ff�� �......�,_. _____.r.�. � � L �.. �. - ,�o�. Y ._�� �, . - �,.._. �.._( �.._�u�a��o aa�.co�,n�ab.a: �-�� �l . �� �� _...�_______._� _�..i�1 Upd��t,e 1nqu�ryy �� v DATE � TIME CITY OF ORONO CALLED IN INSPECTION N / Q� SCHEDULED PERMfT NO. O ' �` V COMPL D ADDRESS d �✓ OWNER LEPHONE NO. � �� ����� CONTRACTO `��� � DESCRIPTION t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL i OMINENCONTRACTOR TO MEET Y�OU:_YES_NO • � COMMENTS: �,r�� � - Ol � j oO � OO W aC Q 2 /�' � � W � � J - �`� ��, MMO�iKSATISFACTORY:PROCEED �`PROJECTCOMPLEfE �' O CORRECT VYORK 3 PROCEED ❑IS\SUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECd1/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP OR�ER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContracbr on site: Inspector: �'�' y White CcPYnnapector's Rle Canary CoPYlSits Notice