HomeMy WebLinkAbout2015-00993 - water meter CITY OF ORONO
* 2015 - 00993 *
2750 KELLEY PARKWAY DATE ISSUED: 08/06/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2490 OLD BEACH RD
PIN : 21-117-23-22-0005
LEGAL DESC : SHORE HILLS
LOT 004 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
3/4"NEPTUNE WATER METER
SERIAL NUMBER-53314733
ERT HIGH NUMBER- 1852890936
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 294.42
WATER METER RESIDENTIAL HORN 80.42
B&D PLUMBING&HEATING INC. TOTAL 374.84
4145 MACKENZIE CT NE Payment(s)
ST MICHAEL,MN 55376- CHECK 550908 374.84
(763)497-2290
OWNER
MCINTEE, SHAWN&JACQUELINE
2490 OLD BEACH 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
rWatti, for due use.
Z9 CIA
Applicant Permite6 Signature Date Issued R9 Signature Date
From:7634974263 08/04/2015 10:27 #860 P.001 /002
R TY USE ONLY /
�O'V City of Orono
P.O.Box 66 Date Receiv Permit#
O 2750 Kelley Parkway 45-7l4�
Crystal Bay,MN 55323 Approved$y:(If Required):
(952)249-4600
y���Kf o�x G� CITY OF ORONO—WATER METER FORM
S H (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) ❑Commercial(Approval Required)
[ New Meter ❑Additional Meter—For: ❑Replacement Meter
Job Site/Owner Information:
Site Address: dq Q6 61, 6ear_n 20#4D
Owner: 4,-k Mailing Address: ':SAMr'.
City: (, rta Zip: 5 32 3
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��1140&,,tN l�rC'. Contact Person: &4-14L rt1✓\1
Address: 41q.5 to 2t( vr-- State License#: JrCIt Z$7
City: -.5,4-YA1=�C� Zip: 7 xpiration Date: 1z 31 1-5—
Phone: 1o3) y?7- ZZgO Alternate Phone: ((olZ) 3gp '�3zy
From:7634974263 08/04/2015 10:28 #860 P.002/002
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110
❑ 5/8"METER- 3/4"METER- ❑ 1"METER-
❑ 5/8"HORN - 93/4"HORN - ❑ 1"HORN -
El "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) $
CI'I'I'-USE ONLY777771
*For Current Pricing Refer to Current Year-Water Meter Pricing Chart
3/4
BRAND: 53314733
SIZE: ❑5/8" ❑3/4" ❑ 1„ ❑Other " I IIIIII IIID VIII VIII VIII VIII VIII VIII IIII III)
SERIAL#:
ERT HIGH 1I Jill (if applicable)
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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: 8 g /J
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Original: 1-Address File
Make Copies For: 1-Utility Billing Department
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE r�/� SCHEDULED 591
PERMIT NO. 20 �-( RGI/3 COMPLETED
ADDRESS �'( U V�nt �� � ICp,
OWNER TELEPHONE NO.
CONTRACTOR c,,
DESCRIPTION (�I J� C�J !/ U 4er
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
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
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:cc
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QC
QC �41Vv
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i0fF!QRK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El 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.
White Copyllnspector's File Canary CopylSite Notice