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HomeMy WebLinkAbout2015-01197 - water meter CITY OF ORONO * z 0 1 5 - 0 1 1 9 7 * ,� � 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2335 GLENDALE COVE LA PIN : 34-118-23-33-0066 LEGAL DESC : GLENDALE COVE : LOT 007 BLOCK 001 PERMIT TYPE : WATER METER- RESIDENTIAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER METER- RESIDENTIAL NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN INSPECT[ON,PLEASE CALL:(952)249-4613 3/4° METER SERIAL#53415945 ERT HIGH# 1540061128 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 294.42 WATER METER RESIDENTIAL HORN 80.42 EASCO PLUMBING& HEATING INC. 7965 PIONEER TR TOTAL 374.84 LORETTO, MN 55357 Payment(s) (612)369-5486 CREDIT CARD 3448 374.84 OWNER Advanced Home Exteriors Inc 1161 WAYZATA BLVD E #167 WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whe[her or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the da[e 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 revo y time,for due cause. � r� G' � � �S� `'������ `, l� 7 / l� ican�Permitee Signature Date Issued Signature Date ,� � ' � � t ,� �/ CIT U5E ONi�Y �O . ` City of Orono � �f�O l� � 1�O P.O.Box 66 Date Receive Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:(IfReq ired): (952)249-4600 �`��.�kF o�ti�'� CITY OF ORONO—WATER METER FORM S H (Note:Some permits may require approval by the Buildmg Offic�al and/or Pubhc Works Department) GENERAL 1NFORMATION 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)249-46]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 (Chec�All That A 1 ) [�Residentia] (May Require Approval) ❑ Commercial(Approval Required) [�1Qew Meter ❑ Additional Meter—For: ❑ Replacement Meter Job Site/Owner Information: Site Address: v��� S � ���1 ���c, � Q���'�+l � C:��'C Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � ��S C O ��--I`� Contact Person: �� ( «�/ Address: 7 ��'� �i � �� �-�%� �'� State License #: l��l ��� City: � �'��� Zip: �S 3S� Expiration Date: �������� Phone: �DI Z' 3�0�1 -����� Alternate Phone: f' * 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 1-2 Above) $ CITY-USE ONLY * For Cunent Pricing Refer to Current Year- Water Meter Pricing Chart * 53415945 B�ND: IIIIIII IIiII III II IIIII III SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑ Other " SERIAL#: �fa l�cable �n0;°sao��o�fi�ii�28m ERT HIGH#: � PP ) ADDITIONAL INFORMATION—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. ;-- y � � `s- Applicant: Date: Original: 1-Address File Make Copies For: 1- Utiliry Billing Department C/��� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED D�l.� PERMIT NO. 2—��5� �iII�� COMPLEfED ADDRESS r�33� � �'l��� l��/�1/ OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ly� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 ❑ FINA� ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: �� t� SP�¢���,�' W a o Cu/',� s� -��,r�� oi D�e�--�/� �. � ° ��^�/� W � Q � 2 W � W � j d � RKSATISFACTORY:PROCEED //❑�ROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR U CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerfContractor on site: Inspector. ��� White Copyllnspector's Ffle Canary CopylSite Notice ��� � DATE TIME CITY OF ORONO CALLED IN �5 . ?l� INSPECTION OTI� /`'I `�, SCHEDULED � PERMIT NO� �- � COMP ED ADDRESS � 3 3�-5 `� = ��C�-1-� ��`��.L P OWNER TE PHONE NO.�c2-- 3�� ���� CONTRACTOR SCC� � � DESCRIPTION S�"� _ (�,. � ''� W ❑ FOOTING ❑ DEMO-FINAL'���� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI �;� .)��,� ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINALw � ❑ 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICOlfTRACTOR TO MEET YOU:_YES_NO � CO MENTS:/Yn�—� /J�.,o�z,�/' ��.// s �'D S�k7 a�.T;�� � � �"�w-� . , 0 �. � ° ��DI�D DD3Z, Q t'�r i������ �1��� � i - � '"3 . � _ . W � � a W� ❑WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WFLL RETURN ❑STOP OHDEH POSTED.CALL INSPECTOH �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in advance. (g52) 249-46�0 OwnerlCartractor on sit • i Inspector: �� ��2�^ White Copyllnspector's FiN Cenary CopylSita Notke