HomeMy WebLinkAbout2018-00100 - water softner CITY OF ORONO I I HMI I�I I�I I II I� III I I I I�I I I I 111
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2750 KELLEY PARKWAY DATE ISSUED: 01/29/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3225 LAFAYETTE RIDGE CT
PIN : 17-117-23-44-0089
LEGAL DESC : LAFAYETTE RIDGE
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 600
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.30
APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00
12850 CHESTNUT BLVD
SHAKOPEE,MN 55379- TOTAL 52.30
(952)445-4803 Payment(s)
Minnesota State License#:mech-M B0041 65 CHECK 10081 52.30
OWNER
KNUTSON,DONALD&CAROL
3225 LAFAYETTE RIDGE CT
WAYZATA,MN 55391-
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 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.
ted-c„„ 7, I
Applicant Permitee Signature Date Issued ly ignature Date
_ 3A1 City of Orono FOR CITY U
O P.O. Box 66 RECEIVED Date Received:
2750 Kelley Parkway Permit# ��/i "
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4. Crystal Bay, MN 55323 JAN <a [u'l
ti� c� (952)249-4600—Main Approved By:
�''k�esHoao` (952)249-4616—Fax
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CITY OF ORONO Amount$:
CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.dov/CCLD/PDF/pe plumbplanrevapp.pdf
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)
If Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional n Repairs Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
2 ) -� ,
Site Address:J��d-� t2 (-1e, l � t./ C''-i--•
Owner: 0 YZ0 I&V1 a,--SOI(1 Mailing Ad ss: ...Sn rh Q.i
City: MY) 0 Zip: 15-Sq 1
Home Phone: &15-- - (- 7 r d4Iternate Phone:
Contractor Information: /
Contractor: Contact Person: G h, v It"
Address: State Bond #: ?C o q/tica(a
Appliance Connections Inc.
City: 12850 Chestnut Blvd. Zip: Expiration Date:
Shakopee, MN 55379
952-445-4803
Phone: Alternate Phone:
❑ Insurance - Current:
Page 1
` PLUMBING FIXTURES BEING INSTALLED ,
FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1ST 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 I
Dishwasher Wet Bar 1
SillcocksI Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
40006
x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARGE
W0��nn//11 V
x .0005 $ - 30
(contract price)
3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00
3
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ol--
* 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.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with 'e ordinances of the City and the regulations of the State of Minnesota, and
certifies that all statem:• made on this applicatio- are complete, true and correct
,) ,
Applicant's Signatur= /L L„ . Date: ( S I
1
Building Official/ Ins.-ctor: Date:
Page 2
,°\
+ATE / �j TIME
CITY OF ORONO CALLED IN d a '�
INSPECTION TIC I SCHEDULED A L J;�)
PERMIT NO / COMPL ED n
ADDRESS 5. A5 9 �'`E ea
OWNER 0//I / L►_ ELPHO ENO 4' 1- -73/D
CONTRACTO'APti i '/t- 0 �5
DESCRIPTION Wthe Se•ole/Ter
❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING
y 0 FOUNDATION DRAIN TILE ❑ PLUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cci COMMENTS:/.2 c w adl."-S .1-ti c /h SSSCC
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WCC ❑WORK SATISFACTORY:PROCEED _ ROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector: �Jam-N R
White Copyllnspector's File Canary Copy/Site Notice