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Home My WebLink About2015-01532 (plumbing: water softener) , � CITY OF ORONO * Z 0 1 5 - Pl 1 5 3 2 * 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 ORONO, MN 55356- (952 249-4600 FAX: 952) 249-4616 ADDRESS : 3285 CARMAN RD PIN : 20-117-23-14-0013 LEGAL DESC : CARMAN COVE : LOT 007 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENT[AL CO1vSTRUCTION TYPE : WATER SOFTENER NOTE: WATER SOFTNER APPLICAI�TT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 1.00 CROIX CRYSTAL WATER TREATMENT MAIL-IN FEE 2.00 3440 YOERG DR HUDSON, WI 54016- TOTAL 18.00 (715)386-8667 Payment(s) Minnesota State License#: plbg-WC64997 CHECK 14567 18.00 OWNER SALLEE, L MOLSATHER&L 3285 CARMAN RD EXCELSIOR,MN 55331- AGREEMENT A1vD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or celated work which requires separate permits. AII 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 time for due cause. . ��I � �/�� ` � �� _r�� -' !". � .(- r_ � j �,E_� .{ C`— r��/ -� / ��_ Applicant Permitee Signature Date Issued By Signature Date I � , r , � ___...____ FOR CITY LISE ONLY . _. Q `�� City of Orono , ��-�"D 1`��.�-� � f� �j1� P.O.Box 66 Data Received: �.��SPerntit.� _� ' �1 2750 Kelley Parkway !' ,� � ('� (,�' ' ` Crystal Bay,MN 55323 .�pproved Sy: C,�� _ Amount�:--- � � l (952)249-4600—Main �� "` � > r (952)249-4616—Fax v ''� �� ' � � ' CITY OF ORONO–PLUMBING PERMIT !��`��Ffi`''''�- F All Commercial Pernuts Must be A roved b the State Prior to Ci A roval t�_ _ ( pP Y LY PP ) Ittt�:�`;'��+��.�tia.r��n.bos�t�C'C�.I3r`[�D�'.` e lu�t� l��rev.� � . t�i' `GENERAL INFORMATIC?N 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Perniit 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 TftE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pemuts may be issued ONLY to licensed plumbing contractors and to property owneis residing in the dwelling. 4. When any new construcrion or remodeling is involved,a separate building pernut 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�8 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑ Conunercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Struch�re? *You R�ill need prior appmval and may need CL;P. (Per Orono Ciry Code,Chapter 78,Article I� Job Site/Owner Information: Site Address: ��`� ��n �� '� Owner. � � ��1-� �� Mailing Address: �� /l �I��' �'1 � City: ��' �� (�°1� l� Zip: � �� Home Phone� �� > ��Atfernate Phone: `Contractor InfQrmatzon: j � �, Contractor: � �� -�— Contact Person: � �1'� Address: � <<� � �.' �, �� State l n #: �Q �l" 1- 1� �--�� City: � Zip:�� Expiration Date: � � Phone: ��-� ��C� � �� Alternate Phone: ❑ Insurance–Cutrent: i . I • , r PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1' 2 OTHER FIXTURE BSMT 1' 2 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 PERNIIT FEE CALCULATION(S) BASED OFF -2002 STATE STATLTE [�. Yes,ttus section applies , The replacement of only one Residential fn-ture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next sectioq if this applies; Cost of Pemut $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) � I PE�T F�c�cu�,ATlt��r � -��Bs t�v��$�ao.aa If above does riot apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) x.0125$ (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2A0 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 materiai, 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 pernut 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. PLIJMBING PERMTT APP�ICATION AG�EEMENT 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 City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signa . '� ' C�< Date: ( 2 � �� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMtT NO. �-��✓"�%IJ��COMPLETED ADDRESS '�Z `� Gj C`_ c3 (-YY"12f� �Z� OWNER TELEPHO NO. ��S `J��' ��, CONTRACTOR ,� S � 7 � DESCRIPTION 1�1�C�-�C�'�\ J�:� I—tl1� � tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE (SEPTIC INSTALL 2 OWNERfCONTAACTOR TO MEET YOU: YES_NO y COMMENTS: � S = � �j� `f� � —� �:� � W a � � O �. � O � W � Q � 2 W � W � J d W O WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � �CORRECT NfORK 8 PROCEED I E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 urs in advance. -46QQ OwnerfContractor on site: � Inspector. White Copyllnspector's File v Canary CopylSite Notice DATE TIME CITY OF ORONO CALIED IN MI$PECTION OTICE SCHEDULED �j PERMIT NO. /cS ' d/S •Z COMPLETED �l� ��/ AuoREss 3 a�s �,,��n. S�` . p�WNEp TELEPHONE NO. CONTHACTOR � � DESCRIPTION ll��'a✓ Ls�,C��t�� s S��I' �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI � EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATEHPHOOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT `� ❑WATER HOOK-UP ��OLLOW-UP 4�1 ❑ AS UILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/HEMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dWNEIUCONTMCTOR TO MEET YOU:_YE8_NO � COMMEN'T� � j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 � Expiration, no record of a Final inspection. � 0 W � � � W W t e � W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,Cl1ll FOR REINSPECTION TEMPORARY (� ��NQ PEHMANENT ❑(bqqEC7 UNS/►FE pONDITION WITHIN HOURS. ❑pHpTO TAKEN INSPECTOR Wlll RETi1RN ❑qTAT10N ISSUED ❑STOP ORDER POSTEO.CAIL�NSPEGTOR D INSPECiION REGIUIRED.G1LL TO ARRANtiE AC:CESS. caN tor u�e next inspect�on z4 nours�acfiranos. (952) 249-4600 on site: �nspector: - MIINb CapyAnap�Cla's FlN C�n�ry OopylStt�NoMe�