HomeMy WebLinkAbout2018-00371 - water softner � - � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 3 7 1 *
DATE ISSUED: 03/29/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 737 STONEBAY DR
PIN : 33-118-23-11-0070
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 0
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.25
WATER DOCTORS MAIL-IN FEE 2.00
8201 CENTRAL AVENUE NE
SPRING LAKE PARK,MN 55432- TOTAL 52.25
(763)535-1800 Payment(s)
Minnesota State License#:mech-WC645002,p1bg-WC645002 CREDIT CARD 8557 52.25
OWNER
Wooddale Builders
6117 BLUE CIRCLE DRIVE#101
MINNETONKA,MN 55391-
AGREEMENT AND SWORl�1 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 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 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.
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Applicant Permitee Signature Date Issue y Signature Date
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j� �Q�`ti, C�ty Of O�OitO FOR C' Y US N'Y
! O P.O.Box 66 Date Reaeived: l
2750 Keiley Parkway
��,� Crystat Bay,MN 55323 Permit#_,� /
� e� (952)249-4600–Main
�`'�Fska�` Approved By:
�.� (952)249-4616–Fax �
� Ptrnount$: ��i• `J
CITY OF ORONO—PLUAMBIMG PERMIT
(AH Commerciai Permits Must be Approved by the State Prior to City Rpproval}
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GENERAL INFORMAT1t7N
1. You may apply for plumbing permits by mail or in person at the City offices. Applications witl be
reviewed and a permi#will be issued within finro warking days.
2. Permit cards will be sent by return maif after a review is compieted. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERM#T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SiTE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to p�aperty owners
� residing in the dwelling.
4. When any new construc#ion or remodeling is involved, a separate building permit must be obtained.
5. All work must be dane in accordance with State Code requirements.
6. �Afl work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-4$hour notice required)
TYPE OF PERMlT(Check All That Apply}
`�Residential �Commercial (Approval Required) [Backflow Device:0 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 1�
Job Site/Owner Information:
Site Address: �� 1 � ��`��
�wner. �lJ d���a� Mailing Add�ess: `�� �7�0.y/ �riv�¢.-
c�ty: C�r�rti b z�p: 553�� .
Home Phone: Alternate Phone:
Contractor lnformation:
Contraetor.�a��� ��� Contaat Person: z...J C��.��t-Q- ������
Address: ���� ����Gl, ��i� State Bond#: ���y��
City:
� �--�1��- �a-��- Zip:����JZ- Expira#ion Date: � 1�
Phone: � � �� �"� Alternate Phone:
�Jt Insurance—Current: � ____
Page 1
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` Pl�l1fi�F�1N�F#XTURES BE#NC3 tNS"CA�::E.,�O
t=1XTURE BSMT 1ST 2"D QTHER FIXTURE BSMT �ST 2ND OTHER
TYPE Fioor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
' Disposal Water Softener
Dashwasher Wet Bar
Sillcocks MisceUaneaus
� � PER�T'FEE C1�1�.Ct,1L.Al`ti7N `
; 9. CONTRACT PRlCE ""is 1.25%of cantract price with a(Minimum Fee of$50.00)
x A125 $ `-��
(contract price) (minimum$50.00)
2. STATE SURCHARGE
i x.0005 $ ��-�
' (eontract price)
3. POSTAGE&HANDLING (Qnly an Maii-tn Applications) $ 2.00
; 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ >� d 2"� —
�
� * 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 ta be charged to .
the customer for the worfc done. If any material, equipment, labar or instaitations are fumished by the
owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or cantract price for permit fee purposes. fn the event that there is a dispute on the
amount af the job cost, the City may request the submission of a signed copy of the ac#ual contract.
P�UMBING PERNIIT APP�ICATIUN AGRE�MENT �
The undersigned hereby applies to#he City for issuance of a Plumbing Permit, agrees to do atf work in
strict accordance with the ordinances of the City and the regutations of the State afi �flinnesota, and
certifies that ail statements made on this appticatian are complete, true and correct.
Applicant's Signature: �/� �" Date: v �� ��
Building OffciaU{nspector: ��E�
�
DATE TIME
CITY OF ORONO cnLLED IN � �
INSPECTION OTI SCHEDULED �
PERMIT NO. �����d37� COMPL ED
ADDRESS �
OWNER TELEPHONE NO.
CONTRACTOR �
� DESCRIPTION
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
�/�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
��❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
? O'WNERICONTRACTOR TO MEET Y�OU:_YES_NO
y COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O(�RRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwneNContractor on site:
6
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