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Home My WebLink About2013-00016 - water softner � . CITY OF ORONO * 2 0 1 3 - 0 0 0 1 6 * 2750 KELLEY PARKWAY DATE ISSUED: Ol/08/2013 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1790 SHADYWOOD RD PIN : 17-117-23-21-0025 LEGAL DESC : SHADY-WOOD : LOT 020 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 3670 DODD ROAD- SUITE 100 EAGAN,MN 55123- MAIL-IN FEE 2.00 () TOTAL 22.00 OWNER EHLERS,TROY 1790 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��'�t-�-c--Q �. / / / / Applicant Permitee Signature Date Issue y ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED VE. ! t� . 7 I -°�'" FOR CITY USE ONLY (y.; �ity of�roa�o ` y� � P.O.Box 66 -� � ' Date Received: Pennit# � ?7�0 Kelley Parkway � ;5`l� �; Ci��stal Bay,MN 55323 Approved By: Amount$: �'�sk �w�`.:' (952)��9-4600—Main ' �sq::.' (95'_)249-�3616—Fax C��'y' ��' �I��RT�—��UlF�� E�1�dIg�' (All Commercial Permits l�lfust be�.pproved by�he S�ate Prior to City Approval) >�=°"'�i°.4'=`�R,.:�ii.e,�.at�*��1�:��:/r�kF;:�� ab�E�.��s•.�-:��s�.�c�� .:., ., GENERAL INFORMATION : - 1. You ma}�apply for plumbing pennits by mail or in person at the City o�ces. App]ications will be revie��ved and a permit will be issued within two working days. 2. Pern�it cards will be sent by return mail after a review is completed. PERMTTS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. V1'ORfi{1�iJS"d'1'dOT��GSIV U101'FP�.'TI�E �ERM[T Cfl,��S P�STEP�ON T�C�.�0�SI'�'E. 3. Plumbing perniits may be issued ONLY to licensed plumbin�contractors and to property owners residii�g in t!�e dwetling. 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 hou�•notece required) TYPE OF PERMIT • Check All That A ly �i]Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �`Replace ❑ In Accessory Structure? �You H�i11 need�rior aporoval and may need CL'P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �1�� 'Y lQ!�y �(�/60(,�1 �� • 1 t— Owner:1 �u � i'�-r.j MailingAddress: S�m�- C�� W z�p: 5 �3 9 ) , Home Phone: �',J Z�� (� ��D Alternate Phone: Contractor Information: Contractor: 0 �b�ontact Person: _�! 5 Address: �y(� �'� �a • State Bond#: City: ��1. Zip:��xpiration Date: `2��j Phone: `�� ,! ", 7� � Alternate Phone: ❑ Insurance-Current: ] c��%c'"' — ` ` t � r , _ PLIJMBING�'IXTURES�EIN�'r T�tSTALLE�: ;: FIXTURE BSMT 1 2"D OTHER FIXTURE BSMT 15 2 OTHER • TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposa] Water Sof[ener Dishwasher Wet Bar Sillcocks Miscellaneous PERIVIIT F'EE CALCLTLATIOI*I{S) _ BASEII O�'F-2002.STATE STATUE. �' Yes,this section applies The repiacement of an9y o�e Residential fiarture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin¢the cost of the fixture or appliance:and 3. fs improved,installed or replaced by the homeowner or licensed plumbing contractor. Sl:ip next section,ifthis applies; Cost ofPermit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable). $ 2.00 �'o�al Pecmit Fee $ ZZ-vU (Peratflit&'ees�oartir�ued�t�l�e�:t Pa�e) 2 - . , � , • PERMIT FEE C.4L�ULA,T`IC3N S =3Q�S OVER $500:00 ` If above does not apply;follow guidelines below: t• CON�'FtQ,C�'Pk�FCE '�is 1.25%of contract price with a(l�&iseamum Eee of�50.0(!) x.0125$ (contract price) (minimum�50.00) 2. ST',EaT�S�IFZCFi.Q.Ft�E X*Add the State Bldg Code Div. Surcharge(lt�inimum�ee of�5.00) x.0005 $ (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4• ��.�.�P��T F�E(Add Lines 1-3 Above) $ ° * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemiitted worl: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 sigied copy of the actual contract. o *�The STATE SURCHARGE is.0005 of the contract price under$],000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLU1vIBING PERN[IT APPI;ICATIOI�T AGREEMENT The undersigi�ed hereby app]ies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � ,/ ,� - �' t Applicant's Sionature: JC�� Date: I �� 1 Z 6�es�$ �crc� 3 �`�� DATE TIME ' CITY OF ORONO CALLED IN ��q y INSPECTION NOTI E / SCHEDULED `-'� � PERMIT NO.�� ( �COMPLETED ADDRESS �7�D �S`�=�-�1G�1�7,� �C—C' OWNER �vD'I/ ��J TELEPHONE NO. ��1' T7� Oz�O�O CONTRACTOR � �� DESCRIPTION �� p�/� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIL�ING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � � ❑WORKSATISFACTORY:PROCEED �'�?ROJECTCOMPLEfE W O CORRECT WORK 8 PROCEED ❑ I�UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�Q OwnedContractor on site: Inspector. � '..'__i�� I �/� � White Copy/l�spector's File Canary CopylSite Notice