HomeMy WebLinkAbout2011-011 - water softner • ' CITY OF ORONO PERMIT NO.: 2011-01149
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/29/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1375 REST POINT RD
PIN : 07-117-23-32-0037
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTNER
NOTE: WATER SOFTENER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00
6030 CULLIGAN WAY
MINNETONKA,MN 55345 MAIL-IN FEE 2.00
(952)912-7379 TOTAL 22.00
PAID WITH CC# 0597
OWNER
GERLICHER,MR.&MRS.
1375 REST POINTT RD
MOUND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due caus .
�/o��/ /� / �/ /
Applicant Permitee Sign re Date ssued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
09/29/2011 10:47 FA% 9529335049 CULLIGAN MNTRA �002
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�$��0 P.O.Box 66 Dete Receiv Permit# j/—
' .�,, 2750 Kelley Parkvwy � ��
t r Cryatal eay,MN 55323 Approved Hy: Am�unt S:
� , ' ��,� (952)149-4600
CTTY OF ORONO—PLUMBING PERMIT
(Al)Commercial permits must be approved by thc Building Official or lnspector)
GENERAL TNFORMATION
1. You may apply for plumbiag permits by mail or in person at the City offices. Appiications 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 UNTII.YOU RECEIVE A PERMIT. WO�K MUST NOT BEGIN UNTIL THE
PERINIT CARD IS POSTED ON THE JOB SI7'E.
3. Plumbing permits may be issuod ONLY to licensed plumbing contractors and to proporty ovmers
residing in the dwelling.
4. When any new consbuction or remodeling is involved,a separate buiiding 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. CaIJ(952)249-4600.
(24-48 6our aotice required)
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
� �
❑ In Accessory Structure?
*You wiU need nrlor aooroval and may need C�.(Per Orono City Code,Chapter 78,Article 1V)
Job Site/Owner Information:
Site Address: ��7 5 K�S t Po��T i��
Owner: C�1�c�e� Ger�K�r Mailing Address:
City: Zip: S5�lo y'
Home Phone: 9s a-�- �I a.9Q Altemate Phone: �
Contractor Information:
Contractor: Contact Person:
CULLI�i���ATER CONDtTION1NG State Bond#:
'i81 ULLI
M�f�ETdNKA, MN 55345 Zip: Expiration Date:
(952) 93s=?290—
Phone: Atternate Phone: 9Sd-9 f a• 7 3 I�
❑ Insurance—Current:
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09/29/2011 10:47 FA% 9529335049 CULLIGAN MNTRA I�003
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FIXTURE BSMT l Z OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains •
Lavatory Sewer Ej�tor
Bathtub Laundry Trey
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Baz
Sil lcocks Miscelleneous
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� Yes,this section applies
��
� The replacement of a Residential fixture or a I�g iance that meets all three of the following requirement�;
1. Does not requue modification to electrical or gas secvice.
2. Has a to ost of$500.00 or less;excludin¢the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or iicensed 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 S
(Permit F'ees Continued On Next Page)
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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 S
(contract price) (minimum 550.00)
2. STATE SURCHARGE *•Add the State Bldg Code Div.5urcharge(Mlnimum Fee otSS.00)
x.0005 S
(contrect price) (minimum S 5,00)
3. POSTAGE&HANDI.ING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT I�EE(Add Lines 1-3 Above) $ aa•Vu
■ * CONTRACT PRICE or ]OB COST means the actual or estimated doller amount charged for the
permitted work including materials,labor,profit,and other flxed costs. It is thc amount to be charged
to the customer for the work done. If any material, equipment, Iabor or installations are fi�rnished by
the owner,tenant or any other party,the roasonable market value of such items must bc added to thc
, estimated cost or contrsct price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost,the City may �equest 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.
The 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: 9-aq • ��
,
. � . .
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