HomeMy WebLinkAbout2018-00150 - water softner � ' CITY OF ORONO * z p� 1 8 - � � 1 5 0 *
2750 KELLEY PARKWAY DATE ISSUED: 02/13/2018
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : U50 SHADYWOOD RD
PIN : 17-117-23-21-0021
LEGAL DESC : SHADY-WOOD
: LOT 016 BLOCK 000
PERMIT TYPE : PLUMB[NG
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
VALUATION OF PLUMBING 500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.25
RICHARD GRASSIE INC. TOTAL 50.25
7600 W.27TH STREET#214 Payment(s)
ST. LOUIS PARK,MN 55426- CHECK 14940 50.25
(952)920-1200
Minnesota State License#:plbg-WC643888
OWNER
SHAW,GRETCHEN& LYLE
7001 KENESTON DR
EDEN PRAIRIE,MN 55346-
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 with whether or not specified herein.This permit will
expire and become null and void if construc[ion 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.
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/ L J,. � % .�/�i-'—
', pplicant Permi ignature Date Issu By Signature Date
i
/_�p ` City of Orono FOR C TY E O �Y
, �' �C3 P.O. Box 66 Date Received:
i 2750 Kelley Parkway � �
�� a Crystal Bay, MN 55323 Permit# �d ' � ) ��
�� c,`' (952)249-4600—Main �
��'xcsrio�-``� AppfOved By: �� f �
�..,. ,,,..� (952)249-4616—Fax
Amount$: � �
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:/Iwww.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf
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)
TYPE OF PERMIT(Check All That Apply)
��Residential ❑ Commercial (Approval Required) [Backflow Device: �AVB ❑PVB]
❑ New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site /Owner Information:
Site Address: � �J� `7��1C��C����l��JC^�X`a �C� � C7'�O'(�O � � �J�.'��'1 �
Owner. `_�;�`�iC',_�..� Mailing Address: `����r����__ C��`�, �,u��o��
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: � ��Ca t'd C-�f'Ca`:r�;.� Contact Person: �1 C�1(�f� ��'�Q�\�.
Address: llsL� l,� . 7^��=' C� �2.�`-� State Bond #: '-��=('��{�.��,���;
/c,c�c'a�3c_,���-�c:
City: �� . �.c���a-�_r� pC�� Zip: �;�����.� Expiration Date: 1�L����7
Phone: ct���7,-�ZU � 1�C� Altemate Phone: ��cJ7_-ZLIC� ��y �C�
[� Insurance — Currenfi �.�*:=.-��� �=�-� ,����t-;t�:�- • �-���`�,
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Page 1
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FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener �--
Dishwasher Wet Bar
Sillcocks Miscelianeous
" ,�. �,����'��',��� �k�. � �° �_��
1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00)
��� X .0125 $l l� �-`=i ���(-��
(contract price) (minimum $50.00)
2. STATE SURCHARGE
G�^ -
_�l_.�� x .0005 $ � Z�
(contract price)
3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ��� � Z `J
'' 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 submis�ion of a signed copy of the actual contract.
(�� ' PLUMBING PERMIT APPLICATION AGREEMEhJT"
The undersigned hereby applies to the City for is uan of a Plumbing Permit, agrees to do all work in
strict accordance with the ordinances of the �; a t � regulations of the State of Minnesota, and
certifies that all statements made on this api� r �omplete, true and correct.
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Applicant's Signature: Date:
Building Official/ Inspector: Date:
Page 2
DATE TIME
CITY OF ORONO CAILED IN
INSPECTION E /� SCHEDULED O�
PERMIT NO. �� v� COMP EfED
ADDRESS
OWNER ; TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCA�'GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE I�EMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE If�SPECTION
Q ❑ FRAMING ❑ MECHANICALFINAL ❑ RATEDI,WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLjAINT
v �E1NAL ❑ WATER HOOK-UP ❑ FOLLO -UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUN TION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCOMRACTOR TO MEET YOU:_YES_NO I
y COMMENTS:
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� O WORKSATISFACTORY:PROCE� �OJECT COMPL E
W ❑CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFICAT OF OCCUPANCY
0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPO RY
V BEFORE COMERING PERMA NT
❑CORRECT UNSAFE CONDITION�IVITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN i
❑STOP ORDER POSTED.CALL IN�PECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL Tp ARRANGE ACCESS.
Ca�i for the next in�pection 24 hours in advance. (952) 49-4600
OMmeHContra on site:. i
Inspector:
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