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HomeMy WebLinkAbout2017-00470 - water softner i CITY OF ORONO * z 0 1 7 - 0 0 4 7 0 * ' 2750 KELLEY PARKWAY DATE ISSUED: OS/09/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1003 COX FARM RD P[N : 27-118-23-33-0014 LEGAL DESC : SHADOWOOD FARM : LOT 002 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER NOTE: REPLACE WATER SOFTNER VALUATION OF PLUMBING 650 APPLICANT PLUMBING FIXTURE FEE 50.00 BRACKETT,JOHN STATE SURCHARGE PLBG(VALUATION) 0.33 1003 COX FARM RD TOTAL 50.33 LONG LAKE,MN 55356- Payment(s) CREDIT CARD 0047 5033 OWNER BRACKETT, JOHN 1003 COX FARM RD LONG LAKE, MN 55356- 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 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 I 80 days at any time atter work has commenced. The applicant is responsible for assuring alI required inspections are requested in conformance with the State Building Code.This permit may be revoked at any Fime for dqe c�se. ^ �'^� ; ,� _ �C.�� , �, ` �- 5 � �� �.'���..� �� ��..,��f- ��� , , �� ,�.,. A licant Permit e S' n re Date � pp [ssu�d By Signature Dat� �p� City of Orono FOR CITY USE ONLY r O P.O. Box 66 Date Received: c ; i:x j � � 2750 Kelley Parkway '�V a �. Crystal Bay, MN 55323 Permit# ��-,(,%� � -" ��-^` � yF o` (952)249-4600-Main t� (� �"'KfSH�4'� (952)249-4616-Fax Approved By: �,�,-�,a Amount$: � � `� `I CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qovlCCLD/PDF/pe plumbplanrevapp adf GENERAL INFORMATION 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 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 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 it is covered. Call (952) 249-4600. (24-48 hour notice required) TYPE OF PERMIT(Check All That Apply) [�(�. Residential ❑ Commercial (Approval Required) [Backflow Device: ❑Ava ❑Pvs� ❑ New ❑ Additional ❑ Repairs �Re lace p ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address: l�C� � Cvx �f��1�1 � � o���� � M N SS�S (� Owner.�61-1 N �('�L►�-C�I'7� Mailing Address: 1 c�o.� C�C �A 6zM � city: a��o zip: 553 5 6 Home Phone: � ►2 "1�(�l � Z� �7 Alternate Phone: 6 �2 7� o "Z�z�f� Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance — Current: Page 1 �N!C�(�1S.TALLEt��,.� ������y";�`�A. � ��� ' ��.: �����' ,�,;,�"�'��0.�-�`�,�,��..P�U1�711�ING FIXTURES,�BE. ,� �w �,� _ °_ }� � � � FIXTURE BSMT 1sT 2ND pTHER FIXTURE BSMT Floor Floor OTHER ,� TypE Floor Floor TYPE Water Closet Fioor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener � Dishwasher Wet Bar Sillcocks Miscellaneous �; '& ,.�i• � 't Y ,K �'.�rit� ��,�-��-L ���;�'1�'�e`�-�'�4,,�`,m,; �.+4, �y°`'",��," . �s"� .t;; �t: ���vi'a »,�- ,v .,,�.. :.4:s-. 3 �+i"„�'� �' 4... mr2#'�,-. �as 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) �bs� x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� 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, 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. � {'� 1�� �� l���'.�'�1:.���A'���...�.. � .-� t `� z�� �����°�� ������. wi 7. s�«. � f� *�s �. �Ir,` �: � � ��r, �,�•.. s . � a�8 ��a,z`��n, 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 th,is application are complete, true and correct. � /.._._1 — -- - ._._../,_ - _�'���_ Date: S�10��-7 ApplicanYs Signature---`""� Building Official/ Inspector: Date: Page 2 � � I DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE 'L f� SCHEDULED ' � � �%�� PERMIT NO. �017' ODT�v_ COMPLET D ADDRESS I bo� C.ox F�,r • OWNER , TE EPHONE NO.��Z��"8�� CONTRACTOR n fD��l. CJoI�L►'l ) � DESCRIPTION � � O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPUUNT v O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�i, COMMENTS: � W C o /P�i� �.� � �� u�� �. � 0 W � Q � W � W � � � ��WORKSATISFACTOR�F. EED �PROJECTCOMPLEfE W CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwneNCartractor on site: Inspector: ��� �-' White CopyllnspecMr's File Cenary CopylSMe NWke