HomeMy WebLinkAbout2017-00454 - water softner , • CITY OF ORONO * 2 0 1 7 - 0 0 4 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 05/04/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 780 LAKEVIEW PKWY
PIIv : 06-117-23-43-0021
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 7 BLOCK 3
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 500
APPLICANT PLUMBING FIXTURE FEE 50.00
WATER DOCTORS STATE SURCHARGE PLBG(VALUATION) 0.25
8201 CENTRAL AVENUE MAIL-IN FEE 2.00
SPRING LAKE PARK,MN 55432- TOTAL 52.25
(763)535-1800 Payment(s)
Minnesota State License#:mech-WC645002 CREDIT CARD 8557 52.25
OWNER
Gonyea Homes
780 LAKEVIEW PKWY
MOUND,MN 55364-
AGREEMENT AND 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 l80 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. •
1
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Applican�erm�tee S�gnature Date Issued By ature Date
�p� City of Orono FdR CIT.Y US ONL .
O P.O. Box 66 Date ReCeived: •S" �
2750 Kelley Parkway Pemlit# � 0� �� G77D�
Crystal Bay, MN 55323
��'� c` (952)249-4600—Main
''kk'�HnR`` (952)249-4616—Fax Approved By:
Amount$: �
CITY OF ORONO— PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.qav/CCLDIPDF/pe plumbplanrevapa.�df
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 PERM{T. 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 Al)That AppIY)
�`�Residential ❑ Commercial (Approval Required) [Backflow Device:❑AVB ❑PVB]
�New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/Owner Information:
Site Address: ��U f� �t�f�t.� ` ,�.(,��-�,.
�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor lnformation: �
Contractor: �r��C`'�'S Contact Person: ���C..�--t �(`C�l6lS�`�
Address: ��j� �n`�c�Q 4rF +�-%� State Bond #: ���,`���
City: QC,Z(`� Zip: �� Expiration Date: _��,'_''�
Phone: �P��53�'�-' Alternate Phone:
�nsurance—Current: V�'_5
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Page 1
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FIXTURE BSMT �sr 2ND OTHER FIXTURE BSMT �sr 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
—__._
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
;�� {�'��;�y".y" �,rr�' �i� �x ���.g �'t ��i�u;�a P��~. z� �'� 2>,
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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 $ � Z-�
(contract price)
3. POSTAGE&HANDLfNG (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �d�Z�
" 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 dlspute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
�.x .a.;.u .��x ^ti; �i�!f`b
?.�` i.�s' ;`¢'k,jt.or,,�' ��,�µtrssa`,'h.1�.'
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 statement e on this application are complete, true and correct.
ApplicanYs Signature: Date:
Building Official/Inspector: Date:
Page 2
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pqTE TIME
CITY OF ORONO CALLED IN �
INSP TICE SCHEWLED
PERMIT N � COMPLETED
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CONTRACTOR �- �
'' DESCRIPTION
��es/ ��l—l-�i�� {G�I�
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMB�NG RI ❑ EXCAVKiRADIN(iIFIWN(i
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FiNAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING . ❑ MECHANICAL FINAL 0 RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � COMPUINT
� INAL ❑ WATER HOOK-UP � FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
g OwN9YCOff TMCrOR TO MEET Y01N_YES_NO
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� O YMORK SATISFACTORY:PFiOCEED �T COMPLETE
W O OORREC'T WORK a PROCEED �E CER'TIFlC�ITE OF OOOUPMMCY
o}� O C�1ECT WORK CALL FOR F�JNSPECTION TdAVOMRI/
V ����� PEfi�AANB�iT
❑�CT UNSAFE OONOITION Vy1THIN HOUR3. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑BTOP ORDER P08TED.CALL INSPECTOR ❑dTATION ISSUED
O IN8PECTION RE�UIRED.C/1LL 71D ARRAN(iE ACCE38.
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