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Home My WebLink About2011-01255 - water softner CITY OF ORONO PERMIT NO.: 2011-o�2ss 2750 KELLEY PARKWAY ORONO,MN 55356- DATE�SSUED: 10/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 667 SANDSTONE CIR PIN : 33-118-23-11-0037 LEGAL DESC : STONEBAY : LOT 034 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION 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 ROGGE,RENEE 667 SANDSTONE 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 goveming this type of work shall be compied with whether or not specified herein.This permit wilt 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 c use. �`.r22�t,LC Gc�/ �� l �� b l�7 � � Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 10/t7/2011 12:39 FA% 9529335049 CULLIGAN MIVTRA f�002 . .� FO, C USE ONLY $0� City of Orono I(� Lj/ � , O � P.O.Box 66 � Datc Received: � Pe►mit� �Q��l' �„ 2750 Keiley Pazkway � {. •'� r Crys�l Bay,MN 55323 Approved By: Amount S:� � '' fi (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commcrcial permits must be epproved by the Building Official or[nspector) GENERAL INFORMATION 1. You may appty for plumbing permits by mail or in person at the City offices. Applications will�be reviev�red and a permit will be issued within two working days. 2. Permit cards will be seat by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECETVE A PERMIT. WORK MU3T NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits msy be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4, When any new cdnstruction or romodeling is involved,a separate building permit mast bc obtained. , 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. � (24-48 6oar notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory 5tructwe? �'You will need nrior an�roval and may need,C�.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 6L1 So,►�A S�one Ci r�1� Owner: ��_ i50AAe Mailing Address: City: Zip: 5535 b Home Phone: 6�� -�! •9 i �9 Alternate Phone: Contractor Information: � Contractor: Contact Person: CUL�ICiHN vVfil'tR CONDITIONINC� � Address:8030 CULLI(3AN WAY State Bond#: MlNNETONKA, MN 55345 City: (952) 93�-7200 Zip: Expiration Date: Phone: Alternate Phone: �Sd-�l01- 7,3 11 ❑ Insurance—Current: � 1 10/17/2011 12:39 FA% 9529335049 CULLIGAN �NTKA f�003 . � .. ;": .. �'.r:��,�$��'`.r.�-°�'[��`��7��$�,�:r�.�i`• _ � . 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 ,� 'q"�i� ] �>��'•. :t • L�.i - �.y � q � , � + �•r'� •a�:� •� � n ��'�hS. 1'• 'r• 3'W��..:•. � Yes,this section applies The replacement of a Residential fixture or ap�liance that meets aU three of the following requiremcnts: l. Does not require modification to electrical or gas service, 2. Has a total cost of�500.00 or less;ex ' the cost of tha fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,�ifthis applies; Cost ofPermit $ 15•00 State Surcharge $ 5.00 Mail-In Fee(Tf Applicable) �, Z.00 Total Permit Fee $ (Permit Fees Coatiaucd On Next Page) 2 10/17/2011 12:39 FA% 9529335049 CULLIGAN MNTRA [�004 , . , ��. ,,�.. •.F�:`PE�lvt�'i'• ��I:?At't ''�1• �:=R;,jO .��.�V�i�;��Q'00,�,:;;�. : If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ {conIIact price) (minimum$50,00) 2. STATE SURC�GE '�*Add the State Bldg Code Div.Surcharge(Mieimum Fee of SS.00) x.0005 $ (cantracr price) (minimum S 5.00) 3. POSTAGE&HP►NDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S a�•O� � * CONTRACT PRICE or JOB COST means the actual or estimated doUar amount charged for the permitted work including materials,Iabor,profit,and other fixed costs. It is the amount to be charged to the customer for the wotk done. if any material. equipment, labor or installations are fumished by the owner,tcnant or any other party,the reasonable merket value of such items must be added to the . estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the amount of tho job cost,the City may request the submission of a sign� copy of the sctual contract. � **The STATE SURCHARGE is.0005 ofthe contract price ander 52,000,000 or$5.00—whichever is greater. For valuatione over$1,000,000 call the Building Deparbnent at(952)249-4600 for the price. .� The undersigned hereby applies to the City fot issuance of a Plumbing Permit, agrees to do all work in sttict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made an this application are complete, true and correct. Applicant's Signature: � Date: �� - (7 - �� . � � , 3 C� �� DATE TIME � CITY OF ORONO CALLED IN ��"1-/'/� INSPECTION NOTICE c�- SCHEDULED ��' � `�: �c��^^- PERMIT NO.;�U��" V�� 1r7 COMPLETED ADDRESS �D �4 7 S[3�� -r'_�� "'� OWNER �� TELEPHONE NO. ��d ' �y' ��`�' CONTRACTOR C�� N�� — ,..� >; DESCRIPTION Gt✓ G�'�� a��✓ � � ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � BING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERI ONTRACTOR TO MEET YOU:�YES_NO C MENTS: W � � J O a � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caii forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � �/ White Copyllnspector's File Canary Copy/Site Notice