The URL can be used to link to this page

Home My WebLink About2012-01111 - water softner � . CITY OF ORONO * z 0 1 z - 0 1 1 1 1 * � � 2750 KELLEY PARKWAY pATE ►SSUE�: 10/3U2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 RGPRINTGD ON 10/31/2012 ADDRESS : 3350 FOX ST PIN : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER � APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 WATER DOCTORS STATE SURCHARGE PLBG (<$500) 5.00 8201 CENTRAL AVENUE SPRING LAKE PARK, MN 55432- TOTAL 20.00 (763)286-6243 Minnesota State License#: 082337 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The�cork for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction audiorized is not commenced within ]80 days oY the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in confonnance with the$tate Building Code.This permit may be revoked at any[ime for due�cause. � �..�'I�t+Q't-Q � i i l i Applicant Permitee Signature Date Issued By Sign• re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE. 4 � � � FOR CITY USE ONLY , r/'"�O City of Orono �f � � P O.Box 66 Date Received: Permit# ��+y,: �� 2750 Kelley Parkway �3, �t�`s�'- � Crystal Bay,MN 55323 Approved By: Amount$: \�,�t��;��j (952)249-4600—Main `2�+'is� (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�f:/l��rw�rr•.clli.mrt.��t�vl"t:C;LL)li'UF/�c alt�mb��l�►nt-eva . df GENERAL INFORMAT[ON 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 UNT[L 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. .ri. �',il VvOi'i<I"IIuSt u�CiOCC i.^,ACCO;wu;:L'e':VIYh C+»?�Ccde req�aire*nents. 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 l ) (�Residential ❑Commercial (Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior approval and may need CC1P.(Per Orono City Code,Chapter 78,Article 1V) Job Site/Owner Information: � Site Address: 3�.5 � F OX ST Q�� Owner: 'Jl G �SJ /V/�'/YGy Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: (,l>�d Q S Contact Person: �T v� L Address: �� GeM��" ��State Bond #: �5- 13�� 3 City: SI��G �'�� Gip:SSy32 Expiration Date: a��- r' v��l� Phone: 7�.3'-r�� Alternate Phone: �f [nsurance—Current: � a�-� 3 l < �'LCIMB�iG FIXTURES B�IN,C`,�r 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 � � � PERMIT�FT�E CALCULATION(S) � � � � � � BASED OFF - 2002 STATE.STATUE � � ❑ 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. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved, installed or repiaced by the homco�,vne�-or licensed plun�birb centractor. 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 $ ilOr[J� (Permit Fees Continued On Next Page) 2 . � � . . �� PERMIT FEE CALCULATION S -JOBS�OVER�500.00 �� If above does not 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$50.00) 2. STATE SURCHARGE x .0005 $ (contract 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, iabor, profit, and o�iier fixe� costs. it is ihe amount to be charged to the customer for the work done. lf 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 permit 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 APPLICA"I'ION�AGREEMENT' '�� 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. r Applicant's Signatur • Date: ` � — 2 � �l � Reset Form 3 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED __� �d'oa PERMIT NO.av /�--d l l l � COMPLET ADDRESS �J3S� /��__--��/lL�� OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION l/��Q�� S� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOq TO MEET YOU:_YES_NO � COMMENTS: � a Pra��;.�� c.= _�a � � 0 � � 0 � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W �,�/�69RffECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector.��+ � White Copylinspector's File Canary CopylSite Notice