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Home My WebLink About2011-01098 - water softner � CITY OF ORONO PERMIT NO.: 2011-01098 "' 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2540 SANDSTONE LA PIN : 33-118-23-11-0016 LEGAL DESC : STONEBAY : LOT 013 BLOCK 001 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 TOTAL 22.00 PAID WITH CC# 0597 OWNER O.T.Development,LLC 10300 IOTH AVE.N. PLYMOUTH,MN 55441- 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 consuuction 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cau�e. C7� IiIC., l l [//' �` l l Applicant Permitee Signature Date Issued ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. 09/21/2011 14:15 FA% 9529335049 CULLIGAN �1VTRA f�002 Y -� - . FOR C[TY�SB ONLY Gty of Orono 0�� P,O.Box 66 Dete Receivcd: Permit� 2730 Kelley Parkway r t Crystal eey,MN 55323 Approved By: Amount S: � , '�'�'r�.E4� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Officiel or lnspector) GENERAL INFORMATION 1. You may apply for plumbing pertnits by mail or in person et the City offices. Applications witl be reviewed and a permit will be issued within two working days. 2. Permit cards wiU be sent by retum mail aRer a review is completed. PERMITS ARE NOT VALTD UNTII.YOU RECENE A PERMIT. W��1C MUST NOT BEGIN UN'�'IL 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 dweUing. 4. When any new construction or remodeling is involved,a seperate buitding petmit must be obtained. S. All work must be done in accordance with 5tate Code requiremants, 6. All work must be inspected and air tested before it is covered. Cell(952)249-4600. (Z4-48 6our notice reqaired) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replsce ❑ In Accessory Struclure? •You will need�rior anorovel and may need�.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: d5y0 so►v��lS�Or�Q l.ur� • Owner: �ar�� G�er +`f MailingAddress: City: Zip: 553SV Home Phone: "1 b 3 -4�3- 6 5 6 7 Alternate Phone: Contractor Information: L��A Contact Person: � � ¢0�30 CUU.I(�AN WAY AQi�iA�IETOALKo,�uIN �5y3d5 State Bond#: � (95�) 93�•7200 City: Zip: Expiration Date: Phone: Alternate Phone: 9501 - 9 I� -7�(1 ❑ Insurance—Current: 1 09/21/ZO11 14:15 FA% 9529335049 CULLIGAN �NTRA C�003 .� � ' ' � ��?L�:�T:G��I�'�'C��ETNg��li�T�T� � � �� FIXTURE BSMT I 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector gathtub Laundry Tray Shower Wesher Kitchen Sink Water Heater Disposal Water Softener ' Dishwasher W�B�' Sillcocks MisceUaneous ,; . �. �,� ,, " ; � ,f;L•`: +:.�m ", � t ;�� ,� '� h., . h .'�. .�i1' ''r'ii+`:��G 'a �' M � Yes,this section applies The replacement of a�esidentia)fixture or appliance thet meets all tivee of the following requirements; 1. o s ot require modification to electrical or gas service. 2. Has a�otal cost of$500.00 or less;�y¢�g the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeovmer or licensed contrector. Skip next section,if this applies; Cost of Permit S ]5•00 State Surcharge S 5.00 Mail-In Fee(If Applicable) � Z.00 Total Permit Fee S (Permit Fees Continued Od Next Page) 2 09/21/2011 14:15 FA% 9529335049 CULLIGAN ffiNTRA C�004 • � . ' - � �� ''� ::p��'� .C:A►�C��',�'I��l:'�•':�=JO S�'�'.�!�R•:��OO:Di�;.,;�.,:y' If above does not apply;follow guidolines below: 1. CONTRACT PRICE *is 1.25�0 of contract price with a(Minimum Fce of SS0.00) x.0125 S (contract price) (minimum S5o.00) 2. STATE SURCHARGE *'`Add ihe State Bldg Code Div.Surcharge(Minimum Eee of 55.00) x.0005 $ (contrect price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Oniy on Mail-In Appiications) $ 2.00 4. TOTAL PERMIT FEE(Add Lincs l-3 Above) $ �a•0 v ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work inciuding 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, Iabor or instaUations ate fumished by the owner,tenant or sny other party,the reasonable market valuc 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 mquest the submission of e signed copy of the actual contract. ■ **The STA7'E SURCHARGE is.0005 of the contract price under 51,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. s The undersigned hereby applies to tha City for issuance of a Plumbing Pertnit, 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: l- �� " �� i � '� 3 � � � DATE TIME ✓ CITY OF ORONO CALLED IN � �/ INSPECTION NOTICE�/� �.j SCHEDULED /! � PERMIT NO. �- �/�D / COMPLETED ADDRESS Jr C�� OWNER TE PHONE N0.7�3- 773' 05�� CONTRACTOR ' >; DESCRIPTION GZ�/(_. S� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑ CORRECT WORK&PROCEED _ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �Q52� 249-46�� OwnerlContractor on si : Inspector. ,��-�✓(��r�•-� White Copylinspector's File Canary Copy/Site Notice