HomeMy WebLinkAbout2016-00311 - water softner , �
CITY OF ORONO * Z 0 1 6 - PJ P1 3 1 1 *
2750 KELLEY PARKWAY DATE ISSUED: 03/3U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 795 LAKEVIEW PKWY
PIN : 06-117-23-43-0014
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 3 BLOCK 2
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.25
WATER DOCTORS MAIL-IN FEE 2.00
8201 CENTRAL AVENUE
SPRING LAKE PARK,MN 55432- TOTAL 52.25
(763)535-1800 Payment(s)
Minnesota State License#: mech-WC645002 CREDIT CARD 8557 52.25
OWNER
Source Land Development Inc.
18215 45TH AVE N
STE D
PLYMOUTH, MN 55446-
AGREEMENT A1vD SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 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 be
revoked at any time for due cause. •
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Applicant Permitee Signature Date Issued B j� �gnature Date
� Mar 31 16 07:39a Water poctors 7635351805 p.1
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�=�{}�\ City af Orono �OR C17Y USE ONLY
r � \ P.O. Box 66 Date Rece�ved: �( —� �
(� 2750 Kelley Farkway PeflTllt#� �(p � �Z�� ��
`���\�' ��� Crystal Bay, Mh!55323 �'
;� �4.r' (952)249-�4606--Main A fOV�Cf B
�,�EsyHo�. (g52)249-4616—Fax Pp �'
Amount$:
CITY OF ORONO– PLUMBING PERMIT
(All Commercia!Permits Must be Approved by the State Prior to City Approval}
htt :/lwww.dli.mn. ov/CCLD/PDF! e lumb lanreva _ df
'� GENERAL INFORMATION
1. You may app�y for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permft will be issued within two working days.
2. PermiE cards will be sent by return mail after a review is completed. PERMITS ARC NOT VALID
UNTIL YOU RECEIVE A PERMI7. WORK MUST NOT BEGIN UNTIL TNE PERMf7 CARD 1S
POSTED ON 71-lE JOB SITE.
3. Plumbing permits may be issued ONLY to{icensed 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.
5_ All work must be done in accordance with State Code requirements.
6_ All work must be inspected and air tested before i: is co�ered. Call(952) 249-4600.
(24-48 hour notice required�
T�'PE OF PERMIT(Check All That Apply}
�Residential ❑ Commercial (Approval Required) [l3ackflo,� �c��c�:❑,�vB ❑pv�3]
�New ❑ Additionaf ❑ Repairs ❑ Replace
❑ In Accessory Structure?
'You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site 1 Owner Information: �
Site Address: ��� �g �v, �,� a✓��x �/
�wner_ �vf'� c` Mailing Address:
City: Zip:
Home Phone: Alfemate Phone:
Contractor !n#ormation: �
Cantractor: _ �.d�'Q�✓ U�c�r�S Contact Person� l��,e,��L�,��j,/
Address:��G/ Ge-�� J�a/ Q:,� /L'_r�. State Bond#: L�G� �5'O��
City:��,� ..--�– G,a,� ,l�r,E Zip:S�`l-�..�. Expiration Date:
Phone: �1�3 –S�S—%:yC�O Alternate Phone:
J] Insurance —Current: __
Page i
r �
Mar 31 16 07:39a Water poctors 7635351805 p.2
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_ : :. ; �' � PLt�M.B(NG FIXTI�R�S.B�f�1G ffi�ST!°�:�Ep : " : �
FIXTURE BSMT 1ST 2�'1D OTHER FIXTURE BSMT �sr 2+vo aTHER
TYPE Floor Floor TYPE Floor Floor
�
Water Closet Floor Drains �
Lavatory Sewer Ejector �
Bathtub Laundry Tray i
Shower r '
Washe
Kitchen Sink � Water Heater
; Qisposal ; Water Softener
; Dishwasher Wet 8ar
i
Sillcacks Miscellaneous
� ; PERMIT FEE C�I,::GUL.�TI£�t ' �
1. CONTRAC7 PRICE "is 125%of contract price wi#h a (Minimum Fee of$50.00)
x .d125 $
{contract pricej (minimum $50.00)
2. S7ATE SURCHARGE
x .00US $
(contract price)
3. POSTAGE 8 HANDLING (Only on Mail-In Applications) $ 2.40
A�. 70TAL P�RMIT FEE(Add Lines 1-3 Above) $
'" CONTRACT PRICE or J�B C�ST 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 installations are furnished by the
owner, tenant o� any other party, the reasonable market value of such items must be added ta the
estimated cost or contract price for permii fee purpases. [n the event that there is a dispute on the
amount of the job cosi; the City may request the submission of a signed copy of the actual contract.
P�.tJMBING 3'ERMkT APRL3CATltaN AGR��M. �t�T -
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 appli ion are complete,true and oorrect.
Applicant's Signature: - �2� Date:
Building Official/inspector. Date:
Page 2
/ /,/� n
'� I �/i � ,`'�` II l `V �
v�vr�k I DATE � TI E �
CITY OF ORONO CALLED IN -
INSPECTION NOTICE SCHEDULED _ �
PERMIT NO. ZG/�-���� COMPLETED
ADDRESS ��I S L_C� /L� �'/ � � ,�����/
OWNER TELEPHONE N�'�2 � --�� �S /�dL
CONTRACTOR � �GC � ��,rY f�/�
� DESCRIPTION � �s`�'�Z- � , T 7�f'��
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAV /`�C-�L,
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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ��� !
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��j�� �
y COMMENTS: �
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W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORHECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cai1 forthe next inspection 24 hours in advance. (952� �6��
OwnerlContractor on site: � �
Inspector.
White Copyllnspector's File anary Copy/Site Notice