HomeMy WebLinkAbout2016-00528 - water softener , CITY OF ORONO * 2 0 1 6 - 0 0 5 2 s *
t 2750 KELLEY PARKWAY DATE ISSUED: OS/16/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 559 PARK LA
PIN : 06-117-23-41-0044
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 006
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
VALUATION OF PLUMBING 2050
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.02
PETERSON SALT&WATER TREATMENT CO. MpIL-IN FEE 2.00
1415 STH STREET S
HOPKINS,MN 55343- TOTAL 53.02
(952)929-0422 Payment(s)
Minnesota State License#:GENR-W 150166459 CHECK 31700 53.02
OWNER
O'DONNELL,TIMOTHY&JOAN
559 PARK LA
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 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 Permitee Signature a e Issued By Signatu Date
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� �pN City of Orono FOR CITY USE ONLY
O P.O.Box 66 Date Received: r-f� -l�O
2750 Kelley Parkway permit# 7 n I(0 '���p�
y �. Crystal Bay,MN 55323 --�. .r
�' �,�c? (952)249-4600-Main qpp�oved By:
��'�fSHO (952)249-4616-Fax
Amount$: �
CITY OF ORONO — PLUMBING PERMIT
(All Commerciai Permits Must be Approved by the State Prior to C'rty Approval)
http://www.dli.mn.aov/CCLD/PDFIpe piumbplanrevapp.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 finro working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALtD
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-d8 hour notice required)
TYPE OF PERMIT(Check All That Apply)
��Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
(� New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
''You will need arior aqproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
Site Address: �?� �l��" �V�
Owner: t t� t``�t���t f Mailing Address: 5��i ���l Gg�-�'-�
City: C�1(�TYI� Zip: C��Q
Home Phone: ����'� ��� r e1���Alternate Phone:
Contractor Information:
Contractor: .�-����'t�l/I ,���f Contact Person: �.i �'1����i
Address: � �j� � ���t J • State Bond #: �/1����� �D�� -'�> C7
City: ������� a Zip: ���� Expiration Date: ��I �
Phone: ��J�'���� " D� �Z- Alternate Phone:
❑ Insurance —Current:
Page 1
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• FIXTURE BSMT �sr 2ND OTHER FIXTURE BSMT 1ST No
NPE Floor Floor 2 OTHER
NPE 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
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1. CONTRACT PRICE " is 1.25% of contra�t price with a (Minimum Fee of$50.00)
---._ � x .0125 $ � 1, �}�
(contract price) (minimum $50.00)
2. STATE SURCHARGE
��� x .0005 $ ���
(contract price)
3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ��. L'� ��j
* CONTRACT PRtCE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other flxed costs. It is the amount 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 actual contract.
PI:L�M�3�I�iG�P�€�it��/k�:�?��AfiIt�I��+iG�E���';�=� j� � � �< , �,_�-
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The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the ordinances af the City and the regulations of the State of Minnesota, and
certifies that all statements made on this appli tion are complete, true and correct.
' �
ApplicanYs Signature: Date: U
Building OfficiaV Inspector: Date: .
Page 2
`//�/ � Cp`-�� ,
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTI E SCHEDULED ���0 �
PERMIT NO. ��� Zg co LETED
ADDR ��-1�-
OWN C�� O� �C'��II TELEPH E NO. � �Z--4���7�Z
CONTRACTOR •.Q,��6�
i DESCRIPTION �-Yn� �1 1���
lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL�
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILL�
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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ -SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
�D O-S E ❑ S PTIC INSTALL
N NTRACTOR TO MEET YO�YES_NO
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W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEEO SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 urs in advance. (g5 249-46��
OwnerfContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice