Loading...
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 / V- O �:N � � � � e� � � �� �� 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. �a►� � vs�ax�.� 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� � 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: � � � a,r � � � � � � ,�� �,W. , ... �.��?�z,�.�� 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 � �, � �� � l NEPTLTNE-3/4" METER-SERIAL#49857692--ERT- 1810053934 � _-�`�`� } � � � � v`"� �� / � � �.'-r 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: � �. ��� " ������: � �� Original: 1-Address File Make Copies For: 1- Utility Billing Department 1-Cash Drawer