HomeMy WebLinkAbout2018-00181 - water meter CITY OF ORONO 1 1 1 1� 111) 11 113111111111111111
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2750 KELLEY PARKWAY DATE ISSUED: 02/22/2018
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2870 GOLDENROD WAY
PIN : 33-118-23-24-0045
LEGAL DESC : ORONO PRESERVE
: LOT 15 BLOCK 4
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)249-4003
5/8"WATER METER
SERIAL 36789313
ERT 1548109504
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 253.00
WATER METER RESIDENTIAL HORN 82.02
SABRE PLUMBING&HEATING TOTAL 335.02
15535 MEDINA ROAD
PLYMOUTH,MN 55447-
Payment(s)
(763)473-2267 CREDIT CARD 1207 335.02
Minnesota State License#:mech-MB3392,plbg-PC645349
OWNER
OP5 Orono LLC
15250 WAYZATA BLVD#101
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 S ilding Code.This permit may be
revoked at any time for due ca
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pplicant Pe tee Signature 'Date Issued y S ture Date
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\\ City of Orono
`y P.O.Box 66 Datel<ttcetrted Y ,irittt#f
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CITY OF ORONO—WATER METER FORM
f'� j��{* (*Note:Some/� permits ymay require approval by the Building Official and/or Public Works Department k)
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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.
Q Residential(May Require Approval) ❑Commercial(Approval Required)
New Meter -0 Additional Meter—For: II ReplacemenfMeter—
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Site Address: ni6 n16Cro\c bvv v ci \kaki
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor: 1.� W Contact Person: 5 Uk4/v)
Address: bb6 L i State License #: I 1
City: Zip:5'441 Expiration Date: 12. 31., 10 I q
Phone: 11pb'i4i ."2-7-0 Alternate Phone: -1105.253•+-7?Y
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M,5/8"METER- fl 3/4-METER- ❑ 1"METER-
5/8"HORN - ❑ 3/4"HORN - 0 1"HORN -
In "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
I. METER FEE: $ 2-4.fob
2. HORN FEE $
3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ 324-(0i
* For Current Pricing Refer to Current Year- Water Meter Pricing Chart*
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BRAND: 518"x 3/4" 4"
36789313
SIZE: ❑ 5'8" ❑3'4" ❑ 1" ❑Other „ 1111111111111111111111111
SERIAL 11:
ERT HIGH ii: (if applicable) IIIIIIII111111111111111I11111
1548109504
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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,1md.,ca, 'LQLt tnAhlfilOL Date: 2 Z0. 101
Original: I-Address File
Make Copies For: I-Utility Billing Department 1-Cash Drawer
. DATE TIME I/
CITY OF ORONO CALLED IN
INSPECTION ViTiqg�ivJ�� SCHEDULED Ad . (t)
PERMIT NO. COMPLETED /n
ADDRESS 8'7D l%r' '&jy1(� �t/
OWNER ELEPHONE NO. .20_,-1-L/75-c)‘34.°7CONTRACTORS cam_cly
32 DESCRIPTION
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W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
11.
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
" 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
Z
0 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
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
J ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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CI CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR O 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. b----_-_ ---------
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White Copy/Inspector's File Canary Copy/Site Notice