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Home My WebLink About2012-00746 - plumbing - softner ' ' CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 7 4 6 * DATE ISSUED: 08/OU2012 ORONO,MN 55356- 952)249-4600 FAX: (952)249-4616 ADDRESS : 3100 RIDGEWOOD CIR PIN : 04-117-23-23-0023 LEGAL DESC : ROUTSON ADDN : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL COPISTRUCTION TYPE : FIXTURE 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 BURNS,GARY&STACY 3100 RIDGEWOOD CIR 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 sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / �� /7 /� / "�_ ci [ Applicant Permitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 08/O1/2012 12:37 FA% 9529335049 CULLIGAN �NTRA f�002 . tJSE ONLY / ��'��0 P.o gox Orono Dam Re�i ; � YPamie# �� 7�� 2750 Kelley Perkrvay . 'L Crystel Hay,MN 55323 Approved By, Amount S: � � ' � (952)249-4600 CITY OF ORONO—PLUMBING PERNIIT (All Commorcisl permits mus�be approved by the Building Officiel or Inspector) GENERAL TNFORMATION 1. You may appty for plumbing pertnits by mail or in person at the City o�ces. Applications will be reviewed and a permit will be issued within two working days. 2. Permit carda will be serrt by return mail aRer a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMTf. WORK MUST NOT BEGIN UNTIL THE PF�RMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing cornractors and to property owners residing in the dwelling. 4. When any new conswction or reinodeling is involved,a separate building permit must bc �btained. " 5. All work mosf 6e done in accordance with State Code requlremerrts. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (7A-48 600r aotice reqn[re� TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You�ilLaeed arior aporoval and may need C�.(Per Orono City Code,Chapter 78,Articic 1V) Job Site/Owner Information: Site Address: 3 I 00 K i dla ew00 d1 C�r c.�„ Owner: Gar� �u�r nS Mailing Address: City: Zip: .SS35 6 Home Phone: (�IZ-g49 � a1�`1 Alternate Phone: Contractor Information: Contractor: Contact Person: CUI.LIGAN WATER CONDITIONlNG Ad�p CULLIGAN wAY State Bond#: MINNETONKA, MN 55345 City: (952) �3-7200 Zip: Expiration Date: ��. � . Phone: Alternate Phone: �S�-9 i a•7.3�7 ❑ Insurance-Current: ] 08/O1/2012 12:37 FAX 9529335049 CULLIGAN h[1VTRA I�003 f : :, .: �:'•ta==-��.,,,;.4. ti: i � i,...A� �'1 h 3:: ie.,a' G'�:�,�. :.,�;r!.0 x�o°I�;f,'."�Y�:..4�..�7k��:n�9•� (D,'•:.k p:'1�a:�i�r ��i':.!•Hp-.. 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 Washar Kitchen Sink Water Hester . , . .. Disposal _ , . _ , Water Softenor I _ Dishwasher Wct Bar Silicocks Misccllaneous � Yes,this section applies The replacement of a Rs�idenHel fixture or aR I�iance that meets all three of the following requirements: 1. Does not roquire modification to elecfical or gas service. 2. Hss a total cost of$500.00 or less;ex ' the cost of the fixture or appliance:and 3. [s improved,instailcd or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit S l 5.00 State Surcharge S 5.00 Mail-I�Fee(If Applicable) S 2.00 Total Pe�nit Fee S (Permit Fees Contlnaed On Next Page) 2 08/O1/2012 12:37 FA% 9529335049 CULLIGAN �NTRA f�004 , , � /� �j ! i ? ` � ' �l�.i'.''.�',tl. �. .r v ... r, — ,i �Q •p:a• �S•:� �y.k':a..��i If above does not apply;follow guidelines below: 1. CONTRAGT PRICE *is 1.25�0 of contraet price with a(Minimum Feo ot SS0.00) x.0125 S (conuact prico) (minimum 550.00) 2. STATE 3URC�ARGE #*Add the State Bldg Code Div,Surcharge(Minimum Fee of S5.00) x.0005 S (contract price) (minimum S 5.00) 3. POSTAGE&HANDLiNG(Onty on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ o�o� .O� _ .. .. , . _ _ _ ' ■ '+ COIV7'RACT PRICE or ]OB COST means the actuel or estimsted dopar amount charged for the permitted work including materials,labor,profrt,and other fixed costs. 1t is the amount to be chazged to the customer for the work done, lf sny material, equipment�labor or installations are fumiahed by the owner,tenant or any other perty,the roasonabte market valuc of such items must be added to the . estimated cost or contract price for permit fee purposes. Jn the event thet thero is a disputo on the amount of the job cost,the City rnay raquest tt�e submission of a signed copy o�the actual contract, • *"The STATE SUttCHARGE is.0005 of the contract price under S1,OOO,U00 or$5.00--whichever is greater. For valuations ova S 1,000,000 call the Building Departrnent at(952)249-4600 for t�e 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: �' �' �� T- � 3 � D TIME , / CITY OF ORONO CALLED IN �q-'�'/�� , — �� INSPECTION NOTICE ./ SCHEDULED _L�11_��Z— -� PERMIT NO.�D/o7—�D77'�D COMPLEfED ADDRESS �� v v OWNER C�'`� �� TELEPHONE NO. ��2' 8�"�! �78� CONTRACTOR L��••/ � DESCRIPTION ��( �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J ° Oi � �Q- 0 � W � Q � Z W � c W � � � - a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORREC7 UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: inspector. White CopyllnspectoPs File Canary CopylSfte Notice