HomeMy WebLinkAbout2018-00394 - water meter CITY OF ORONO I I I 1 1 1
2750 KELLEY PARKWAY * 2 1 - 0 P1 3 9 4
DATE ISSUE003
04/02/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3472 LYRIC AVE
PIN : 17-117-23-43-0074
LEGAL DESC : NAVARRE HEIGHTS
: LOT 018 BLOCK 005
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
3/4"NEPTUNE METER
SERIAL 53415948
ERT# 1540060594
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 308.00
WATER METER RESIDENTIAL HORN 97.57
CENTER POINT PLUMBING TOTAL 405.57
21330 CLEARY ROAD
Payment(s)
NOWTHEN,MN 55330-
(763)843-3431 CREDIT CARD 5005 405.57
Minnesota State License#:plbg-PC643863
OWNER
Joshua Markum Bldrs,Inc.
7867 EASTWOOD RD
MOUNDS VIEW,MN 55112-
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.
i1k- l - / v2 //I
App scant Perpi -e Signature ate Issues y Signature Date
POR diet'
� City of Orono
�i VrO P.O.Box 66 Permit
t
2750 Kelley Parkway
Crystal Bay,MN 55323 BY:Of 00
�kESHOR� (952)249-46CITY OF ORONO-WATER METER FORM
(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 OFPyr
(Check All That )
Residential(May Require Approval) 0 Commercial(Approval Required)
IR'New Meter ❑Additional Meter-For: 0 Replacement Meter
Job Site/Owner In":
Site Address: 3(-177_ Lickc AJ e_ / -eisituc,.- ‘3 v:,l Atcs
Owner: M -r O1 sa \ Mailing Address:
City: D co'o Zip: SS 3,
Home Phone: t9(2-99t-78.1 Alternate Phone: 1(
Contractor Inf
Contractor: t!e v-(-'7S`ti.o V , Contact Person: "^ Col-e.
Address: 2k 330 CAesy-ty Ect State License#: CPC-4(43g63
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City: 1�'a`'S `A ZipS5330 Expiration Date: ( Z/3 II/ 9
Phone: 7(9-3-St 6)- 4 2_9s Alternate Phone: <
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❑ 5/8"METER- ❑ 3/4"METER- ❑ 1"METER-
ID 5/8"HORN - Er 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) $
I CITY-USE ONLY I
* For Current Pricing Refer to Current Year-Water Meter Pricing Chart * 3/4
5341 II
BRAND. IIllIlttIIlItIIUhIIlI5948 IIIIIIIIIu k I�IN
SIZE: ❑5/8" ❑3/4" ❑ 1" ❑Other "
SERIAL#: 1 081s9al
ERT HIGH#: (if applicable) _ _
I ADDITIONAL INFORMATION--WATER.METERS I
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: Y/7--7(
Original: 1-Address File
Make Copies For: 1- Utility Billing Department
DATE TIME \.;
CITY OF ORONO CALLED IN
INSPECTION OT E 0,1g SCHEDULED Lit g f ,05
•
PERMIT NO COMPLETED
ADDRESS u-1OC Q
OWNER TELEPHONE NO. 11,3_ 1' -3 L131
CONTRACTOR Cho
DESCRIPTION \(,L)Qom/ Ori — S"`
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
CI Z ❑ LATHE ❑ MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ 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
' OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Si COMMENTS: 1
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14 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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:
Inspector:
White Copy/Inspector's File Canary Copy/Site Notice