HomeMy WebLinkAbout2017-00598 - water softner CITY OF ORONO * 2 0 1 7 - 0 0 5 9 8 *
2750 KELLEY PARKWAY DATE ISSUED: 06/02/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 4305 CHIPPEWA LA
PIN : 31-118-23-42-0011
LEGAL DESC : CHIPPEWA
: LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 1000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.00
CROIX CRYSTAL WATER TREATMENT MAIL-IN FEE 2.00
3440 YOERG DR
HUDSON, WI 54016- TOTAL 53.00
(715)386-8667 Payment(s)
Minnesota State License#: plbg-WC64997 CHECK 16472 53.00
OWNER
CORNICK,JAMES&DEBRA
4305 CHIPPEWA LA
MAPLE PLAIN,MN 55359-
AGREEMENT AIYD 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 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 ermitee Signature Date ssued B ignature Date
,����-�;`` City of Orono R�C �'�2 c1'�u������
Q : P.o. aoX ss EIV te€teceived: ��m
r 2750 Kelley Parkway ' �..-
, f �� Cryslal Bay. MN 55323 �1� P�11'rilt�,�,,,,,,,�„
f �' (952)249-4600—Main ��N o� �a� ov�� _
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�•-"'�caH.��f� (952)249-4616—Fax
- _- C17Y OF pRON Amour�t�:
CITY OF ORONO—PLUMBING PERMIT
(All Commercial Permits Must be Approved by the St�e Prior to City Approval)
http:Jlwww.dti.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf
GEI�ER��.Il�F�RMATt(JN
1. You may apply for plumbing permiis by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Perrrrit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to Ycensed 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 airtested before it is covered. Call (952)249-4600.
(24�8 hour notice required)
` TY`PE QF P'ERIi�[!T(C�c AN Tt��t�PP�Y}
�esiderrtial ❑ Commercial (Approval Required) [Backflow Device: 0 AVB ❑PVB]
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
'You witt rteed prior approvat artd rrray rteed Ct1P. (Per Ororto City Code, Chapter 78, Artrcfe It�
Jot�Site f Qwr�€,r lnform�tit�n:
�, �.. �.
Site Address: �" � ���„ _����� �"�t,�-� �--4"1
Owner�-�'\��. ��-���1 �lZ Mailing Address: �� ��t=� ���"��(`f��.Lt�\�, � ��
T
City: �\ �`��1 �� Zip: `7 ���� �
� � _ C� �-
Home Phone: �-�`��� �l� L �J��Itemate Phone:
:Cot7tt�c�r'irtft�rma�n:
COntraCtor. Croix Crystal Water Treatment Contact Person: Jim
Addr2ss: 3440 Yoerg Dr State Bond#:
Clty: Hudson Zip: 54o�s Expiration Date:
Phone: 7�5-386-866� Altemate Phone:
� Insurance—Current: �(��,i\ �`�1 E�?.�
Page 1
':,.#�L������!)CC��� t������S'��.E� '
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER
TYPE Ffoor Ffoor TYPE Floor Ffoor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener X
Dishwasher Wet Bar
Sillcocks Miscellaneous
�ft�1ftT���CAG�l,��T�QN
1. CONTRACT PRICE *is 1.25% of contract price with a(Minimum Fee of 550.00)
x .0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(corrtract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00
�
C�-'
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ � �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amourrt charged for the
permitted work ir�c��ding r»ateriaJs, labor, profit, and other frxed costs. It �s the ama�nt to be charged to
the customer for the work done. If any material, equipment, labor or installations are fumished 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 a�tual contract.
�,:�B�ti����'�`��'L;�#����A����#� �, , ",`
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.
� lApplicant's Signature: �' � _� Date: ) I �� ��
�
Building OfficiaU lnspedor: Date:
Page 2
DATE TIME �
CfTY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMR NO. �7���-s�1'� COMPLETED 6 —6 ��7
ADDRESS 7�S �Y�.B�9�c�.q L.n•
OWNER TELEPHONE NO.
CONTRACTOR G��'� ��'4 s L`s,! GJ�Q.� "f✓e•c�ce.st'
� DESCRIPTION �r/d�c✓ 5d��c.�cer eHs�@ l�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W ❑ S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMMERICONTRACTOR TO MEET Y�ll:_YES_NO
y COMMENTS:
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4 / 7"/"�✓L�p� If'l�it, _ �l�. 4 .r- �'fS'c �_ a'IL--
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Q G6rrG'� v Gt!/ tcr �C'�t•�s�leac..��G•-•.
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W ❑WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLEfE
� ❑OORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
,�QIJSPECTION REAUIRED.CALL TO ARRANGE ACCESS.
�. .
Call for�e next inspection 24 hours in advance. (952) 249-4600
OMmerlContractor on site:
I�spector. �✓ �
WMte CoPYnnspsctor's Flle Caruiry CoDY13iM Notke