HomeMy WebLinkAbout1994-006304 - water softner PERMIT
� Ci'TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ��'-'_'�!�'���`��-
Orono, Minnesota 55356-0815 i�,f_7r,:�;i i�?
(612) 473-7357 Date Issued: : �
i:c-�f i i:�:;���.
SITE ADDRESS:
__:;,; h�t=�f=`L��'i f.��'.:�� ��
�_�a
. _ . ., . . ._._."' � .� .t_'_._._—.c..Z—!_f�_)�..�_.
DESCRIPTION:
� f=I�"�'i�►;E
�'.iL�3ff�L'+ii��� �`�rrr�i#. Ty�,�- FI�T�.�i�L:°=:
�'l�.?r�i�Fi7i� �J�:�s�r:: �1"�F=f, �iE':::ILi��.�C:�
�. =A�f�i I��'; '��'_Es' ��iF�?
i,:+i,:i�{r�i�i/�v �`
C
� Vi VL� �a'•V I
f:'�'':�l'!..f1 J�� �
� 1 r_LLLV�•VV;t �y
v3 �iii r�V
REMARKS: i`'''+`�`'"'t�'`:" .
/� V 1 L Ll�t 1 a a��'V
. 1...1if�4t\ !L i7sVt
!\�LLL1L���1{ATtI l•LV!
FEE SUMMARY: n��jv:;�� �"t:j �lui !1J•�JT
!kL?i 3V!L�i
p Vt.':1!L:f/7
. .�-;t_.I_1F i�T I_IS',! -t,.E�` _
�'ci5�' �Nr• �.i�i . '?'.� �'!�3��_ �{'� ___—___ _�.�..�:�'.�.7
'•_=Ui'Cri:�+l�!?= --________�-1'k�..s,A} j�_�.i 1 ��e-r ��',y-_;7 ,t}t f
_����t{.s_t-�.�i , _ _ , �ii:)
CONTRACTOR: -- . ; _. _._��:.��Et. — OWNER:
f--; :� ; � -�• - - -��?' 'tt' _ �9t. 1: !
._..... .
.
_ - • -
_..�.; •:�:.� �•
_• ••;
- - .._.._... .sr:a . .�_ _•�� .,::�::� . ,. ._.l'= :-11 H'
..._.�;:�:t:� _�_�_�...i�i���� i�it:`y� -_r,:�it i C�if=��`LE::�I Ct�E '__�
�#i��:��!�i ��E;'!k::�� ��►+! ,�=;.<�� i,i�i tr���i t•1�•� �!::-;:�;�
. ... ..: . -. - ._ . ;i,�'�._ry:�==
. � � i s•f ti i- .r.� � ; . ,.,:, ,�"'.�.+��.yi.jt. � � { . x j 7' � ��� Tj.3� '�j . ,��,i,L'�j' + F.`�' -i�,"''_ .
�t�;.� -_}.,._.�., . . . _. ,......._ ..�... . _.�� f � __._,�__ i _� �:_?":, .�_ .:. i km1'`�t _ ... .i.l� : .,__ i-cE.�{-�._ �tlt`tt_I`��:::j d =
..::P"�"i f �� ..:._�._ . .. #.,.`' . ._�'.� !". i��_.E ...;(_# �,i .� '.�;_E 'i . ;:t:� .' � . �. .: # _. _.. . _ �I �;�y',:� ;;�i��:-� i-;?.__., a: ? E '_ l�i�
_ .,.,
1�r��,E��'.�t 4_:,E�:+.{�(.���...�z +-�' ..v ._� ; i��'�' s} ' °.-� � t!',�I__=�+_y I �3 ._. .t 1»..�_ _r d.� � ._F._f_ `'•�-- _7 E.. .r,#f.._���",`z
- _ - _ • _ ._ . � . . �'
V /Y//_.�Ls �/l7 '
�7 s
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,
.��30�=
� �
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) � ��q�.
Crystal Bay, MN 55323 AU G
GENERAL INF'ORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit 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 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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: �_ New Addition Repair Replace
Residential Commercial
, , �
JOB SITE: t��G:��' ���C'-� ��' �-�' ►�C'<<��-C_� l,C�_i-�c_. Zip: ������:
Owner's Name: ti�i�I I i��t,��� ..��12r" `.�� Telephone Number: �f��) 1 ��-�,_�,�f
Niailing Address: aU�,� t`�1Cii�I� k'i`cf4i� lClr�v_ City: �. ��, �,,;� Zip: �`,z7��I
Contractor'sName: ^ -�• a*- ���-- �-•--�el hnneNumber. ��',,�� �);��:�C'i
G�'�t tr,�t'�i�: 4..�L�@' p �
•i i*� L_b.OGi
MailingAddress: �n�,, �i „ � ����� ���y �ty: Zip:
MINNET�NK�1 MN 55345
PLUMBING FIXT�(JRE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND 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
Dishwasher Wet Bar
Sillcocks Misc (list)
M �
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �
�'72. (X� x .0125 $ `'��� . (":t--�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division c- `
Surcharge to each permit. x .0005 $ , < ..>�-
(contract price)
or $.50, whichever is greater
3. Posta�� and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��'1 , C%�'
* 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 installation are furnished by the owner,
tenant or any other party the reasonable market ��alue of such items must be added to the estuazted 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.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
T'he 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: ��v�,3-c�-� Date: 7�—?!—llf
,
,�: ..
� `!,
r� � � l�/ `'��1
��;
CITY OF ORONO CALLED IN ��l DATj� �,
INSPECTION NQTIG � . / SCHEDULED l 2"l�f /� �v
PERMIT NO. ��J � ` MPLEfED
ADDRESS ��' �, �
�NNER T ONE NO. Z'
CONTRACTOR
'' DESCRIPTION �'`� � "` �� ^ `�` � �
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI AL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4Q1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OMINENCOKTRACTOR TO MEET YW:_YES_NO
� COMMENTS:
Q -� ti/e�..��Jut� /'�e.ol '
j
0
� �Q-�'��tGl� S•n� i:� �iu ll�Ey - /�es� -��
0
QI�� ��vw�/.�`E-� �- ��o�ev-> �� �
� ,
� ,/�� r�c L"� ��-r.r�l�c�
W
OC
J
� ❑WORKSATISFACTORY:PROCEED ;�PROJECT COMPLEfE
� '�C pRECT WORK S PROCEED ��O I UE CEATIFlCATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COMERIN(i PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{OTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑G7ATION ISSUED
❑INSPECTION RE()UIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advance. (952) 249-4600
Owr�IContractor on site:
Inspector: � ^"' �
YYhite CopyAnspector's Flk Canary CopylSit�Noria
���� � .
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION 1NOTICEOi4(S SCHEDULED �� I 1•,�a
PERMIT NOC�L��r COMPLETED
ADDRESS 2 �� ��-(��2 �s��e �G�C_
OWNER ���� ����TELEPHONE NO. �--3 2 `� 2 3'� �
CONTRACTOR �.�Le-c.� I�(��-I�-°-ti-PQ
� DESCRIPTION ���
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
G ❑ MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNERIiCCOKTMCTOR TO MEET Y�OU:_YES._NO
y COMMENTS:
� ,�ew �%aC �4'' ��uh �e �i���%c: -��d �k�
o _JeV 16'�QC1 C..J s a2 f r��vfi9c-✓3 F>�sC i( S rcl��� -
�
� 1
� �,/� �-� �L�+�1 T�I�'1 GIF'
W �
aC
Q
�
Z
�
W
�
�
�
� ~�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pF{pT0 TAKEN
INSPECTOFi WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspectfon 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector:
`
White Copyllnspector's Fils C�nary CopyfSfts Notiee
ATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ��
PERMIT NO. � �G/ COMPLETED � f I
ADDRESS
OWNER CONTR. �
TELEPHONE NO. ��� — � �� �'
� DESCRIPTION 1
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
`� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 P 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 0 PLUMBING FINA 23 SEPTIC FINAL
� ACTOR TO MEET YOU:_YES_NO
c�„ COMMENTS:
�
W
C
�
�
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
� `/
� �WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W
� O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O �CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR c CITATION ISSUED
� INSPECTION REQUiRED.CALLTO AARANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr ��o on i :
Inspector. �`
WhHe Copyllnspector's File Canary Copy/Site Not�e