HomeMy WebLinkAbout2017-00387 (water meter) CITY OF ORONO * z 0 1 7 - 0 0 3 8 7 *
' 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2017
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
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
OWNER CAME BACK TO PICK UP HORN,THEY PAID FOR METER YESTERDAY PERMIT#2017-00383
WATER METER RESIDENTIAL HORN 1
APPLICANT WATER METER RESIDENTIAL HORN 82.02
COOPER,JEROME&JUDITH TOTAL 82.02
3231 CASCO CIR Payment(s)
WAYZATA, MN 55391- CREDIT CARD 0711 82.02
OWNER
COOPER,JEROME&JUDITH
3231 CASCO CIR
WAYZATA, MN 55391-
AGREEMENT A1vD SWORIv 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 specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within I SO days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformanc�with the State Building Code.This permit may bc
revoked at any time for due cause. ,
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Applican�ermitee��i ure L �� Date ' Issued By Signature Date
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Fo�crr�usE ori�.Y
��A T City of Orono f� l�—1 � ��� /" ` C�� ��
1 yO P.O.Box 66 I3ate Received: ` Perrr�it# �
2750 Kelley Parkway
Crystal Bay,MN 55323 Ag{�rQ�d By:(lfitequiredj:
(952)249-4600
��`�xFs o��'G� CITY OF ORONO —WATER METER FORM
H (Note:Some perm�ts 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 ossible, fax in this application ahead of time;we will then call you and let you lrnow 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 1
❑ Residential(May Require Approval) ❑Commercial(Approval Required)
-�e.w Meter ❑Additional Meter—For: ❑ Replacement Meter
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Job Site/Owner I�formation:
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Site Address: � —' ' � � �� �� SCo � //'c:��
Owner: ���2���i���r Mailing Address: >�3� «-f���' ��=-��
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City: �t/lu, Z� Zip: S � -`� %/
Home Phone: �l-2 ��� � �'�-' Z- Alternate Phone: �/-� S 7 �' � �� �j
Contractor Information:
Contractor: Contact Person:
Address: State License #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
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WATER ME'I"ER PE1�MIT FEES
WII,L BE CAULULA'T�D BY CITY�TAFF
❑.5/8"METER- ❑ 3/4"METER- ❑ 1"METER-
5/8"HORN„'---�� ❑ 3/4"HORN - ❑ 1"HORN -
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�___ "WATER-�`YETER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
�� ���� (�' ��'��� $ �� � C �
1. METER FEE: � ' '� �
------.. __
2. HORN FEE �---'- $
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3. TOTAL PERMIT FEE(Add Lines I-2 Above) $ •� � "
CITY-USE ONLY
* For Current Pricing Refer to Current Year- Water Meter Pricing Chart *
BRAND:
SIZE: ❑ 5/8" ❑3/4" ❑ 1" ❑Other "
SERIAL#:
ERT HIGH#: (if applicable)
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.
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Applicant: /� L-,G� /�/� Date: _�f��/ � �
Original.• 1-Address File
Make Copies For: 1- Utility Billing Department