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Home My WebLink About2015-01060 - water softner CITY OF ORONO * 2 0 1 5 - 0 1 0 6 0 * � 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2015 ' ORONO, MN 55356- (952) 249-4600 FAX: 952 249-4616 ADDRESS : 1100 PINE VIEW DR PIN : 28-118-23-42-0010 LEGAL DESC : PINE VIEW : LOT 4 BLOCK 1 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 1.00 WATER DOCTORS MA[L-IN FEE 2.00 8201 CENTRAL AVENUE SPRING LAKE PARK,MN 55432- TOTAL 18.00 (763)535-1800 Payment(s) Minnesota State License#:mech-WC645002 CREDIT CARD 6404 18.00 OWNER WIGGINS,JASON&AMANDA 410 N 2ND ST UNIT 449 MINNEAPOLIS, MN 55401- 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 addi[ional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. `�� , �1�� f�C�� .`�S� � i Z� � !� - Applicant Permitee Signature Date Issued By Signature Date Aug 19 15 10:28a Water poctors 7635351805 p.2 ,� �� POTt�SFt ONLY" �O1G� ( � �O � Ci Offli'Ot10 (� ` 4J � P O.Box 6( Uate Receivec� �Pt,�rm-t�; � 2750 Kelley Parkwo}' � Cryswl IIay.MN 553'_i Approvcd By: �Amoun[5:� � (9 5 2)249-46G0—Ma i n � -' (953)?49-46I6 Fax .�'` ��"t �� CITY OF OROl�O-PLITti�BING PERMIT �'��iF�o��' (All Cornrnercial Permi�s Wust be Approved by the State Prior to City Appro�-a]) h;t :,:��i�v�y.dli.mn.r�ov!CC'LD/PDF( e .►lamb lanreva . t3f GENERAL INFORMATI(�N 1. You may apply for ptumbino permits by mail or in person at�3�e City offices. Applicauone will bc reciewed and a permit will be issued w�thin two working da}'s. 2. Percuit cards will be sen�by re:ttrn rnail after a review is completed. PER�VIITS ARL N�T VAL[D UNT[L YOU RECE?VF A PER1+�:IT. V1'ORK MUST NOT SEGIN UNTIL THE PERMIT CARD IS POS�ED ON'1'HE JdB S1TE. 3. Plumoin�pennits ma��be issued ONLY to licevsed plumbing convactor and to properly owners residing in Ilte dwelling. 4. �'nen any ne�v constiuction or remodeling is involvcd,a separate building penni:mus�be obtained. 5. All work rnust be done in ac�orc3�uice��idi State Code requirements. 6. All u�ork rnust be inspected and air lested beforz it is covered. Call(952)2�39-46a0. (24�8 hour nutice reqaired) � TYPE OF PERMIT � (Clieck All That Apply) �Residential ❑ Commercial(Approval Required) �]\ew ❑Additional ❑Repairs ❑Replace [ ]n Accessory 3tructure? *You will need uriar approval and may need CLIP.{Per Orono City Code,Chaptcr 78,Article IV7 �ob Site/:pwuer Information: � �� , ._ _ _ _-- I C�� ` �� Site Address: � ' �t 61 -�'-� �` 1 � '� , - Owner: �1" 1 r bl S ,��;yu'�✓c�iailing Address: City: Zip: Home Phone: �lternate Phone: Contractor Information; / 1 n l Conkractor: w� �'� �/C��'S C.ontact Person: �tf' �c�1 C?� 1 / Address: ��'� �.��C� l��Y�� ,�"��{�State Bond #: �� ` ��=�-3Y- �3 C:ry: J�'►'�n�j �1��K ��r � Zip��Z �xpiration Date: C'>l/C� 1� �� J -�i Phone: �� S 3� �� Alten�ate Phone; �� Tnsurance-Curtent: �'?'►f�1�n�1 ��✓�� ! Aug 19 1510:28a Water poctors 7635351805 p.3 , . , - -: . -:;. . .;:.. = - �?L��3�Tf�F�T€FRES°BEIl�G IN�`x'A�LLED. �` - FTXTURE BSD9T 1 T 2 OTHER FIXTURE ' BSMT 1" 2M1D OTHER :' TYPL FL FL TXPE. i FL FL i Water C]oset Floor Drains � Lavatory Se��•er Ej ector Bathtub Laundry Tray Shower Washer Kitchen Sink Wa�er Heater Disposai Wa�er Softener Dish�i�asher , 1�'et Bar Sillcocks Miscellaneous _:. , a ; i'F.RIti+�IT�1�?CA�..��[T�A�'Iit]� � :' , � �� _ . _. , ; . .:��A:S�Q��`'��425TA��-��'4�.:: '. � Yes,this section applies I1�e r�placeinent of only ane Residentia]fixture or appliance tt►ai meeis all three of the follou�ino requirzments: ]. T)oes not require modiiication to electrical or jas service. 2. Has a total.;ost of SSOQ.00 or less;excludin¢the cost of the fixmre or appliance: and 3. Is improved.instailed or replaced by the homeowner or licensed p(urn6ing contractor. Slcip nexl secfion,if this applies; Cos[of Permit $ IS.OQ State Surcharge � 1.00 Nlail-InFcc(If.4pplicable) $ �$9— Total Permit Fee S��C7T_J (Pcrmit Fees Continued Qn Next Page} � Aug 19 15 10:28a Water poctors 7635351805 p.4 . :- . .. :.: . : "�.�'�1��:��LA'�If)I+� $ -:.T4�S:()V:��.��04.�D; . .__: ,. .. -; If above does not apply;follow guidelines below: (. CO�TRACT PRICE * is 1.2�"/0 of contract price with a(Minimum Fec of$50.00) x.0125 S (con[ract priee) (minimum SSO.UOj 2. ST�7'E SUItCRARGE x.0005 � f con iract pri cz) 3. POSTAGE&H.4NDLING(Only on:Vtail-In Applications) � 2.00 4. TOTa1L PERI�IIT FEE(Add Lines 1-3 Abovc) $ • * CONTRACT PRICL- or JOB COST means the actua] or estimated dollar amount charged for the petmitted work including materials,labor,profit,and other fixed costs. It is the amouret to be chazged to the customer for thc work done. Ir any materiat, equipment, labor or installations aze furnished by the owner,tenant or any ot6er parly,the reasonable market vatue of such items must be added to the estimated cost or contract price for permit fea pur�oses. in the event that there is a dispute on the amount of the job cost,the Cih� may rcques[tlte submission of a signed cepy of thc actual conh�act. ._ :, - _ .. _ ::_. ; . _..�:PG��+��:��'�"P,P�'L�CAT�t�N,��A�T- �- ..', . . ;;:: The undersigned hereby applies to the Ciry For issuance of a Plumbing Permit, a�rees to do all work in strict aecordance with the ordinances of the City and the regulations of tl�e State of Minnesota, and ezrtifies that all statements madc on this application are complete; true and correct_ .�.:!/ � / � � -------- �j Applicant's Signature: . ;'C ��,�� Date� � // ��I,� 3 � � e� � DAT TIME�/ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMIT NO.�O/ S 'd�D�C7 COMPLEf ADDRESS l��D r ��v/�� OWNER TELEP�,ON/E NO. 7G3��l� CONTRACTOR !/(�/Q-�� rS � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SE TIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC IN TALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES�NO v�i COMMENTS: �- W _ �^ A a ,�� G.�6 l L_ �- 2 J O �. � O � W � Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adva ) 249-46�� OwnerlContractor on site: inspector. " White Copyflnspector's Ffle Canary CopylSite Notice