HomeMy WebLinkAbout2015-00391 (water softener) � , CITY OF ORONO * Z 0 1 5 - P1 PJ 3 9 1 *
2750 KELLEY PARKWAY DATE ISSUED: 04/08/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2690 CAROLINE AVE
P�N : 20-117-23-24-0033
LEGAL DESC : WESSELS SUBD OF SPRING PARK LO
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : WATER SOFTNER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 490
APPLICANT PLUMBING FIXTURE FEE 50.00
RICHARD'S CUSTOM WATER STATE SURCHARGE PLBG (VALUATION) 0.25
6121 EXCELSIOR BLVD. #206 TOTAL 50.25
ST. LOUIS PARK, MN 55416- Payment(s)
(952)920-1200 CHECK 13522 50.25
Minnesota State License#: BUIL-WM061456
OWNER
LIBERMAN,ZIV&TAL
2690 CAROLINE AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORIY STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied wi[h whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
'I'he applicant is responsible for assuring all required inspections are
requested in conforman�c with the State Building Code.This permit may be
revoked at any time�eff cause.
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A licant Permitee Signature Date Issued Signature Date
` . FOR CITY LiSE ONLY�
, ����Y City of Orono � 0�5_ aa 3 ��
` r Y� p.p,gox 66 Uate Receive Ycrmit#
2750 Kelley Parkway ��
; � Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600—Main
� �. f (952)249-4616—Fax
�" � c�� � CITY OF ORONO–PLUMBING PERMIT
t`�k��}.���-� (All Commercial Pernlits Must be Approved by the State Prior to City Approval)
1�t� >,1,'��ee�a.cl�i.�t�xa.ifcaE�!�.'�:I.I�II'T�F!�c ����art���I���tre�,:� r �. �sl!'
GENERAL INFORMATION
L You inay apply for plumbing permits by mail or in person at the City offices. Applications wilt 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
PERM[T CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property ownei-s
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 requirettlents.
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 A 1
i�Residential ❑ Commercial (Approval Required)
�New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CtIP.(Per Orono City Code,Chapter 78,Article IV)
Job Site / Owner Information:
fJ �
Site Address: ✓ �--�/>�� �—��/��`'//VL'� t/`�
Owner: ���✓ �l�i_'%A��`'1/�►� Mailing Address:
City: ('�� �J /�J J Zip:
Home Phone: �� �� �� ��� �� ��� Alternate Phone:
Contractor Informa ion:
/
Contractor: /�"�✓�,�i� � , S�' ��'��Contact Person: ����✓��
Address: ����� ���`'�i-S���c/j��v� State Bond#:
City: i��!o''��L S Zip. ����1�' Expiration Date:
Phone:
�S�� -���7� ' ��f-�^'�.1� Alternate Phone:
,� Insurance–Current:
1
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� �� � PLUMBING FIXTURES��BEING INSTALLED � � � � �� ��� �
FIXTURE BSMT l'� 2�D OTHER FIXTURE E3SMT 1 � 2�D OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry"I'ray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener , /
ri
Dishwasher Wet Bar
Sillcocks Miscellaneous
���� � � PERMIT FEE GALCULATION(S)� ���
� � � BASED OFF - 2002�STATE STATUB� �� ��� �
❑ Yes,this section applies
The replacement of only one Residential fixture ar appliance that meets all three of the following
requirements:
1. Does not require modification to electrical ar gas service.
2. Has a total cost of$500.00 or less; excludin�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 Pennit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
�
PERNIITFEE CALCULATION(S —,TOBS OVER $500.00�
If above does not apply; follow guidelines below:
l. CONTRACT PRiCE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�%�� �
x .O125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x .0005 $
(co��lract price)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00
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 pennit 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��AGR�EMENT ���� �
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. ;�'
�,;
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Applicant's Signature: l� %� Date: � ��� �
3
MINNEHAHA CREEK WATERSHED DISTRICT
,,
QUALITY OF WATER QUALITY OF LIFE
INSPECTION REPORT
DATE: 4/6/2015
a���,,���p���� �.r��� TO: Kyle Hunt & Partners, Inc
VYret�rstFe�1?zst�r?��t�`s
FROM: Lauren Sampedro, District Representative
cc�rr�trrl�t�es�°,�c o
RE: MCWD Permit#13-403: 2690 Caroline Avenue, Orono
(ear+ershi{�rvl� r"n Dear Kyle Hoftiezer,
prafecfir�}r�, i�nprov,n€}
The Minnehaha Creek Watershed District (MCWD) has inspected your site for compliance with the
�+���T�n�9%+�4{�°<' MCWD permit requirements. Based on our inspection at the above mentioned location,the
sur�ace water_�a�r�i following was observed and recorded on April 3, 2015:
u{fitiatect�ro�rradwut�>�� . Missing perimeter control measures
resoi>rc�s tvithir�t�h� • Sediment tracking into the street
�istrrct: inctr.tc�ing rh�r�r MCWD requests that the following corrective actions are taken:
r�latior�ships ta�P�f>
• Reinstall effective silt fence/bio-logs along the entire perimeter of work site until the site has
ecosysten�s �f srhich the.y been stabilized, keeping sediment contained and away from the street
are�rr irrtegrcr(prrrt:. . Sweep street daily or as necessary to clean up sediment tracking
i�re aci�ieve our�n;'s�r'�;�°
• Working without MCWD permit,original permit 13-403 expired on 10/8/2014. Please submit a
Permit Renewal Form immediately to MCWD staff.
thra�r�h rer�¢if�zu�uPr,
�.�����tP�a���..tt To avoid formal enforcement action from the Minnehaha Creek Watershed District, please
implement the above mentioned corrective actions as soon as possible.
eda�ccr�ion, cooperotiv�
endetry��r,�, �nd ot.her
Thank you for your attention to MCWD permit requirements. If you have any questions, please
pro�ror�as base�c�� contact me at 952-641-4580 or Isampedro@minnehahacreek.or�
sGurtd scr�rrce,
irtn<7vatzve thirrkirrg, trr� RespeCtfully,
inf'orrn�ct nrad entt�'.c�Q�
€.c�nskituer�.ry, c�r�r? ;°.,., df/Q�w�.vr L Q�I'�fn(1+�'.,V'�(�
COst 2ff2CtiV2 t:SE?�tf
,;'rE� �..
Lauren Sampedro
District Representative
� �� � �� D TIME � ��
CITY OF ORONO CALLED IN
INSPECTION NO ICE �SCHEDULED — __��
PERMIT NO. OMPLETED �
ADDRESS ��(� � �/�J
OWNER T PH E NOgs�-9 ��"' "
CONTRACTOR
� DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 249-46QQ
OwnerlContractor on site: �
Inspector. ,
White Copyllnspector's File Canary CopylSite Notice