HomeMy WebLinkAbout2018-00337 - water meter 11
CITY OF ORONO I
* 2018 - 00337 *
2750 KELLEY PARKWAY DATE ISSUED: 03/22/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2880 GOLDENROD WAY
PIN : 33-118-23-24-0046
LEGAL DESC : ORONO PRESERVE
: LOT 16 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)249-4600
5/8"NEPTUNE METER
SERIAL 36789179
ERT# 1548080920
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 253.00
WATER METER RESIDENTIAL HORN 82.02
SABRE PLUMBING&HEATING
15535 MEDINA ROAD TOTAL 335.02
PLYMOUTH,MN 55447- Payment(s)
(763)473-2267 CHECK 33538 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 thhe-St�te Building Code.This permit may be
revoked at any time ford > ause //
qg/al #
110 3
4plicant Perm'ee Signature ate Issu-:�:y Signature Date
�'� rte` City of Orono 'a is , '::.1',".-4.174-',,,,'„0,64 ' :3"7
P.O.Sox 66 A94, bC.0A' �-
d ' 2750 Kelley Parkway +c ,a t'`4`-:;Nt.s :z•: L, s
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CITY OF ORONO—WATER METER FORM
(*Note:Some its may require approval by the Building Official and/or Public Works Department')
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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.
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Residential(May Require Approval) ❑Commercial(Approval Required)
arNew Meter 0 Additional Meter—For: n Replacement Meter
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Site Address: -slso God bruit d yvA•vl
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor: 'Saba. 01109 , 144-9 Contact Person: I
Address: 1' 535 mi., License#: t b 4
_ - 9
City': "P y►Ip N, Zip:55441 Expiration Date: 2 51-. 20 l9
Phone: `7[0'6413. LU 1 Alternate Phone: 1/9).253.41 lit
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15/8"METER- ❑ 314` METER- ❑ 1"METER-
( "5/8"HORN - 0 3/4"HORN - 0 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) $ 3351)z
apt - 3 `z>pt;
* For Current.Pricing Refer to Current Year- Water Meter Pricing Chart*
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BRAND: 5/8"x 3/4" '
II 36789179
SIZE: ❑5/8" ❑3/4" ❑ 1" ❑Other IIIUI IIIII VIII IIIII VIII VIII VIII IIIII IIII IIII
SERIAL#:
ERT HIGH#: (if applicable) 1. 8Qg092
0
L...IGte1-TV�,Is.. 1 ��:
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: 1pt,w i 1 4A Date: 3•ZO -ZO
Original: 1-Address File
Make Copies For: 1-Utility Billing Department 1-Cash Drawer
DATETIME
CITY OF ORONO CALLED INc''..-- --)----- &J--________ /
D //e,
INSPECTION O C SCHEDULED 1 .
PERMIT N s"�a3 / Co LET D
ADDRESS U (aeiv�
r
e,(1 -
OWNER •. TEL PHONE NO. i �7 , 7
CONTRALTO 4
DESCRIPTIONSO •/ f'/' 4
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
It.• ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL ElTREE REMOVAL
C
Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
R 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
is ❑ 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
v• ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
/4 COMMENTS:
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WKeig-til r (6cCYO / 23I --e- 5-
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IQ ;i`WORK SATISFACTORY:PROCEED ! OJECT COMPLETE
CC
W /❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COHERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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
OwnedContractor on site:
Inspector: ✓a"10 A CAr 714"
White Copyllnspector's File Canary Copy/Site Notice