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Home My WebLink About2015-00572 - water softner• � CITY OF ORONO * Z 0 1 5 - 0 0 5 7 2 * 2750 KELLEY PARKWAY DATE ISSUED: OS/1U2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2605 KELLY AVE PIN : 20-117-23-14-0022 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 005 BLOCK 005 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER VALUATION OF PLUMBING 7067 APPLICANT PLUMBING FIXTURE FEE 8834 STATE SURCHARGE PLBG(VALUATION) 3.53 HAFERMAN WATER COND INC. MAIL-IN FEE 2.00 12142 12TH AVE S BURNSVILLE, MN 55337 TOTAL 93.87 (952)894-4040 Payment(s) Minnesota State License#: BUIL-WI50110738 CHECK 17906 93.87 OWNER WINE, SCOTT&JILL 2605 KELLY AVE EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for onty the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may bc revoked at any time for due cause. /�--� � � �-<-- ��l ) ' i �.! l_%(�-_� ��(�� --� �.-ti-��. � i � � i C Applicant Permi ee Signature Date Issued By Signature Date 1 r FOR CITY USE ONLY �'`✓ `� City of Orono � ^ t'� / �^� �-�� P.O.Box 66 Date Received: ��ermit#�'«v ��'^ � �.i�� 2750 Kcllcy Parkway G� i �'� Crystal Bay,MN 55323 Approved By: 1�� Amount$: l� � (952)249-4600-Main � -'� � � ' (952)249-4616-Fax � c�` C1TY OF ORONO—PLUMBING PERMIT �\r'�£��H«�� (All Com�nercial Pernlits Must be Approved by the State Prior to City Approval) �� htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL 1NFORMATION L 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractars and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate buildina permit must be obtained. 5. All work must be done in accordance with State Code requirements. 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 �esidential ❑ Commercial(Approval Required) `�.New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: SiteAddress: ��7 4��.�,��✓1.�1� Owner:� � \\ .C�.C�� W� �(l�, Mailing Address: � �y11��,. c�ry: (�'`1,�O�� z�p: �>S�3� Home Phone: Alternate Phone: Contractor Information: �� Contractor: V �� Contact Person: n '� Address: 1�l�Z ,Z��S State Bond#: `��U�� ` City: , 1�. � Zip��Expiration Date: I � 1 Phone: ��_`�-1�-�^��t`�� Alternate Phone: ❑ Insurance—Current: 1 r� PERMIT FEE CALCULATION S -.JOBS OVER$500.00 If above docs not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) `I t��O�`W x.0125 � t> O�� (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) $ �1��` ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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 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. °�UMBINCi�PERMIT APPLIC'. ' P�GREENIENT" 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. Applicant's Signature: Date: �' V� �� 3 r 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 r � Dishwasher Wet Bar Sillcocks Miscellaneous ❑ 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 replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 �' ��j �� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE �'J�cHEDULED �l PERMIT NO. ��UV�� • COMPLETED ADDRESS Z��S �-tJ'e. OWNER TELEPHONE NO. CONTRACTOR � � DESCRIPTION � � � r '�� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINALlL. /`f� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRAD�G/FILLING y ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ' aq �r C�� ,�rvGr �o� � � J O � bjo r K �'�,��.o��c�`� 0 � W � C Q 2 �(LP'i� N4 �� C l i/i� W � W � � � GW ❑WORK SATISFACTORY:PROCEED T�RRQ�JECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call fo ection 24 hours in advance. (g52) 249-46�0 Owner on ct�r o i� . %6 �— � Inspector. White C llnspector's File Canary CopylSite Notice