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Home My WebLink About2015-01053 - water meter CITY OF ORONO III I III III _.1111.1 11111 I U 2750 KELLEY PARKWAY * DATE H20 1ED 08/19/2015 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 • ` ' ADDRESS : 450 OLD CRYSTAL BAY RD N PIN : 33-118-23-13-0020 LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD : LOT 001 BLOCK 001 PERMIT TYPE : WATER METER-RESIDENTIAL PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : WATER METER-RESIDENTIAL NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 651.92 WATER METER RESIDENTIAL HORN 116.30 NORTHERN MECHANICAL TOTAL 768.22 1975 SENECA RD Payment(s) EAGAN,MN 55122- CHECK 3544 768.22 (651)789-2275 OWNER Jem Technical 450 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- 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. _ `n Ul� Q ---FSa 2 , I? / �S Applicant Permitee Signature Date I J Issued By Sig ature D 08/17/2015 11 :57 #3778 P. 001/002 or\ 4,i) A 4( (--:-4:6;cr-, RCl YUSEO 7nt,G--6 /0 . * Cityof 6rono � �D/�Q P.O.Iiox 66 Date Race /� Permit 3i 2750 Kelley Parkway 111 Crystal Say,MN 55323 Approved By"'°Required): 6 •O . _ / 8// VY (952)249-4600 �a ..�t; ':.;:,fit.l ' � �c CITY OF ORONO-WATER METER FORM lns�. TiL I IS K__ri_i (Note:Some permits may require approval by the Building Official and/or Public Works Department) GENERAL INFORMATIONw p�c Ituw ��. i li t`i 1. WATER METERS must be picked up and paid for at City Hall. ��Nv / ) '� ) 2. If possible,fax in this application ahead of time;we will then call you and let 'or-�IL the water meter in stock. Fax Number:(952)249-4616. Also,you can call ah "7 0, -, sure we received the fax,or to warn us that the fax is corning. 3. WATER METERS must be set and sealed by Orono Water Aepartm ®// //, 41V upon completion of meter installation. ../ D TYPE OF PERMIT (Check All That Appy) D Residential(May Require Approval) 14 Commercial(Approval Required) lt&I New Meter )151Additional Meter-For: tX'a i-a,4.;,,t, ❑Replacement Meter Job Site/Owner Information: Site Address: 4f O ik _eg-tfrt-ct.l ooy R.ot Aq Owner: .3-4?- 1,2, Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information_ Contractor: Olt ri-ttekn Contact Person: 'Tal v 440,,,A.ssm.,e A �vts Address: i 9'c. �� 1 a4tcl State License#: pc 6-1 S$ City: &toll o...t Zip:`6c(expiration Date: 1�-- (S. Phone: C.S-1-7$5 4 al Alternate Phone: 651- 4.rr -g3 g • o.' ,�6 B ;�C i � ¢ �k n .'"49s_ r z� d ✓ , ❑ 5/8"METER- ❑ 3/4"METER- ❑ 1"METER— 1=1 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 Current Pricing Refer to Current Year- Water Meter Pricing Chart * _-cU►rL�� ' BRAND: SIZE: ❑ 5/8" ❑3/4" ❑ 1" me her I `Z" SERIAL#: ERT HIGH#: IIIIIIII1I�II3111111 (if applicable) 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:it0g/.---- Date: //1 Original: I-Address File Make Copies For: 1- Utility Billing Department FOR CITY USE ONCE �T City of Orono P.O.Box 66 Date Received: Peewit# slic.... �i 10 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:(If Required): (952)249-4600 �`.< ,G CITY OF ORONO—WATER METER FORM -1'FESH04 (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 0 Additional Meter—For: ❑Replacement Meter Job Site/Owner Ilortmation: Site Address: Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Alternate Phone: r e e 61-7 DATE wQ -a, E CITY OF ORONO CALLED IN • INSPECTION NOTICE SCHEDULED Jy(_. 41 - PERMIT NO._;20/5- 0/o53 COMPLETED ADDRESS 5. is l I [s ssi l OWNER TELEPHONE NO. CONTRACTORJJ 2h oc/4 DESCRIPTION /Q yei ":eyA W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C:1 ❑ FOUNDATION WATERPROOF ElPLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL • ❑ DEMO-SITE 0 SEPTIC I TALL • OW RICONTRACTOR TOM w yES NO • COMlEC-WIytny cC !!!��`.10 141 Q E /S"30 373 3 %3 ° .veno. 1--44 &yI( n� /£fie vg W CC CI WQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W LI CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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 Ndtice