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HomeMy WebLinkAbout2004-P08291 - water softner ITY F ORONO PERMIT �' � Permit Number: 27�G Kelley Parkway - PO Box 66 Pos29i Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4E00 Date Issued: i2�i4�2ooa SITE ADDRESS: 70 Ferndale Green Wayzata,MN 55391 P I D: 36-118-23-44-0007 DESCRIPTION: Proposed Use: xesidential Pernut Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water��a4er S��'�-� DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: H.P. Pipeworks OWNER: Christopher&Kelly Bellini 3670 Dodd Road Suite 100 70 Ferndale Green Eagan, MN 55123 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ' ���,,�-�L� .�M� APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Si�nitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMAT'ION 1. You may apply for plumbing permits by mail or in person at the City offices. 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 dweiling. 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 the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New Addition Repair ✓Replace ✓Residential Commercial JOB SITE:` �U �-�,{n��j r�� ZiP: �j�j�� I O«�ner's Name: �(�S �U I �L1 Telephone Number: ��j ��`�;3- Q(��j0 Mailing Address: ��Curn,(� City: 'C�'(p� Zip: �-3�3 Contractor's Name: �Q Q;��,�p� i�-� Telephone Number: �S i-3't�--13uo Mailing Address: ��,��; n��� ��� City: �U �;, Zip:�jS��3 PLLTMBING FIXTURE SCHEDULE i FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Wa[er Closet , Floor Drains Lavato Sewer E'ector Bathtub Laund Tra Shower Washer Kitchen Sink , Water Heater Dis osal Water Softener � Dishwasher Wet Bar Sillcocks Misc (list) �7� �� PERMIT FEE CALCULATION(Sl 2002 State Statute (y� Yes, This Section Applies 7 The replacement of a Residential fixture or a� liance 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; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .SO Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 %o of job with a Minimum Fee of ($35.00) x .0125 $ (contract price) (minimum $35.00) 2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ (contract price) (minimum$ .50) 3. Posta�e and Handling (Only mail-in applications) $ 1.50 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 installation are furnished by the owner, tenant or any other parry the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In che 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. *�` The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Pernut, 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 Signature: Date: � - (,) DA TIME CITY OF ORONO CALLED IN �-�� INSPECTION N TICE SCHEDULED -� /�.'� PERMIT NO. COMPLETED ADDRESS ?� ��'14�.G� OWNER h��-� �'�=��"'`'� CONTR. I�� P/ Y� TELEPHONE NO. I�l 2 ���J (�Opv � DESCRIPTION r '^`� �w�� �� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � �� �► B -- � �`J' � r .-„� y 0 � � 0 � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED C i PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r' PHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR G INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-Q6QQ OwnerlContr site: Inspector. - White Copyllnspecto s File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN �'���Q� INSPECTION NOTICE SCHEDULED 3 -Z /Q; � PERMIT NO. Pb��-g � COMPLETED ADDRESS �� �a��•n.s�a-Q� � OWNER I�:.QJ�+ �����h % CONTR. ��� � TELEPHONENO. �7 3� 40�'D � DESCRIPTION �� ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FIN 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O G Cl7RRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contract si e Inspector. � White Copyllnspector's File Canary CopylSite Notice