HomeMy WebLinkAbout2013-00939 - water softner CITY OF ORONO
* 2013 - 00937
f 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2013
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1065 TONKAWA RD
PIN : 08-117-23-13-0001
LEGAL DESC : AUDITOR'S SUBD.NO.217
: LOT 006 BLOCK 000
PERMIT TYPE PLUMBING(<$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE WATER SOFTNER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
WATER DOCTORS
8201 CENTRAL AVENUE STATE SURCHARGE PLBG(<$500) 5.00
SPRING LAKE PARK,MN 55432- TOTAL 20.00
(763)286-6243
Minnesota State License#: 082337
OWNER
BEBO,JAMES
1065 TONKAWA RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any tim r due cause.
Appricarif Pefniltee jigm
Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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FOR CITY USE ONLY
City of Orono
<Y P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount'$:
(952)249-4600—Main
Fax
(952)249-4616—
CITY OF ORONO-PLUMBING PERMIT
KsttQ� (All Commercial Permits Must be Approved by the State Prior to City Approval)
hllp://www.dii.mn.gov/CCLD/PDF/pe plumbp1anrevagp.pdf
GENERAI 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.
(2448 hour notice required)
TYPE OF PERMIT
Check All That Apply)
Residential ❑Commercial(Approval Required)
[ .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: (Q&O TOKKI�W C��1'
Owner: L.p 1, P 0 Pt er ' Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person: S r e V
Address: 6?;tol C f-Xr * -Pf u ' State Bond#: WC-
�S�bOZ
City: SPAIN& 0(- P+A( Zip:,. 3*2-Expiration Date: t
Phone: -(0 3 s3S-"rt2o Alternate Phone:
tK Insurance-Current:
1
FIXTURE BSMT IST 2 No OTHER FIXTURE BSMT IST 2 ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
ti
❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Hasa total cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $ R o►0
(Permit Fees Continued On Next Page)
2
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. DOS 37 COMPLETED /a-'R sl'—1
ADDRESS T*fA&cy w
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION G✓4c✓ Sd��n��
k ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
Z ❑ FINAL El SEWER HOOK-UP El COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. 09:10LLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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LU ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C 1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice