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Home My WebLink About2015-01023 - water meter r CITY OF ORONO 2750 KELLEY PARKWAY * 2 15 - 01 2 3 DAT0 E ISSUED: 08/11 2/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 2494616 ADDRESS : 3750 NORTHERN AVE PIN : 17-117-23-34-0087 LEGAL DESC : REG.LAND SURVEY NO.0763 LOT 1 BLOCK I 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 3/4"WATER METER SERAIL NUMBER-53314735 ERT HIGH# 1852891582 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 294.42 WATER METER RESIDENTIAL HORN 80.42 NORTH ANOKA PLUMBING TOTAL 374.84 22590 RUM RIVER BLVD.N.W. Payment(s) MN 55070- CREDIT CARD 7809 374.84 (763)753-3373 Minnesota State License#:plbg-PC642884 OWNER Atlas Homes 14450 117TH AVE N MAPLE GROVE,MN 55369- 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. Applicant Permitee Signature Date Issued By ature Date FOff qffY SE ONLY Q City of Orono ^ /� /� P.O.Box 66 Date Received: Permit#�10L501`�0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By.(If Required): (952)249-4600 CITY OF ORONO—WATER TE k�srto'� ME R FORM (Note:Some permits may require approval by Building Official and/or Public Works Department) GENF.,RAI'N-F0R.1VlATION 1. WATER METERS must be picked up and paid for at City Hall. 2. IfDossible,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) ❑Commercial(Approval Required) 0 New Meter ❑Additional Meter—For: ❑Replacement Meter Job bite I DWIler Information, Site Address: Owner: Mailing Address: nl City: Zip: -1� AUVUV Home Phone: Alternate Phone: l Contractor IiaformationrNJ A-vx- �� 6 C . Contractor: l '14.0 Contact Person: Address: " � ��' + 'State License#: PC G q L.y 8\4 City: "- 1'TZI-�c,aS Zip: Expiration Date: t l-.Z's\,//S Phone: �} �,—'2 53 d 13 '7 1 Alternate Phone: ( 11- —lam 0 S I � e ❑ 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) 1. METER FEE: $ 2. HORN FEE $ 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ CITY-USE ONLY *For CurrentPricing Refer to Current Year-Water Meter Pricing Chart BRAND: SIZE: ❑518" ffAI4" ❑ I" ❑Other " SERIAL#: J� 7 S ERT HIGH#: III III III1111111II II IIII III II (if applicable) 185MIN2 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: Date: i t Z1 Original: 1-Address File Make Copies For: I-Utility Billing Department DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 1 -D 1 a 3 COMPLETED ADDRESS 3 /Cn OWNER TELEPHONE NO. CONTRACTOR /U DESCRIPTION W ❑ FOOTING ❑ DEMO FINAL El SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 v ❑ DEMO-SITE ❑ SEPTICI STALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES T NO COMMENTS: cc W a 0 cc ,0-- .5-33 iy72S W cc Q W W d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN El ❑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 Owner/Contractor on site: Inspector_ �5 White Copyllnspector's File Canary CopylSite Notice