HomeMy WebLinkAbout2010-00946 - water softner CITY OF ORONO PERMIT NO.: 2010-00946
" 2750 KELLEY PARKWAY
�, ORONO,MN 55356- DATE IssuEn: 10/05/2010
952 24 -4600 FAX: 952 249-4616
ADDRESS : 1348 REST POINT CIR
PIN : 07-117-23-31-0023
LEGAL DESC : REST POINT PARK LAKE MTKA
: LOT O11 BLOCK 000
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTNER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00
6030 CULLIGAN WAY
MINNETONKA,MN 55345 MAIL-IN FEE 2.00
(952)912-7379 MISC FEE 0.00
TOTAL 22.00
OWNER
JONES,RYAN
1348 REST POINT CIR
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
� FOR CITY IJSE ONLY
,¢�� City otOrono
. r O; O. P.O.Box 66 Date Received: Permit�
� �„ � 2750 Kelley Parkway
�� t Crystal Bay,MN 55323 Approved By: Amount$:
i� .:.- t;�,� (952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial permiu must be approved by the Building Official or Inspector)
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 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 sepazate building permit must be
obtained.
5. All work must be done in acCordance with State Code requirements.
6. All work must be inspected alnd air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior aoaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �3 y� ���' 1 � i►�t C�Y���
Owner: f�ti o.v� -�U r�_S Mailing Address:
c�ri: z�p: ss 3 6 y
Home Phone: (O 15 -$7 9 - �j�I�3 Alternate Phone:
Contractor Information: '
CC76iht�iqy:W G Contact Person: f���-1
6030 CULLIGqN WqY
Add��kIVETO�.(q, �q��� State Bond#:
(952} 93�-72A0
City: �ip: Expiration Date:
Phone: Alternate Phone: 9�a -�) �a- �3 I �
❑ Insurance-Current:
1
; PL� '- .�G.�I,�T ,���' F�fiG�T�T.��;F.�? ,
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 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 Miscellaneous
�
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� � � b' YA'kE .Wabl MM�`v.{� �'`} ^.Y � � �� �
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`� �.L+�: r ,!'."'�a F.�R f.'�Y'.".& �, �.E
�] Yes,this section applies
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The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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. � , °PER'I�Il��'�' �:`�:���A'�Ifi�I�T'�. :=�`4���:(��It$�"O�.i�� = :` '
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00)
x.0005 $
(contract price) (minimum$ 5.00)
3. POSTAGE&HANDLMG(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE�Add Lines 1-3 Above) $ oc o�• U V
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 fumished by
the owner,tenant or any other party,the reasonable mazket 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.
■ **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
1'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: Date: / ` r�3 � �U
�, �-,5 �,�,���, ...�a:"
3
��� C� DAT � TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �� � �—
PERMIT NO. �/b-l..Y)4�v conn ED
ADDRESS � g
OWNER LEPHONE NO.
CONTR TOR
>: DESCRIPTION � ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ CAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR RE�NSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
Ow�nedContractor on site:
Inspector. �,���� ���
White Copyllnspector's File Canary CopylSite Notice