HomeMy WebLinkAbout2010-00210 - void - no water meter needed . .
CITY OF ORONO PERMIT NO.: 2010-00210
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE 1SSUEn: 04/13/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 915 PARTENWOOD RD
PIN : 08-117-23-21-0011
LEGAL DESC : PARTENWOOD
: LOT 002 BLOCK 003
PERMIT TYPE : WATER METER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
NEPTUNE-3/4° METER-SERIAL#49857692--ERT- 1810053934
WATER METER RESIDENTI�L HORN 1 WATER METER RESIDENTIAL 1
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APPLICANT WATER METER RESIDENTIAL 322.20
B&D PLUMBING&HEATING INC. WATER METER RESIDENTIAL HORN 86.64
4]45 MACKENZIE CONST TOTAL 408.84
MN 55376-
(763)497-2290
OWNER
SAFAR,MARY
925 PARTENWOOD RD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work Yor which[his 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 aze
requested in conformance with the State Building Code.This permit may be
revok t any time for due cause.
� � / /
p cant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono p .,m
��`��� P.O.Box 66 Date Received:� ` �� i'ermit#��Q �"
2750 Kelley Parkway
��- k;�.� Crystal Bay,MN 55323 Approved By:(If Requited):
�* (952)249-4600
� CITY OF ORONO—WATER METER FORM �s'•�r
(*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. Ifpossible,fa�c 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 ineter installation.
TYPE 4F PERMIT
Check All That A 1
�✓ Residential(May Require Approval) 0 Commercial(Approval Required)
�New Meter ❑Additional Meter—For: �Replacement Meter
Job Site/Owner Information:
Site Address: 915 Partenwood Road
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
B&D Plumbing/Ht. and A.C. Joe Barbeln
Contractor: Contact Person:
Address: 4145 MacKenzie Court N.E. State License#: 5928�
St. Michael 55376 12/31/2010
City: Zip: Expiration Date:
(763)497-2290 (612)328-0324
Phone: Alternate Phone:
`;,,
❑ 5/8"METER- ❑✓ 3/4"METER- � 1"METER-
� 5/8"HORN - 0 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 *
BxArtD: �It-e-�"1�.V1�
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SIZE: ❑5/8" �3/4" ❑ 1" ❑Other "
SE�.#: �-R �5 7 b5�
ERT HIGH#: IIIIIIIIIIIIIIIUIIIIIIIIflIi (if applicable)
1810053A34
ADDITIONAL INFORMATION-WATER METERS
T'he 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.
04/08/2010
Applicant: Date:
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Original: 1-Address File
Make Copies For: 1-Utiliry Billing Department 1-Cash Drawer
� CITY OF ORONO PERMIT NO.:� 2010-00210 �
2750 KELLEY PARKWAY ��
DATE ISSUED: 04/13/2010
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 915 PARTENWOOD RD PERMIT APPLICANT:
PIN : 08-117-23-21-001 1 B & D PLUMBING& HGATING INC.
LEGAL DESC : PARTENWOOD 4145 MACKENZIE CONST
: LOT 002 BLOCK 003 MN 55376-
PERMIT TYPE : WATER METER
PROPERTY TYPE : RESIDENTIAL ,�/ \1�
CONSTRUCTION TYPE : WATER METER ��'C�\,�9
]NSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION, PLEASE CALL: (952)249-4613 � �, � ��
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NEPTLTNE-3/4" METER-SERIAL#49857692--ERT- 1810053934 �
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BUILDING INSPECTION RECORD �,� �
48 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. '�A � /�
CALL FOR INSPECTIONS WEEKDAYS: �
INSPECTION TYPE DATE 1NSPECTOR INSPECTION TYPE DATE [I�ISPECTOR
SET& SEAL-DONE BY: PUBLIC ORKS
�
INSPECTION COMMENTS:
IN ACCORDANCE WITH CITY ORDINANCE,NEW OR SUBSTANTIALLY REMOD�LED E3UILDINGS SHALL NOT E3G OCCUP[ED UNT[i.ALL
WORK HAS BEEN APPROVED,AND A CERTIFICATE OF OCCUPANCY HAS QEEN ISSUED BY THE BUILDING DEYARTMGNT.
THIS CARD 1Vf€�Si B1� POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
FOI�. USE ONLY
��p�'�, City of Orono .��/D �
• ��� a P.O.Box 66 Date Recei� Petmit# la—o
�t 2750 Kelley Parkway �
� �� ' Crystal Bay,MN 55323 Approve�By:(If Required): '
'����_'� ��� (952)249-4600 ,'�
�� �/ �
CITY OF ORONO—WATER ME ER FORM ���''•�S� ,`
(•Note:Some permits may require approval by the Building Official d/or Public Wodcs Department*)
GENERAL INFORMATION
4
1. WATER METERS must be picked up and paid for at Cit�r Hall.
2. If possible,f�in this application ahead of time;we will then call you and let you kn e have
the water meter in stock. Fax Number:(952)249-4616. Also,you can call a ea 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 ineter installation.
TYPE OF PERMIT
Check All That A 1
❑✓ Residential(May Require Approval) ❑Commercial(Approval Required) �
�New Meter �Additional Meter—For: �Replacement Meter S�
. `7�
Job Site/Owner Information: �
Site Address: 915 Partenwood Road ,
/ �
Owner: Mailing Address: �
�
City: Zip: ��
Home Phone: Alternate Phone: �'
�
Contractor Information:
B&D Plumbing/Ht.and A.C. Joe Barbeln
Contractor: Contact Person:
4145 MacKenzie Court N.E. 59287
Address: State License#:
City: St. Michael Zlp: 55376 Expiration Date: 12/31/2010
Phone: ��63)497-2290 Alternate Phone: �612)328-0324
❑ 5/8"METER- ✓❑ 3/4"METER- � 1"METER-
❑ 5/8"HORN - 0 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 *
BxAt,rD: �1-2�}'1�..Yl�
SIZE: ❑5/8" �3/4" ❑ 1" ❑Other "
SE�,�.#: �-q �r 5 7 b5�
ERT HIGH#: III III11111IIII111111IIII p 1►
�a��� (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.
04/08/2010
Applicant: Date:
� �.
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Original: 1-Address File
Make Copies For: 1- Utility Billing Department 1-Cash Drawer