HomeMy WebLinkAbout2016-01361 - water softner � - ! •
CITY OF ORONO * 2 0 1 6 - 0 1 3 6 1 *
2750 KELLEY PARKWAY DATE ISSUED: 10/26/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2526 SANDSTONE LA
pIN : 33-118-23-11-0018
LEGAL DESC : STONEBAY
: LOT O15 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.25
CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00
6030 CULLIGAN WAY
MINNETONKA,MN 55345- TOTAL 52.25
(952)912-7379 Payment(s)
CREDIT CARD 5107 52.25
OW1�iER
BIDON,ELIZABETH
2526 SANDSTONE LA
LONG LAKE,MN 55356-
AGREEMENT AND SWORI�i 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 Buiiding 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 nul(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.
I
! /� / �/ /�
Applicant Permitee Signature Date ssued By gnature Date
10/26/2016 09:04 FA% 95293a5049 CULLIGAN MN�'KA C�002
---I , �;.
�QN City of Orona �.n;,�:,;��A�i:���i;';����iFOf2,C,ITY�usE NLX'���' '��;�������
Q � �v,� �!!,; w ' ���, ,�,�
p_o.Boxss ��Date;Received:::�.��i",i����;�;�,;,�'°�,;�':'�v�,�"�!
2750 Kelle Parkwa ,,.�^�;,��„��,,, ,W�,���;��;i��;;i �,��� , .�,y � w •
Y Y �pe 'rt`�a;!, ,� ' � ����{,�.� . ���;
�/stal Ba MN 55323 ,A� �� �^'��" ����"{'�'I'
= �� �'7 �1 n�u�i liylliy�l�n �.j i�:��im��1Y�il.iii�i���� ��uw�M4�Fn��i i�� wl���..i�'i���4v.yiCl.`.'w4'�
� �� (952)249-4600—Main 'I��Pproxed8y,:,:.��;uyu�:�M;�.�;,I��I�;F'i�:�,i��y,r,�:h�;,:�^��,��;,.�� .,����;�
•S� v.� ,,, ���"I:,'P�'��'c���w�.�.� � , , ,�n„ ���i., :^�� '��".��:BI;I����.,
�EiHQ (952)249-4616—Fax i� ,., ""���.� , � �i
��R10uflf�$°�.I":��M h����l�:.„� M� ��'r'�����
'M u �I°p��6�1ubi :wi n+i�W.F�: �J:G 1�1."" �'I;I:J',!•
CITY OF ORONO—PLUMBING PERM[T
(All Commercial Permits Must be Approved by the Stat� Prior to City Approval)
htto-/lwww dli rr�n qov/CCLD/PDF/pe plumbofanrevapp.pdf
�lul�"'�IJC���Ca. tiiih�.. �rwi��Ui6:iIGR:i�G iF;r�'r'M�+r�•��i��Sr:"Iwnn�yi.'+�•if��:iipli,�:ll li.i'+'iio-wiw�`C�.I"Hl4i�i�r�"WIx�7�"is"'�li:;�;;i�:'ICI�'�li�i�l.'ww�;:�il
�',�G EN ERAL'�GI N FORMAT{,O N,.,,,r,L:,���,��;�;i:,�;,���;�;,ii.�r.�w��������;�r,,,,�,,:��,;„,�,,;��hf��.;;��.,�,w�Ya�„���;..��:,::,�:ir;�,c:��:,,,,;i����,,,�M,,,,.,����y 4:���w:�;,r..�rc:��;�,,;,;��,;;,,4�,
7. 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 mai!after a re�iew is comp(eted. PERMiTS ARE NOT VALID
UNTIL YOU REC�IVE A PERMIT. WORK MUST NOT BEG1N UNTIL 7HE PERMIT CARD lS
POSTED dN 7WE JOB SIT�.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwe(ling.
4. When any new construcfion or remodeling is invohred,a separate building permif must be obtained.
5. All work must be done in accordance wrth Si�te Code requirements.
8. ,All work must be inspected and air tested before it is covered. Cal((952)249�600.
(24�8 hou�notice required)
„i�..i�i� F m��red.�..dY�l'I ���AP:I^�4 Ir�r��!1"mr�ti�r.. ��w�N�l��l�xirl:r�,wi°�I�"a�l�rl��l�il��rM�J��i.Ilu�.�w�:iFwsitiiF�
I�SBwT��4° i�e��i:�llldl '.�rM�l��l��'I ��`�h"I � �I" � n iiN�.K�.� � Mr�r�i
Ir�'JIl�IIk�lw���i��w�waW�'iai6Enwrw„Xi�SI �.ii�.i�Wae��ra"'9�,� ��' ���;��"I'c��C�' �, ,��i;5 �nawN„I��Nwr.r�J9 w"LM .ia�Nr:�7�I..�Y.�:4u:�"w',��II
��, . ,� , .,,,�.,,�,w..,�...,�.�r�
„���.a���..,�n������.x�;a�M�nw,��:r�;�,�„ai^a�r�al:!:I.r��.�;�,,;�7Y,���;d�,;,PpER((11n,IT�(C��e����/a,,.�.�,,..,���p!PP.,��;..,��•�� �,����.,n.�_����,iw���l��w. �, �„�,
iI��IM14tl1�J�w�i��Jw�i�l.�.v.�
�Residential ❑ Commercial (Approval Required) [Bacl�Iow�vice:�AVS []PVB]
�,New ❑Additional 0 Repairs ❑ Replace
❑ 1n Accessory Structure?
*Y�u will need prior anoroval and may need CUP. {Per Orono Ciiy Code, Chapter 78,Article IV}
�;"��N u.G i�� 1 ' wM���i.i�Nw� . �.�.,, ,�� �^;P:ICIIJi�ly17Y"yi�il�b'��i.'.':�'1���61:�"���iulii�i��
�UC�,�i�:���y,►�ner;�'ri�'or`,`,mati"o'i1:yr����ln�:l,����:!�F.�o:�irv�Y1��"�����;
Sit�Address: o�Sa b .Sar�5-�'a
Owner: �.�iza�� �i�ari Mailing Address:
City: Zip: �S S�O
Home Phone: �1 �^ �y �' bS�O Altemate Phane:
',�,�i,�nL14�4 Li 14�i. iW���.J�. �.,�,��r��.�..,���iip"'���a�l:l�IiCF.�'ll C""eGiwa�Cn�"'W':ti;';
�� �.��.�, ��uw� ,M'_N�.
, .�
o '���?�QCmatwn-,���������y,,.i�,���� h himl.��,.� "�. �,ay,��,
,t,r��i. ,���,,.,��,�s
Contractor. Cantact Person:
Address��LIGaN WAT�A Cpl�p�.Tf01�fNC State Bond #:
MINN�TONKA, A+4M v5345 Zip: Expiration D�te:
City:
�`
Phone: Altemate Phone: � '4� -7-3► 7
❑ Insurance�Current:
Page 1
10/26/2016 09:05 FAX 9529335049 CULLIGAN MNTRA 1�003
--� .
�,�,y„��,�,��,,,��'�a,���,,,�s�l'��:��.d.i���� � 8�1�1�'�F�" '"M"�F���vu�'EiL���;���,�• I'*� x�:l�;v�'"�,RI��;; � ;�• �a�
�
„r �• �� W �.,
��.��.�Rr�.i�,. �h�W�.a,., ��',..,� o���� ���,P�� ,; {����a,.r.�a!-�"��°r„�
..s4��. ��� ��w�.���.:r,,.
FIXTURE BSMT 15T 2ND OTHER �IXTURE SSMT 9$7 ZND 07HER
-�-Yp� Floor Floar TYPE Floor Flaor
Water Closet �loor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tr�y
Shawer Washer
I�C�hen Sink Water Heater
Disposal Water Softener `
Dishwasher Wet Bar
Sillcocks Miscellaneous
�� � �.�. � � -�F���n �.��k,� • �,a�� M� .�
Wn�in�..,+ I A1 W �
1. CONTRACT PR10E *is 1.25% of contract price with a(Minimum Fee of$50.00)
x _0125 $
(contract price) (minimum$50.OQ)
2. S7ATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00
4. 70TAL PERMIT FEE (Add Lines 1-3 Above) � � , a�
'* CONTRACT PRICE vr JOB COST means the actual or estimated doll�r amount charged for the
permitted work including materials, (abor, profit, and other'�ixed costs_ It is the amount to be charged to
the customer far the work done. If any material, equipment, labor or instaliations are furr�ished by the
owner, tenant or any other party, the reasonable market 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
amounfi of the job cost, the City may request the submission of a signed copy of the actual contract.
�'�°.�_`�..�� �.��i:� ..� „�u.��� , ���w������ ,N,
� � � :•wi �J i, . 61 �il4w IIL�.��'�".!!.'�.��E,�7!.'�m. _ "9 .�i�w(F"nh.��5'���! � nni7w"�..
The undersigned hereby applies to the Ci'ty for issuance of a Plumbing I�ermit, agrees to do al!work in
strict accordance with t1-ie ordinances of the City and the regulations of the St�te of Minnesota, and
certifies that all staternents made on this applioativn are complete, true and correct.
Applicant's Signature: Date: � �' oZb'��O
Suilding Official/lnspector: Date:
Pe�a
�� �/' �
DATE TIME
CITY OF ORONO CALLED IN --�c�
INSPECTION NOTICE SCHEDULED /-
PERMfT NO.�� �,b -D 13� C LETED
ADDRESS � /'
OWNER � TELEPHONE NO� �� ��s��
CONTRACTOR
� DESCRIPTION ���`�'
l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
JQ�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
= U AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS: .
4 �r gAT�rDvtd�,n
�
o .
� �� ,�or �C c��l�.
0
�
W
�
Q
�
W
�
� . .
_ �J�.w,,Z .���/
�
� ❑WORK SATISFACTORY:PROCEED OJECT COMPLEfE
W ❑OORRECT WORK 3 PROCEED ❑ISSUE ERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: �"'
White CopyAnspector's Fii� C�nary CopylSN�Notfes