HomeMy WebLinkAbout2018-00148 - water meter CITY OF ORONO I 1 I I ( 1
* � III � � � �
2750 KELLEY PARKWAY DATE ISSUED: 02/12/2018
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3349 CRYSTAL BAY RD
PIN : 17-117-23-41-0023
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 010 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
5/8"NEPTUNE METER
SERIAL 36789311
ERT# 1548098678
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL I
APPLICANT WATER METER RESIDENTIAL 253.00
WATER METER RESIDENTIAL HORN 82.02
LENSING,JULIE TOTAL 335.02
3349 CRYSTAL BAY RD
Payment(s)
WAYZATA,MN 55391- CREDIT CARD 6127 335.02
OWNER
LENSING,JULIE
3349 CRYSTAL BAY RD
WAYZATA,MN 55391-
AGREEMENT AND 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 specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 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.
U.I,1 1 1Z .PSC_ � i-e--- o - / /oZ / /-Plicant Permite4°Q.JA
ignature Date Issu By Signature Date
CITY WE il .Y
‘VO A TO City of Orono
f V P.O.Box 66 .Date Received: aiir itd - ;--IV �g
2750 Kelley Parkway /
Crystal Bay,MN 55323 �BY:(WRequit�: IL
(952)249-4600
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CITY OF ORONO—WATER METER FORM
SH (Note:Some
permits 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 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 meter installation.
TYPE OF PERMIT
(Check All That Apply)
❑Residential(May Require Approval) 0 Commercial(Approval Required)
❑ New Meter 0 Additional Meter—For: ' Replacement Meter
Job Site/Owner Information:
Site Address: ) 11 ( CV t S e-0 'Bu 'Y R
Owner:LI v It t✓ t--c-V1 s i of) Mailing Address:
City: Wali, 2 C±a Zip: 5,S 3 ? l
Home Phone: b L `S S V— 9 v3 Alternate Phone:
Contractor Information:
Contractor: Contact Person:
Address: State License #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
4
W ftt
: Q.7 u1+17.3$:iiJ iy ary t 4,Y : i % r
5/8"METER- ❑ 3/4"METER- ❑ 1"METER-
❑ 5/8"HORN - 0 3/4"HORN - 0 1"HORN -
❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
1. METER FEE: $ 5--3. 00
2. HORN FEE $ 3g -6o2
3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ 33 5v cC'
I CITY-USE ONLY I
* For Current Pricing Refer to Current Year- Water Meter Pricing Chart *
1
"x 3/4 4_
BRAND: /J p+L l ✓t.e ED26511 x Sia"
r
SIZE: ,M/8"" 0 3/4" 0 1" ❑Other 19 36789311
11111111 111111111 1111 I
SERIAL#: 3(1)-7.73q31 I
ERT HIGH#: I 5—y FO 9gto 7T (if applicable) 1548098678
1 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.
Applicant: ►_ A.,,....1....
6 Date: f
i
Original: 1-Address File
Make Copies For: 1- Utility Billing Department
V
s DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONOTI SCHEDULED 3-12—/? JO Cr
PERMIT NO. 01
-601 lf COMPLETED
ADDRESS 9 ` -I� s -( -Pixy kol
OWNER )1/.1� II Y-�t L 5/.t TELEPHONE NO.
CONTRACTOR
DESCRIPTION t/IJCi�-' Ca-
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
▪ ❑ DEMO-SITE 0 SEPTIC INSTALL
Q OWNERICONTRACTOR TO MEET YOU: YES NO
COMMENTS: -** 1 _el
cc
a.
o /-S 9'(9478 5/g
W
(Pss
.\
LIJ
CC
W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
cC0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. U PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice