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Home My WebLink About2018-00189 - water meter CITY OF ORONO V20 III I III i 8 - 00 I 89 * 2750 KELLEY PARKWAY DATE ISSUED: 02/22/2018 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1920 FAGERNESS POINT RD PIN : 17-117-23-23-0031 LEGAL DESC : FAGERNESS : LOT 027 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 1"NEPTUNE METER SERIAL 53975099 ERT# 1545921776 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL APPLICANT WATER METER RESIDENTIAL 388.15 WATER METER RESIDENTIAL HORN 144.64 SPRING PLUMBING LLC TOTAL 532.79 11473 KENYON COURT Payment(s) BLAINE,MN 55449- CREDIT CARD 1701 532.79 (763)614-7963 Minnesota State License#: plbg-PC643871 OWNER DAUM,GEORGE 1920 FAGERNESS PT 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. 10 A t Permitee Signature Date -Signature Date CI'T'Y USE ONLY O�T City of Orono VW / P.O.Box 66 Date Received:o?-0224I Wit#��-Q�� 2750 Kelley Parkway Crystal Bay,MN 55323 BY:( Required):(952)249-4600 kEo� 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) 0 Residential(May Require Approval) 0 Commercial(Approval Re fired) ❑ New Meter 0 Additional Meter—For: Replacement Meter Job Site/Owner Formation: Site Address: I Z 0 Fp E -;IJp S S p.c_____yD Owner: J7,L) u-AA Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: //16 PI VM 6(Ai/contact Person: A G,i -Ai Address: i I U 7 37�„� G ,r State License#: iC40 7v� City: '(,4(/(/! Zip: ri A) Expiration Date: 12// Phone: 7(3 r'Z Z 6 Alternate Phone: 7i 5'"33 1- z Zoe 1 -1-6 ‹ ❑ 5/8"METER- 0 3/4"METER- 4 1"METER- ❑ 5/8"HORN - 0 3/4"HORN - 1"HORN - ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) 1. METER FEE: $ 3 • 1 S 2. HORN FEE $ /1/1/, 4 q 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ $i 02 .-7y I CITY-USE ONLY I * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * ED2F11RDG3 # BRAND: 53975099 SIZE: 0 5/8" ❑3/4" 3St . " ❑Other " 1111111111114313111 SERIAL#: .<3-/ 7 5-0 9ci niimlitimpulim ERT HIGH#: / .5-ii 5—q;P-.17 7( (if applicable) 1545921776 I ADDITIONAL INFORMATION—WATER METERS The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are,true and correct. Applicant: Date: -,-- -Z t$`./ p'' ./ Original: 1-Address File Make Copies For: 1- Utility Billing Department DATE TIME CITY OF ORONO CALLED IN INSPECTION TIC SCHEDULED d$ Cg Cv'CO PERMIT NO. [ • C�� COMPLETED ADDRESS aeD —7 OWNER TELEPHONE NO. `toy CONTRACTOR SAY DESCRIPTION 1 iJr\ Lji\ W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION C 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL • OWNERICONTRACTOR TO MEET YOU:_YES_NO v,• COMMENTS: et o �=.�C1a iv- 5Cq o 0000oo03 Q fe re,/• jo Al 5 5 it t1 w a VI CC CJ W 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑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: i Inspector."6c-- j " s & —i White Copy/Inspector's File Canary Copy/Site Notice