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HomeMy WebLinkAbout2017-00416 (water meter) ' CITY OF ORONO * Z 0 1 7 - 0 0 4 1 6 * � 2750 KELLEY PARKWAY DATE ISSUED: OS/OU2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3800 CASCO AVE � ����, �'�"F�y �� PIN : 20-117-23-24-0019 �'`''����� LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 003 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 NEPTUNE ERT: 1541835602 SERIAL#49456225 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 372.06 WATER METER RESIDENTIAL HORN 144.64 NORTH ANOKA PLUMBING TOTAL S16.70 22590 RUM RIVER BLVD.N.W. Payment(s) MN 55070- CREDIT CARD 9491 516.70 (763)753-3373 Minnesota State License#: plbg-PC642884 OWNER Atlas Homes Inc. 7082 EAST FISH LAKE RD MAPLE GROVE,MN 55311- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifica[ions,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 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 revoked at any time for due cause. � � _, �� � _ //��� � � � �.;C��> �����-t-�==�-� � l i l l A�icant Permitee Signature Date Issued By Signature Date � !` / � IV ' � �`� t � �� FOR C1TY US�UNLY �O A T City of Orono �� /J�. ��-7 �i j// �y P.O.Box 66 17ate Receivad vy-,L 0 Pe[mit# J l `7 �O � 2750 Kel{ey Parkway T Crystal Bay,:�iN 55323 Appmved By (If RequQed) ? (952)249-4600 � � �, � r�� �Ci.�� . ��.�;��,s Na�;E.�� CTTY OF ORONO—WATER METER FOR'VI (Note:Some permita may require appravel by the Building Official and/a Rcblic Works Department) GENERAL II�'FORMATTON 1. WATER METERS must be picked up and paid for at City Hall. 2. If i [e fax in this application ahead of time;we wif 1 thcn call you and let you know we bave the watar meter in stock Fax Number:(952)249-4616. Also,you can cell ahead of time to make sure we received the fax,or to warn us that the fax is coming. 3. WATER METERS must be aet ond sealed by Orono 'Water Department (952) 244-4600, upon completion of ineter installation. TYPE OF PERMIT (Check AIl That Apply) � 0 Residential(May Require Approval) ❑Commercial(Approval Required) ❑New Meter ❑Additional Meter—For. ,__ ___ ❑Replacement Meter Job Site/Owner Information: Site Address: `380� �aS'CO =- '�`V`f� Owner: ���� ���m�� ?vlailingAddress: � 4�5� 1 7th AVe N c;�,: Maple Grove zip: Home Phone: 763-691 -4'099 Alternate Phone: Contractor Information: Contractor: N o rt h A n o k a �ntact Person: �aY��r Aaa�ess: 22590 Rum Riv��t�.���e�W ty; St. Franci� MN 5�07(� 12/31 /19 Ci i : xpzra ion Date: Phone: 763-753-3373 Alternate Phone: WATER METER PERMIT FEES WILL BE CAUI.ULATED BY CITY STAFF ❑ 5/8"METER- ❑ 3/4"ME'I'ER- ✓� 1„METER_ ❑ 5/8"HORN - ❑ 3/4"HORN - Q 1"HORN - ❑ "WATEB METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PT2ICES DETERbIINED) .. � 1 . �`f' 1. 'vfETER FEE: $ � J� 2. HORN FEE $_� ,�� �' Il� '�G 3. TOTAL PERMTT FEE(Add Lines 1-2 Above) S_ � � , � �., CITY-USE�NLY '"For Current Pricing Refer to Cument Year-Water Meter Pricing ChaR* BRAIVD: 3......_. w..�_...�_..� ) � `�,:_.,� `.�s<--� ,. �. _- SIZE: ❑5/8" ❑3/4" ;�.�" ❑Other " SERIAL#: _..�_�.._=1_-1—��1-�L—G_-� � �- Illlllllllllllh�!111111111111 15418�Z560'L ERT HIGH#: (if appticable) ADDITIO:�iAL INFORMATION—WATER;vIETERS The undersigned hereby applies to the Ciry 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 aIl statements made on this application aze,true and correct. Applicant'— _���� r Date: 4/2 6/1. 7 ___ Orfginul: 1-Address File Make Copies For: 1-Utility Billing Department [\ r / � 0 �1 r� �.._�-�'- �� � 1 ��� DATE TIME CITY OF ORONO cnLLED IN �` ���//� INSPECTION NOTICE �y�f/ SCHEDULED .:��� PERM�T NO..�� 7 -w7�� COMPLETED ADDRESS �7 ���� . _ �-��"G �NNER TELEPHONE NO. ��(�'>� ��� ��, CONTRACTOR ��1���'�� �� —t-c_, � DESCRIPTION ��-�.� �-�—� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINd 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SE IC INSTALL � 01MN�NRRACTOR TO MEET YOU: � YES_NO y COMMENTS: a� � � I� /9� �' o � �. � 0 Q -� �Z Z�' .� i ��'�b�'� � � /` � � W o� � � � �p �K SATISFACTORY:PFiOCEED O PROJECT COMPLETE W "[]�7oHRECT WORK a PROCEED ❑ISSUE CERTiFIC/1TE OF OCCUPYINC� 0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdNERINa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTiON REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next Mspectfon 24 ho�rs in advance. (952) 249-4600 OwnerlContraCMr on sitEG �� � - Inspector: � ' yyhit�CcpyAnspecUor's FfN C�nary Copyf8lt�Noda