HomeMy WebLinkAbout2013-00162 - water softener (, �
CITY OF ORONO * 2 0 1 3 - 0 0 1 6 2 *
2750 KELLEY PARKWAY DATE ISSUED: 03/1U2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2365 GLENDALE COVE LA
PIN : 34-118-23-33-0068
LEGAL DESC : GLENDALE COVE
: LOT 009 BLOCK 001
PERMIT TYPE : PLUMBING (<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: WATER SOFTENER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
CHAMPION PLUMBING LLC STATE SURCHARGE PLBG (<$500) 5.00
3670 DODD ROAD- SUITE 100
EAGAN, MN 55123- MAIL-IN FEE 2.00
�� TOTAL 22.00
OWNER
BARNIER, STEVEN P
2365 GLENDALE COVE LN
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
'l�he work for�ihich diis permit is issued shall be pertormed 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 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 afrer 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.
C����� 3/ /l l /� � l /l l /J�
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
R�CEIVED
/ A �
'' Fa� � �L�SE o� �� A� � 1 2013
y�p;�T C4t5�o�Qt-oao �0/3 — � 02�
� Q P.O.Box 66 Date Recei�-e �� � Pennit# C� �F ORONO
� 2750 Kelley Par}:way �
: ^ Ci��stal Bay,M?�'�5323 Approved Bu: Amount�: C��•
;} ... �
� �r��.;,-'��µ,��.� (95�)2-�r-4600—Main
rsxo_, (9��)?49-1616—Fax
��i I`i Si� 131� CJ-�l"�.�1�1\T�1' — 1�LIJ�'lk�i1\T`r 1 Ll'�.�'kl�
(All Commercial Permits N�s�be Ag�rQ��ec� I�y tEte State Prior io Cit}�Approval)
T ^�;, i ..-..:�: �� lS.c. �'�-v'il.�,_.ri'��-1.k1i�F�':. �I�..F� �I�.I� ii. �i�� :.Lan
GEI��ERAL II��FORNL�1T10N �� � �
1. 1'ou ma��apply for plumbing permits by mail or in person at the Cit��offices. Applications will be
revie��ed and a permit will be issued within two working days.
2. Pennit cards wil]be sent by return mail after a review is completed. PERI��ITS ARE 1�'OT
VALID UI��TIL YOU RECEIVE A PERMIT. �T�'Q��F�NE�JSTi T��C3T�E�FI�'FJ'�''FIL T£��
�'EFt!�Tg'�C.4�c�3 ZS 1�CiS�'E�O?�i"�'T-G�,I�I�S�'T�.
3. Piumbii�g pennits may be issued 01`n Y to licensed plumbin�cor,iractors and tu property owners
,-eciri;i,o;; .'le u.�. ,r o
� �' v2iiili�.
4. �'hen any new construction or remodeling is involved,a separate building permit must be
obtained.
�. All wori<must�e done in accoi-dance��ith State Code requirements.
6. All v,�ork must be inspected and air tesied before it is covered. Call (9�2)249-4600.
(24-48 ho��•notfice j•eq�nired)
TYPE OF PERI�7IT
(Check All That Ap ly)
�Residential ❑Commercial(Approval Required)
❑��e�' ❑Additional
❑Repairs `� Replace
❑ In Accessory Structure?
"You��ili need prior anpravzi and may need CL?.(Per Orono City Code,Chapter 78,Article IV)
Job Site/O���ner Information:
Site Address: ���p_> ���e�,/� ��� �V e (,.a(� -
O«�ner:��, �G,r Y�t�C' Mailin�Address: �J�I.W�Q ,
��Ty: 1�r ov�o Z�p: 5 �35t�
Home Phone: ��'���j—���� Alternate Phone:
Contractor Infortnatio��:
Contractor: ����/V:t Contact Person: �r ( S
1 1
Address: �Q�� VQ(�(� � State Bond#:
�itY� �-��Zip�3 Expiration Date:
� Phone: �(j��'�j�0�?'"��J� Alternate Phone:
❑ Insurance—�urrent:
1
c��s
i
PLtJNt-BII�TG FIXTURES BEIl��G Ii�STALLED�
FI�TURE BSMT 1 2'��D OTHER FTXTURE SSMT isr 2� OTHER
TYPE FL FL Tl'PE FL FL
Water Closet � Floor Drains
�
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower 1��asher
� � I
Kitchen Siilk Water Heater
Disposa] ��'ater Softener
'
Dishwasher Wet Bar
Silicocks Miscellaneous
� �� � � PERMIT FEE C�LCULATION(S) � � � �� � �
BASED C3FF -2002 STaTE STATLE
❑ Yes,this section applies
The replacement of or+?y ot�e Residential fixture or�pliance that meets all three of the follo��in�
requirements:
l. Does not�equire modification to electrica]or�as service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the homeov✓ner or licensed plumbin�contractor.
Sl:ip next section,Sfthis applies; Cost ofPermit $ 1�.00
State Surchar�e $ 5.00
Mail-In Fee(If Applicable) $ 2.00
"E'otal Permit�'ee ��
(Perrr�it�'ees Co��itieu�ec� Q'� I�e�:fi E'��e}
2
1 . �
PERIViIT�FEE CALCUL�TIO]�� �}-TO�B�'�a�rE���504.00�
If above does i�ot apply;follow guide]ines below:
i. �EJ1�'i R,4C�'PRFC� ' is ].25%of contract price with a(hZinim�r�L'ee of�SQ�.�ff)
x.0125$
(contracct price) (minimum�50.00)
2_ S�'k,�'�S�JI��[�?.I�F�E *'�Add the State Bld�Code Div. Surcharge(T�tiinimurn Fee of�a00)
x.000� $
(contract price) (minimum� a00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4• TO'�'��,F'�€t'�2b�'�'��(Add Lines 1-3 Above) $
° * CONTRACT PRiCE or JOB COST means the actua] or esiimated dollar amount charged for the
pernlitted ���orl: 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 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 si�ed copy of the actual contract.
° *�` The STATE SUP,CHARGE is .000� of the contract price under�1,000,000 or$5.00—whichever is
�eater. For�aluations over�1,000,000 call the Buiiding Department at(9�2)249-4600 for the price.
PLUI��IBING PERMIT API=L.IC.�TION AGREE:�iEl�TT
The undersiQned l�ereby applaes to the City for issuance of a Plumbing Permit, agrees to do all
���ork in strici accordance ��ith the ordinances of the City and the regulations of the State of
Minnesota, and ce;-tifies that all statements made on this application are complete, true and
correct.
� �/
Applicant's Sivnatw�e: ���� Date: —
F�O�L$ F4["m
3
�� �Q� TE TIME �
CITY OF ORONO �E�w �-���
INSPECTION NOTICE SCHEDULED - -� -�—
PERMIT NO. �� ��0��� C MPLETED
ADDRESS �
OWNER TELEP NO.��a��3 J7���
CONTRACTOR ��L � -
>; DESCRIPTION
�
ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (J52� 249-4600
OwnerlContractor on site:
�
Inspector. ��',T�� � L
White Copyllnspector's File Canary CopylSite Notice