HomeMy WebLinkAbout2015-00462 - plumbing � ' CITY OF ORONO * Z 0 1 5 - 0 0 4 6 2 *
2750 KELLEY PARKWAY DATE ISSUED: 04/23/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1860 SHADYWOOD RD
PIN : 17-117-23-24-0018
LEGAL DESC : SHADY-WOOD
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTNER
NOTE: WATER SOFTNER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
STATE SURCHARGE PLBG(<$500) 5.00
ECOWATER MAIL-IN FEE 2.00
3208 FIRST STREET S
WAITE PARK,MN 56387- TOTAL 22.00
(320)251-2505 Payment(s)
Minnesota State License#:plbg-PC643402 CREDIT CARD 3331 22.00
OWNER
OMLIE,WILLIAM&RHONDA
1860 SHADYWOOD RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEME1vT
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 additionai or related work which requires separate
permi[s. 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. e �/
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Applicant Permitee Signature Date Issued By Signature Date
Monica Fadness
From: Todd Kerfeld [stcloudecowater@yahoo.com]
Sent: Thursday, April 23, 2015 9:58 AM
To: Monica Fadness
Subject: 1860 Shadywood Road
Attachments: Permit app 1860 Shadywood Road.pdf; Signature page for Shadywood road.pdf
Greetings,
Attached you will find the complete permit app that did not fax
properly yesterday.
The second attachment is the signature page, I forgot to sign the
first copy; Sorry
Please call for credit card information
Thank you.
Todd Kerfeld
Ecowater Systems
320-251 -2505 -
800-279-8290 -
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,�p� Cit�af Qrono N'oR ct�'Y usE Or�Y
P.().Dox bb Date Roccived: /� l/�Permit il �5— `►�O�i
�+�,,,., y� 2750 Kelity Parl;�uay
E u
r Grys�l8ay,MN 55323 Approvcd By: �_Amaunt 5:�
�•�, , `� (9S2)249-�W–Main
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(�35?)249-dbi6–Fa�
C�TY OF 4RC►N0—PLUMBING PERMIT
(All Gommercial Permits Mast be Approved by the State Prior to City Approval}
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GENERAL INFdRMAT10N '
1. Yau may apply for plumbing permits hy mail or in parson at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Pcrmit cards wiil be sent by return maii aRtr�review is camplcted. PERM11'S ARE Nt}T
VALlD UNTfL YOtJ RECE[VB A AERlvtifi. WORK MUST NOTBEGiN UNT1L THE
PER{l1tT GARD IS POSTED OIV THE JOB SITE.
3. Plumbing permits may tse issued ONLY to licensed plumbing contraetors and to property owners
residing in th�dwellirtg.
4. When any new construction or remodeling is involved,a sepacate buildEng permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
G. All work must be inspected and air tested before it is covcred. Ca11(952)?49-Q600.
{24-48 hour natice required}
TYPE OF PERMIT
Check AII That A' !
�Residential ❑Commercial(Approval Requiredj
❑New ❑Additional ❑Repaics Q RE()IBC�
❑ Itl ACCCSSOt}+Sl�UC2UIC?
•You will need nrior snnroval and may need CUP.(Per Orona City Code,Ghapter 78,Article 1V}
Job Site/Owner Information:
Site Address: 18s� �had�/WdQI� �O�,d
Own�r: �honda C)mlic Ivlaifin�Addressc ��o Shadywood road
c��,: �rono zip. 55391
Home Phane: t612} 860-6431 Alternate Phone:
Contractor Informatiani
Cantractor: Ecowater Contact Person: TOCICI
Address: ��g�irst Street South St�te Bond#: P+C643402
c�ey: �aite Park Z�p:�s� �x�;�at�on t�t�: 12131/13
t�hane: (320} 251-2505 Alternate Phone•
� [nsurance—Current: YGS
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FtXTURE BSMT 1 2` OTHER FIXTURE BSMT 1' 2` OTHER
TYPE �L FL TYPE FL fL
Water Closet Ftoor Llrains
Lavatory Sewer Ejcctor
8athtub l,aundry Tray
Shower Washer
Kitchen Sink Wacer Hester
Disposa! Water Softener 1
dishwasher Wet Bar
Silicocks MisceJtaneous
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[] Yes,this section appGes
The replacement af ooiy oneResidential Eixture ar a�plaance th$t meets all three ofthe following
rtquiretnents:
t. Does not requirt modification to eEectrical�gas service,
2. Has a t taa !cost of$500.00 ar less;�ci i 'n the cost of the fixture or apptiance:and
3. ls improved,instatled or replaced by the homeaw»er or licensed plumbing contractor.
Skip next section,if this applies; Cosc af P�rntit $ is•OU
State Surcharge S s.oa
Mar1=1n Fee(IfApplicable) $ 2.U0
Tota1 Fcrmii�ee ��z'.00
(Permit�ees Continued Qn Next Page)
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!f above does not apply;follow guidelines below:
l. GQNTRACT PRICE *is 1.25%of contract price with a{Mlnimum Fee of 550.00)
x.0123$
(contract price) (eninimum 5{(1.011)
2. STA7'E SiJRCNARGE
x.0005 $
(rantmct pric�:)
3. POSTAGE&HANDWNG(Only on Mail-!n Applications} $ 2.Q0
4. TOTAL PERM[T FEE(Add Lines i-3 Above) �
■ '� CONTRACT PttICE or JOB GOST means the actual or estimsted dallar amount chargetl far the
permitted work including materiats,labor,profit,and other frxtd costs. it is the amount ta be char�ed
to tho customer for the worlc done. !f any matcrial,equipment,labor ar installations are furnishcd by
the owner,tenant or any other party,ths reasonable market value of such items must be added to ihe
estimated cost ar contract price for permit fec purposes. [n the eveni that there is a dispute on the
amaunt ofthe job cost,thc Ciry may request the submission of a signed copy of the actuat contract.
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The undersigned hereby applies to the City for issuance af a Ptumbing Permit, agrees to da all
work in strict accordance with the ardinances of the City and the regulations of the State of
Minnesota, and certifies that alt statements rnade on this application are complcte; irue and
conect.
Applicant's Signature: �� I Date: 04/22/15
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41 O FOOTING ❑ DEMO-FINAL ❑SEPTIC FINAL
� Q PaUF�D WALL ❑PLUMBINO RI ❑EXCAWC�RADIN(iIFILLINO
O Q FOUI�ATION WATERPROOF 0 PLUI�M10 FIW1L ❑TREE REMOVAL
� Q RADON SU18 ❑MECHANICAL RI 0 SITE INSPECTION
Q FHAMWG ❑I�CHANIC/1L FlNJ1L 0 RA7ED WAL1S
� O Ip�gULATqH O W'OOD BURNERIFIREPLACE COMPLA�NT
` ❑FMIAL �WATER FI001(-UP -UP
4� O AS BUILT-SURVEY ❑3EWER H0014-UP 0 FOUNDATIOWREMOVAL
r 0 DEMO-SITE �SEPTIC IN3TALL
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j Permit has expired per MN Building Code Sec. 1300.120 subp. 11
> Expiration, no record of a Final inspection.
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Q O QORR�CT WONK,CALL FOR F�INSPECTION ' 7BAP'ORMY
�j BEFORE Cdl�MN3 PENIAANBrT
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