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Home My WebLink About2015-00983 - water softner • � CITY OF ORONO * Z 0 1 5 - 0 0 9 8 3 * 2750 KELLEY PARKWAY DATE [SSUED: 08/03/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1770 SHADYWOOD RD PIN : 17-117-23-21-0023 LEGAL DESC : SHADY-WOOD : LOT 018 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 1.00 CROIX CRYSTAL MAIL-IN FEE 2.00 3440 YOERG DR HUDSON, WI 54016- TOTAL 18.00 (715)386-8667 Payment(s) CHECK 14070 18.00 OWNER O'DONOGHUE, DANIEL&SUE 1770 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days a[any time after work has commenced. The applicant is responsible for assuring all cequired inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. .� ��y1�f��f_� � �-� Applicant Permitee Signature Date Issued B ignature Date � � R TY US NI:Y �� -O ��,, City of Orono �' � �- Nj1� P.O.Box 66 Datz Rec � _ Pzrmit� �1,.�� -� 2750 Keliey Pazkway r r Crystal Bay,MN 55323 Approved f3y: �___ Amount$:_�� G� � (952)249-4600-Main �� (952)249-4616-Fax '� �li�� '` U "�� ti,° CITY OF ORONO—PLUMBING PERMIT ��°`�F��i t'R�' (All Commeicial Pemuts Must be Approved by the State Prior to Cit�l��aI�RONO t�tt �;It�tiw�d��.�li.n�n.��>�:C'C-1.11!P�[� �� #t�€�at� la��e��.t . �if` GENERAL INFC}RMATTON 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pemuts may be issued ONLY to licensed plumbing wntractors and to property owners residing in the dwelling. 4. When any new consfrucrion or remodeling is involved,a separate building pernut 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 reqaired) TYPE OF PERMIT Check All That A l �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �2eplace ❑ In Accessory Siructure? *You will need prior aqproval and may need�UP. (Per Orono City Code,Chapter 78,Article I� Job Site/Owner Information: Site Address: ( } J�1�u� �vL�C� � �� (,. � Owner: �:,�� l, �;�� . Mailing Address: � �' � �'Jl;�- � � ��Ty: b�;r�� Z�p: 5 � 3`� I Home Phone: �"J� `I c)I ��I`Z�., Alternate Phone: Contractor Information: �r'�'�� C.I��TLt,k �� Contractor: ►��t�('.l' �N��1`M%�� Contact Person: �J I�� „L�� Address: � �� r� State Bond #: � � Zi City: '� p:��Expiration Date: Phone: �l'fj �L�� (�) �� Alternate Phone: ❑ Insurance—Current: i � � �, .�; ,- , , _.. y . K i 5' � \� � � �'c:'�- �ec. 'J�C �y�h 'z. F. s.`y`t. ��: ' ' ' ' ..-''€�. .'r: 3. FIXTURE BSMT 1 2 OTHIIt FIXTURE BSMT 1 2 OTI-�ER 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 I Dishwasher Wet Baz Sillcocks Miscellaneous ��,.. 4 � . � . ..._ .. . � ��:� - ��.x-�--�?�r Y`'..t. � .. - _-�� - ��a �� . ' s\ s.4� �' �. �.��".��-�.e`�,� .,:�:�x �-^ �_- --- "��:�".� ��."� a :: �z , �• .,:t j ��.�-�:� _ ��,�-'�''*y�,.`��_ - .�.'��LLs �`� �..`` -`< �' s ., :. . ..> .�y,. , -. <�.� ... , ��-. �-. - - ` '� Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not cequiie modi�tication to electrical or gas seivice. 2. Has a total cost of$500.00 or less;ex 1 ' 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 Pemrit $ 15.00 State Sw�charge $ l.00 Mail-In Fee(If Applicable) S 2.00 Total Permit Fee S� (Permit Fees Continaed On Neat Page) � 1 . � , . . _.. .. , _. .. _ ._. . _. .. - _ � -��= ,.Y.:��; If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of SS0.00) x.0125$ c��vryce) (��aso.00� 2. STATE SURCHARGE x.0005 � (�atract Price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2.00 4. TOTAL PERMIT FEE(Add Li�s i-3 Above) S ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar a�u� charged for the permitted wo�ic inc2uding materials, labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. ff 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 coniiact price for pernrit fee purposes. In the event that theie is a dispute on the amount of tt�e job cost, the City may request the submission of a signed copy of the actual contract. � . �. �� -� ;�� x , _ >� �'�"�� .: . k v\� � .. The undersigned hereby applies to the City for issua�►ce 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 conect. Applicant's Signature: � �� J �� Date: � � Z pA� TMAE ��Q�N(� GILLED IN p�Np ��dD493 �n � --- ADDRE$S �77b •�d•�ore__�l piyrN� TELEPHONE NO. COI�RJICTOR G/�'�` C�7 s�G � �� Y�r J�J7uLIv /As�!/ W a�,,,� � DEMO-FINAL ❑SEPTIC FINAL t p PouRE�wnu a r�LUMexrc�R� o ExcAvroRl►nlNolF�wNa O �FOUNDATION WATERPROOF 0 PlUt�iNO FINAL ❑TREE REMOVAL Zi ❑RADON SU18 ❑MECHANICAL RI ❑SITE INSPECTION � �FRMAY�(i ❑N�CHIWICAL FlW1L ❑RAl"ED WALLS 1=• O �1SULATION O WOOD BURNEfiIFIREPLACE O COt�LaM ` �FINAL O WATER FIOOK-UP �OLLOtlM-UP � 0 AS BUILT-SURVEY ❑SEWER HOOK-t1P ❑FOUNDATIOWREMOVAL J O DEMU-8RE ❑SFPTIC INSTALL � TO II�T Yalh_Y6�_NO � �� j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 � Expiration, no record of a Final inspection. � � � � � W W � , W o waac a�►n�incrom:�+oc� o w�a�cr ooM� � ❑OOf�T M�ailc i Pfioc�EC o 188uE c�mRG►TE OF oOaJPMNCI► � o�c�rwo�c,c.�u.Fon�iNsaEc�riow �Poau+r �oov�o �u►Na� O CORRECTUNSAFEOONDITIONIMTHIN �� O PHOTOTAKEN ��p�� O CITATION ISSUED ❑8TCP OADER P06TE0 G1LL INSPECfOR O M�CTION�D.CALL TO AiiRAN(iE ACCE8S. ��ti,.,,.,��.�uo„u�h�a,�no..(9;'i2� 249-4�0 on _ � � rnwwcovr�av.c�or+��. c�n►�'r�o�o'