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Home My WebLink About2015-00021 - water meter CITY OF ORONO * z p� 1 5 — 0 0 0 2 1 * , 2750 KELLEY PARKWAY DATE ISSUED: OU08/2015 ORONO, MN 55356- 952 249-4600 FAX: 952) 249-4616 ADDRESS : 2605 KELLY AVE PIN : 20-117-23-14-0022 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 005 BLOCK 005 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 INSPECTION,PLEASE CALL:(952)249-4613 I"WATER METER WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 392.92 RIVERSIDE MECHANICAL WATER METER RESIDENTIAL HORN 104.45 12460 Z[NRAN AVENUE TOTAL 497.37 SAVAGE,MN 55378- Payment(s) Minnesota State License#: plbg-PC644809,mech-MB650157 CHECK 4373 497.37 OWNER i;�t; :�? urcn�; 2"(5U kelley�P��kway 95�_249-4E;U0 WINE, SCOTT&JILL i�rono MN ,�53�6 2587 KELLY AVE ,lan 8, �'015 EXCELSIOR, MN 55331- Receipt No: 3.012563 Riverside Mechanical Nrevious Balance: .00 AGREEMENT AND SWORN STATEMENT Sale Of Wtr Mt,ter 497 37 >_015-OOU21 2605 Keliy Ave The work for which this permi[is issued shall be performed according to r;n1-39610 the approved plans and specifications,applicable City approvals,and the Miscel�aneo�is kevenue State Building Code. This permit is for only the work described and does ay7.,j� not grant permission for additional or related work which requires separate TOt81: ______ ________ permits. All provisions of laws and ordinances governing this type of work Cf ie�k. shall be compied with whether or not specitied herein.This permi[will ��k Ni�: ,��73 497.37 expire and become null and void if construction authorized is not PdyOr: commenced within 180 days of the date of issuance,or if construction is �; ,,...;;;1�� MNr,hdf i 1 Ca 1 suspended for a period of 180 days at any time after work has commenced. Tot.��, �q,l�� ~;�� A97.37 The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be Cha�� I,' I�i u i�i��i: � revoked at any time for due cause. 1 � 1 - - �;��." �.zyi -1 � .� ��-� � �� , , A licant Permitee Signature Date Issued By Signatur Date 01/04/2015 04:46 9528947972 LAKESIDE PLUMBING PAGE 01/02 �9�•37 �'h 'TI'Y T18F ONL�' �/"1�> Cfry 0�01'bIl(1 J 7 �/�� ,�/� ��'vj.� I`,O.l3ox 66 � Deite RCCe cY; PCII7111'��/ f/W�� 2750 Kc1ley 1?�rlcwfly — Cry5lttl Dny,MN,5,5323 �pp1'OVCd By; jf ReqiiirGtl)� (9$2)249-4G00 — 5 ti � �� C�TY Oi+ORONO—W,ATER MET�Tt FORM {��.SH O� (+�Notc:Somc�crmitS mny rcquirc n��pr�val by lhc Buildinp_Uflicinl�nd/or Puhlic W�rks Dc�,�hmcnt � �1 ,GEI�]E:I�AL ThTf'C)�iv�ATIt�N � ,�� 1. WATER METERS must bc picked vp nt�d pxid for at Cily H111, 2. ff psp $I��E,fc�x in this�tpplication�.hefld of time;we wi11 then c�ll you a.nd lct you I<now we havc the water meter in slock, Fax Number; (952)249-4�1G, Also,you can caii ahcad oftimc to ir�ai<e sure wc rcccived tJte fas,or to w�rn us Chat the f�x is comin�, 3. WA.'�'�� M�'i'ERS muel bc set anc� scaler� by Or»no Watcr pepartm�nt (9Sz) Z49-9600, ��pon;Cotztpletion of inetcr iastall:►tion. Tvr>E o.r�ErI.NrTr _ � Chec.k�1T 7'h�t A,ppl�� , Resiclentiel(Mny Rec�t�ite npprov�l) [�Commercinl(Approval Required) ew Meter ❑AdditianAi Metcr—F'or; „_ ❑ I�eplfl.ccmenl Metci ,iob Sitc/Ovvner lnfarmation: ��,��SS: a�os _. x�,�.� �� ,.. . ^_� Owner: �C.��- l�.J + (1� 1Nailing nddress� City: �i�; Home Phonc: AlternaC� Phone: Coi�tractor`Tnfarmation: Contractor: i i ee�, � c�/�'`-' ��'S.�J��fr1_ _ Contact person: � �lddress: )�`I(v0 z.�n�'wn �� State; License�#: �9�0 C� Cit;y: ,�c.�.�4- ¢.. Zip:$.537� 1�xpir�tion Datc: ��/ /�_ Z_`b`ry-'�100� �-�--� F� Pl�onc: �Jr Alternate Phone; �'Z � (�j �"J� � 61/04/2a15 04:46 9528947972 LAKESIDE PLUMBING PAGE 02/02 . � ��j yy�,�-� F�,'� I�I I�� i -. !� :�� 1 � �y M 7+�y 1 ry��; y�`�I� �.a�,� i i � v �,� :1 Y�:PA. + YV��'CprhVJ��LC,�fr�'.Rl��ld11'�LYLI �� i � � � .,., r � � .��, �� , � ', r �Vl`�;�'B��A�'�� .�,.?7;�'D B�'"C�'T��'S.�'��';�� ` �" � „�. , [J S/R"MrTGR, [J 3/4"M�TER- � "Mr'I'�;R- �] 5/8'"1-fOR'N - � 3/4"i-lOR1V � 1"I)ORN - � "WAT�R MET�12 r't�a�esr wrl,�,tlnvr Tn rtr SN��c�ni,o�prrzr:,n.E r�nrrrs r�rTrrzrvttNr»� I. METER FEE� � 2. i-torc�v r�� 3. TO'�A,1.�ERMiT I�rr(Add Lit,es i-z Above) � CITY-U5�ONLY � �` �'or C��rre��t Pricing RcTcr to CurrenC Yea�•- Water Meter Pricing Cha�•t * ) i E�IZAIVf�: I� —�= �� '�� 517E: �.5/8" �3/�4" .Y-�1" d Other_,. " SERiAL 4�: �`' , i �RT HrGr-i�: IIIIII III IIIIII I IIIIIIIIIIIII 53193912 1852508359 __ ..' (if lpplicable) IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII I IIII ADDXTIONAL 1NFORIVI.A�TON-WATER 1�ET�RS � T'he undersigned hcrcby applics to the City oFOrono for issuance of a water mcYcr permit, �gre,os to do ali work in strict accordance with the ordinanccs of the City and thc regulatio�,s of the St;ite of Mi��nes ,� ertificS tha I1 statements made on this�pplicalion are,true and co►•rect. Appiic�nt: _ Dat:o; r � �� , i Ori�inal.• 1-Adn're.r,s f'ile il�nke Copies I'or•, 1- Illilily l�illin�peptarin�er�� 1-Cash!>>•aivcr �I� �" �~ � DATE TII� 1 . CITY OF ORON CAL�ED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. �r''I�LY'X2 r COMPLETED ADDRESS % �� K C" I I �-i T'T"L''� OWNER TELE HP ONE.NO.�vl Z—��IG'' ZySsr,I CONTRACTOR '��_�S(�Lli'1�1��-. � � DESCRIPTION %�-`Q-�- � {�� tl1 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI �;J-{ � ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINA�'` ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI c�Q� ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL�� ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ $�PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:y4 YES_NO � COMMEN �� ' � ��-� � �sa s�v 8�3� � � � � �31�/3� �� 0 � � ° �� Q .St� �-�� zQ�e��s ��%, -� W � W � j � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-460� OwnerlContractor on site: Inspector.� White Copyllnspector's Ffle Canary CopyfSfte Notice