HomeMy WebLinkAbout2015-00998 - water softener , , , CITY OF ORONO * Z 0 1 5 - 0 PJ 9 9 8 *
2750 KELLEY PARKWAY DATE ISSUED: 08/04/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 790 BROWN RD N
PIN : 34-118-23-11-0003
LEGAL DESC : REG. LAND SURVEY NO. 1275
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: REPLACE WATER SOFTENER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
STATE SURCHARGE PLBG(<$500) 1.00
WATER DOCTORS MAIL-IN FEE 2.00
8201 CENTRAL AVENUE
SPRING LAKE PARK,MN 55432- TOTAL 18.00
(763)535-1800 Payment(s)
Minnesota State License#: mech-WC645002 CREDIT CARD 6404 18.00
OWNER
Gonyea Homes
6102 OLSON MEMORIAL HWY
GOLDEN VALLEY, MN 55427-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing[his type of work
shall be compied with whe[her or no[specified herein.This permit will
expire and become null and void if construction authorized is not
commenced wi[hin 180 days of[he date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signat e Date Iss d B Signature Date
Aug 04 15 07:49a Water poctors 7635351805 p.2
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EO CITI USE-ONL�' (
`���h r� City of Orono �� Us ��
�y� 1 P.O.$ox 65 Date Re c�' Per.n�:t? �U
� 2750 Kd:cy parlavay / � /
G}s�al Ray.MAI SS32� Appr�ced By�� � Amount$ �
I (953)zd9-ab00-Mam
( ��, � i (953)249--0616-Fax '
�`�'" � .`� CITY �F OR0�10—PLUIVIBIVG PI+;FtM['I'
��Kf.stt��`�� (All Commcrcia]Pcrmits illust be 1 roved by the State Prior to Ci A roval '
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GET�TERA.L INFORi�L�1TION
�. You ma��appl}�for plumbing permits by mai]or in person a:[he City offices. Applica:iops��.iil b ' ��
revieu+ed nud a permit will�e issued within[wo��urkin�days. �
2. Permit cards�vill be sen�Uy rewrn mail afier a=eview is completed. PERv1ITS ARE NO,1T- ,�
��ALID Ui�T[L YOU RECE[��E A PER�i1T. WOR[i I�iUST NOT RF,Gi'V U]�TTT,THE; i
PER�i1T CARb IS POSTED ON TIIE JOB S1TE.
3. Piumbfe;permrts may be issued C)NLY ta lic;.nsed plr.mbing eontraciors and to property'ownci�
residing in thc dwelline.
4. 4Vhen any ncw construction or remodcling is;nvol�•cd,a sep�:ate b�ildin�pern�it musC be �
obtained.
5. :�ll work nmst be done in accordancc with Statc Codc rcquircmcnts.
6. ,411 work must be ii2spected �nd air tcsted before it is co��ered. Call(952}249-4600. � i�I
(24-�38 hour notice required) I
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TYPE OF PERMIT
(Cl�eck All�'hat A�ply) _ __
Residentia! [�Commercial 1 A covnl Rc uircdj
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PP 4
,�1dc��, ❑Additional ❑Rzpr.irs ;�Replace �I�����
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;� In Accescor;Structure^ I'�i
"`�'ou will neecl prior appraval and may need Cl1F'.�Per Orono City Codc,Chaptcr i 8,Ariil�le N)
.iob Stte/Owner in�orrnati�n� � �
Site Address: � ���' � Yi,� �� ��L�� ��C����l� �
O��ner: U`��� 1 � �'� _ Mailing Address: -- �-__
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c�ty: z�p: �� ��Il�
Home Phone: Alternate Phone� I
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Coiitractor Infurmaiion:
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ContracTor. `U��1�t— -�JG ��'�.� Contact Person: /� �i � ���2 � ;' '
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Address:��-��r ��� ��v1�J'�t�` A"v� State Bond�: �,�' �`'t � � �',1 � � I
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Ciry: ��`�'�nc1 � �e �Y�C 'Lip:S�f.��Expiration Date: ��� l ��G�� �' ��� � �
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Phone: ���'� JS� ��� AlternatePhone: I'���I�
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� Insurance—Cu�Tent: L.���' z� � �✓�����e �
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Aug 04 15 07:49a Water poctors 7635351805 p.3
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_ F T T I III
k L U I�I N G I X U R E S�E I I�G I N S A L L E D
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FIXTURE , BSMT ISF ; ''�JD OTFIER Fi�TURE BSMT Iy` 2 OTE{E
TYPE FL FL TYPE FL FL IIII I I
Wa[er Close[ i Floor Drains i
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Lavatory Sewer Eectar �
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Rathtub La�indry Tray
�'7 wer VVati
o her
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j I�itchen 5ink Wa�er Heater
Disposal ��a�er Softener q !III
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Dish�y�asE�er �Ve�Bar
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Sillcocks ?�liscellaucous �
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' P T F A , ATION' S _�
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�RM� EB C LCCTL ( ?
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f IiAS�D O�'F-200? STATE STA,TUE
� Yes,this scc�:on applics � � ��
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Th:rcp!accmcnt of only onc Rcsidcnhal fix[urc or a�pliancc tE�at mccts all cl�rcc of lhc Eollowing�,�� ��I �'
rcquircmcnts: i I
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1. Docs not rcquirc rr.oditication to cicctrical or gas scn�icc. �
2. F�as a tota]cost of$500.00 or less_e�clitdin�the cost of the�fixnue or appliance:anc� ���� �,�
3. Is improved,installed or replaced by the homeowner or licensed plumbing cenu-aaor. �;
Skip r.ex[secliun,i:cl,is applies; Cost of Pernu[ $ 15.00 I� I i
5taie S�trCl�arge $ T.00
[vlai�-in Fee([f Appliceble) $ ��,/ �r���'�,
Tolal Permit Fee $�� ,
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(Pern�it Fecs Co��tinucd Ou Nest Page) � '�
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Aug 04 15 07:50a Water poctors 7635351805 p.4
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PERMIT F'�E CALCULATIaN(S --JOBS OVER$500.UQ
Ii abovc cEoes flot apply;folLow guidclin�s bclow: � � �������
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1. C�NTRACT PRICE * is 1.��°�o ofco«Iract price with a(D�iinimum F ot$50.00) �
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x.0125 , '� ��
(cuctrac�pric�) \ (m imum$S0.0U) � '�
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2. STATESURCHARGE I
x_UQUS $ '. j ��
,contrac[price)
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3. POST.AGE&HANDLING(Only on vtail-[n plications) S 2.00� _ �II
f,� I
4. TUT.�1_P�RA71"f FEE(Add Lines I Above} � � �'� ��
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• * CONTRACT PRICE or 10R C05T iears the acnial or e�timated dollar arnow�t charged for th II
pem�ittett work including ma:erials, 1 or,profit, and other fi�ed costs. lt is the amount to�e charge '
[o thc customer for t1�e work done. IE`aay material,eauipnlent, labor or ins[allations are fiunished b �
the owcier,tenant or any other party, :he reasonab[e markat vafue of such items must be added to th I I
estimated cost or contract price for permit fea purpoaes. In d�e even[ d�a[ Chere is a dispiite on th �I
amount of the job cost,the City may request the submission of a signed copy of tl�c actual'contract � I
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�'LLFMBING PEKMI.1"APPLiCA'I�1C)1�AG��,�M�,NT - —�;1 --_.._
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The und:rsigned hercby applies to the Ciry for issuance of a Plumbing Permit, agrees',to do at �II'I I
work in strict accoT-dance with the o;diiiances of the City and the regulations of the State o �
Minnesota, and certifies that all staternents made on this application arc complete, �mic an
coiTec[. I
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,4pplicant's Signaturc: ��� �c ���� Date: ���� �I �
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�A E TIME
CITY OF ORONO CALLED IN ------�-
INSPECTION NOTIC�E scHe�u�eo
PERMIT NO. ��5 "�S'`� COMPLETED g`� ' �S d �
ADDRESS 7`�D ��oc�,Y 2� ��
OWNER TELEPHONE NO.
CONTRACTOR �I,iJQ�� baEa✓S
� DESCRIPTION ����`� 5d'���''��
ll1 ❑ FOOTING ❑ DEMO-FINA� ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� �FMQAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED /�rR�p,1��.T COMPLETE
� ❑CORRECT WORK 8 PROCEED ��O ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlConVactor on site:
Inspector. •^'
White Copyllnspector's Flle Canary CopylSite Notice