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Home My WebLink About2017-00383 (water meter) � CITY OF ORONO * Z 0 1 7 - 0 0 3 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2017 - ORONO, MN 55356- • � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3231 CASCO CIR PIN : 20-117-23-43-0016 LEGAL DESC : SPRING PARK : LOT 021 BLOCK 000 PERMIT TYPE : WATER METER-RESIDENTIAL PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : WATER METER-RESIDENTIAC, NOTE: INSEPCTIONS ARE DONE BY PUBL[C WORKS DEPARTMENT. TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 OWNER BOUGHT ONLY A NEW METER.OLD ONE LEAKING. MAY COME BACK FOR A HORN. WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENT[AL 242.65 TOTAL 242.65 COOPER,JEROME&JUDITH Payment(s) 3231 CASCO CIR CHECK 7224 242.65 WAYZATA, MN 55391- OWNER COOPER,JEROME&JUDITH 3231 CASCO CIR WAYZATA, MN 55391- AGREEMENT A1vD SWORN STATEMENT The work for which this permit is issued shall 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 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 specitied herein.This permit will expire and become null and void if construction authorized is not commenced within l SO 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' c formance with the State Building Code.This permit may be revoked any irya.for due cause. �(�� > �,7 _ ,/ � � �� C� i1 � ._-i�t L-� l CI l� �� l �' -i , ? ) �- Appl� Per ite Signa re ate Issued By Signature Date �� . , � �� v�� . � F�12 CITY USE ONi.Y '� • � City of Orono r. � � � � = �� -O�O P.O.Box 66 Date Reccived: �� T�"� Permit# � I f 2750 Kelley Parkway ,., Crystal Bay,MN 55323 Ap}�o�ed By:(�#'��quir�d): � �,� (952)249-4600 ��.�kFs a��.�'� CITY OF ORONO —WATER METER FORM H (Note:Some permrts may requve 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 4F PERNIII'T' Che�k All That A 1 1�Residential(May Require Approval) ❑ Commercial(Approval Required) r� �New Meter ❑Additional Meter—For: ❑ Replacement Meter Job Site/Ov�ner Infonnation: Site Address: � � � � �-��S��C� ��'� � � 7 r _ Owner: _ r�C�t.� J i� � pC�� Mailing Address: ��/ �--r� �� i'Ll-� ! CitY: %L�� Zip: � �� .� 7�`� -��Y/ Home Phone: ,�/� ��-�U�S�Z Alternate Phone: ,��_ �5 � 8 �� Contractor Itsformation: Contractor: Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Alternate Phone: . , ► . QVATER��I'ER PEII�MIT F�ES . , VVII,L 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) � �a , Cl � 1. METER FEE: $ 2. HORN FEE $ o� c�a . C�S 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ CITY-USE ONLY * For Current Pricing Refer to Cunent Year - Water Meter Pricing Chart * ��l--F �; i �� ,�s� BRAND: �/� ED2B11RDG3 �,=: 5/8"x 3/4" � SIZE: [Q�5/8" ❑ 3/4" ❑ 1" ❑ Other " 6942�734 SEWAL#: IIIIIIIIIIIIIIIIIIIIIIIIIIII�I�II�l�lllllllll�lfll ERT HIGH#: ii�iii�ii�iiiiuiniiuiuin (if applicable) — 1541771004 ADDITIONAL INFORMATION-WATER IvIETERS 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 cert' that all statements made on this application are,true and correct. ; _ � Applicant: Date: / Original: I-Address File Make Copies For: 1- Utility Billing Department DATE TIME V CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED �"I _� ADDRESS ��/ C'��S'�� C ��c /� 01NNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �� Se� � � �� ty ❑ 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 � ❑ 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 _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL Z 01NNFRICOKTRACTOR TO MEET YWl:_YES_NO � COMMENT'� � j 0 � l �� o� aoo 000 �'� /3 0 � Q - �.�� 1 SY/ 7Z/ Do S� � � W aG J ��VMORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE w �CORRECT YMORK 8 PROCEED ❑ISSUE CEFiTIFlCATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE(�NERINQ PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HWRS. O PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR O qTATION ISSUED ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in advance. (952) 249-4600 OMn�erlContractor on site: ,nspector: �� WMN CopyAnspsctar's Flla C�nary Cop�rfSiE�Notlee