HomeMy WebLinkAbout2013-00076 - water softener . `.
CITY OF ORONO * 2 0 1 3 - P1 0 0 7 6 *
2750 KELLEY PARKWAY DATE ISSUED: OU30/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1374 REST POINT RD
PIN : 07-117-23-33-0012 �
LEGAL DESC : REST POINT
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURE-WATER SOFTENER
VALUATION OF PLUMBING 1000
APPLICANT PLUMBING FIXTURE FEE 50.00
PRONTO HEATING&AC STATE SURCHARGE PLBG(VALUATION) 0.50
7588 WASHINGTON AVE S
EDEN PRAIRIE,MN 55346- MAIL-IN FEE 2.00
(952)835-7777 MISC FEE 0.00
TOTAL 52.50
OWNER
GANGSTEE,GARY&KATHRYN
1374 REST POINT RD
MOUND,MN 55364-
AGREEMENT AIVD SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due use.
( � / i 3o i �3 ! i 3ai /3
Applicant Permitee Signature Date ssu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
REC E IV E D FOR CITY USE QNLY `
Q�a City of Orono �
O� `YO P.O.Box 66 Date'Itece�ved��� Permit#�� 7�
2750 Kelley Parkway JAN 3 0 2013 �
� � Crystal Bay,MN 55323 Apprqved$y: .AmQunt$��'�
(952)249-4600—Main ����
� (952)249-4616—Fax
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df
:GENERAL INFORMATION � ' _ � �
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
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�ry,
`�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need arior auaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
7ob Site/Owner,�ifo 'Y ���' �;�'
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Site Address: � �`� ��+�v�-'�� � �
Owner: ��'' � �� � Mailing Address: S��-
City: ��''�`� Zip: S S� �`1
Home Phone: b��Z,��"{'�S� Alternate Phone:
:Goritr�ctar�ot�a�h�� � ��'
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,� . � �,.��� �r �� ���
Contractor: ��'��� �� Contact Person: W�l� � wL
Address: �Sb� W��� �'` ,`"''�� State Bond#: t�- b`� 39 b3
City: �1 Zip:S��� Expiration Date: ��3� I I 3
Phone: �L" �;S�1� Alternate Phone:
❑ Insurance—Current: � �d.� Q�
1
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
JAN/30t�20I�/WED 10:51 AM Pronto Heating & Air FAX No, 9527679110 P. 005
Jan-30-2013 i0:16ae Froa-CITY OF ORONO �66x24a4616 T-878 P.006/007 F-588
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FlX'TURE BSMT 1 2 OTHER �iXTURL� BsM'I` �•� 2 (YTHFR
�'� FL FL 1'YPE FI., FL
W'ater closct �lonr Urains �
Lavatary Sewez�jocW� -
i
Bathtub Lew�dry Tray _
Shower Wasber '
Kitchea Siak '�Vatrs Hearer �
- - -� -� - - - - --,. ,. __
, -- -- , ,_., _ __Disposal ... _.,. : 'i�ater 9oitanar _
�
Diahwasher Wet Bar ..
, ,.. .
Silicocl�s IvlisceUaneous �
9 1 V• I�
,+,1,k� - ;r'
❑ Yes,this Rection applics
Thc w�l�acefn�nt o�oaly vne Re ' en ia fix re or a liance t�at nteets aIl three of the tollowing
requiremenfs: '
1. Does n requue moL�IPICStiOq t0 @�CCL[LCBL br�g�CI'VjCC,
2. Has a total co nf�SQ0.00 or less;rxe�u�i the cos�ofthe fixttve orappliauce:and
3. Is improved,installec�or replacad by the h�om�ayu�c�Qr lice�sed plumbing�contractor.
Skip next sectipn.(f 's applies; Coyk of Fermlt $ 15.00
� I St��te Surcba�ge $ 5.00
Mail-In Fee(�€Applio�ble� $���
Total Perrnit Fee $
_^
� .
� I
(Permit fiees ConNnued�n Nex page)
� ;
,_ � 2
; , � i
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
(bbb • �U x.0125 $ �0 . bC�
(contract price) (minimum$50.00)
2. STATE SURCHARGE
� ti� ' �� x.0005 $ ' Sb
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S Z • S U
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
The undersigned hereby applies to the City for issuance of a Plumbing 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 complete, true and
correct.
Applicant's Signature: � Date: � t ����
I P
3
DATE i--''�' TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.���? •DOD2� COMPLETED 11-/�'�/
ADDRESS/,37� I�e�� /�E - /?�D-
OWNER TELEPHONE NO.
CONTRACTOR �ron�6 �����l�
� DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
= FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
MO-SITE ❑ SEPTIC MAINT. FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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� ❑WORKSATISFACTOR`F.PROCEED �BQJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL REfURN
❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector: �
White Copyllnspector's File Cenary CopylSite Notice