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HomeMy WebLinkAbout2016-01062 - water softner � �`` CITY OF ORONO * 2 PJ 1 6 — 0 1 0 6 2 * 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 60 SMITH AVE PIN : 02-117-23-21-0003 LEGAL DESC : ORONO ORCHARDS : LOT 041 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIv TYPE : WATER SOFTENER NOTE: WATER SOFTENER VALUATION OF PLUMBING 485 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.24 RICHARD'S CUSTOM WATER TOTAL 50.24 7600 W 27TH STREET#214 payment(s) MINNEAPOLIS,MN 55416- CHECK 14220 50.24 (952)920-4200 Minnesota State License#: BUIL-WM061456 OWNER MILLER, ROBERT 60 SM[TH AVE 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 with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of l80 days any time after work has commenced. The applicant is responsible for a unng all required inspections are requested in conformance wi ate Building Code.This permit may be revoked at any time for�l�caus ' �'� :���E� � � � �� /(o Applicant Permitee Signature Date Issued B ignature Date � �, �p� City of Orono FOR CI ONLY O P.O. Box 66 Date Received: �� , � 2750 Kelley Parkway Permit#_ p2P,/ (p�(�/�p Crystal Bay, MN 55323 � c> (952) 249-4600—Main �l�KfSHOR� (952)249-4616—Fax Approved By: Amount$: CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDFIpe 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) �esidential ❑ 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: ��� - �� �,Jy /��� Owner:�/�� �U���� Mailing Address: City: � /�D�✓�> Zip: ,�5 Home Phone: Alternate Phone: Contractor Information: / � � , Contractor: �/�'/��s l/�,��r�("` ��ArContact Person: l �� Address: ���3 � o�%� � �`^J�,State Bond #: ..� City: - �.n��%� ���� Zip: � y, Expiration Date: Phone: �S � � `�� �`��� Alternate Phone: ❑ Insurance — Current: Page 1 \ PLUMBING FIXTURES BEWG INSTALLED ` ` I � FIXTURE BSMT �sr 2ND OTHER FIXTURE BSMT 1sT 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 Silicocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 25% of contract price with a (Minimum Fee of$50.00) �/ C1� J/Y ✓ x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 c�- � � 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ * 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. PLUMBING PERMIT APPLICATION AGREEMENT 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 �ity and the regulations of the State of Minnesota, and certifies that all statements made o is app` ation are complete, true and correct. / ��'.�1� �� A IicanYs Signature: � Date: PP �. Building Official/ Inspector: Date: Page 2 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /D-/,o _�� D,�6r� PERMR NO.o�D� b��cC--,��ETED . ADDRESS � OWNER ' T L HONE NO. a9 a- � CONTRACTOR — �'�- � DESCRIPTION "��� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINd Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z 01NNERICOIfTMCTOR TO MEET Y�OU:_YES_NO � COMMENTS: 4 `�"�,1�C/� o G v � (�✓(� . r .. �. p � '� /'G.1 .. � . ). � �O W � Q � � W � J � �WORK SATiSFACTORY:PfiOCEED �,ROJECT COMPLETE W ❑OORRECT W'ORK 3 PROCEED O ISSUE CERTIFICATE OF O(:CUPYINCY O ❑OORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl tor the next inspectfon 24 hours in advance. (952) 249-4600 OMn�eNContractor on ske: Inspector: (3b� � VYhite CopyAnapector's Fil� C�nary CoppIBN�Notla