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Home My WebLink About2010-00893 - water softner T S . CITY OF ORONO PERMIT NO.: 2oiaoos93 2750 KELLEY PARKWAY ORONO,MN 55356- DATE�SSUEv: 09/23/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1795 SHADYWOOD RD PIN : 17-117-23-21-0008 LEGAL DESC : REG. LAND SURVEY NO. 0702 : 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(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA,MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PAID WITH CC# 0597 OWNER DIERCKS,MICHAELA 1795 SHADYWOOD RD P.O.BOX 81(NAVARRE WAYZATA, MN AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring ali required inspections are requested in conformance with the State Building Code.This permit may be revoked at an time for due cause. ` � / � /V / / � Applicant ermitee Signatur Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 09/23/2010 11:59 FA% 9529335049 CULLIGAN MNTRA f�002 �• F�t rJSE ONLY � Cl�OT OTOAO %� U p?O ID" O 7J ��' �0 P.O.Box 66 Dsta Received: I Pem►it# 2750 Keiley Paricway � Crystsl Bay,MN 55373 Approved By: Amount$: �a' � ' � (952)1A9-4600 CTTY OF ORONO—PLUMBING PERNIIT (AU Commaroial permita must be spproved by tho Building OfTiciai or lnspecwr) GENERAL INFORMATION 1. You may epply for plumbing permits by maif or in person at the City offices. Applications wiU be reviewed and a pem►it will be issued within two working days. 2. Pamit cards will be sent by relurn mail atter a review is completed. PERMITS ARE NOT VA1.ID UNTIL YOU RECENE A PERMIT. $'OR1C MUST NOT BEGDV UNTIL TEE PERMIT CARD IS POSTED ON THE JOB STI'E. 3. Plumbing petmits may be issued ONLY to licensed plumbing contractors and to property ovmers residing in the dwelling. 4. When any new construction or remodeling is invol�+ed,a separate building permit must be obtained. ' S. All work must be done in accordance witt�State Code requiremeMs. 6. All work must be inspected and air testad before it is covered. Call(952)249-4600. (Z4-48 hour aotice required) TYPE OF PERNIIT Check All Tfiat A 1 �Residential C]Commercial(Approval Required) ❑New ❑Addit9onal ❑Repairs p�Raplace i � ❑ In Accessory Stracture? •You wUl need urior suuroval and may need C�.(Pec Orono City Code,Chapter 78,Article iV) Job Site/Owner Information: Site Address: �`�5 S�a W�� 0°1� . Owner: ��c�t�Q�A �terckS MailingAddress: City: zip: Ss39 � Home Phone: �� -51 3 - 8'3(L3 Alternate Phone: Contractor Information: V��l WATER CONDITIQNINQ Contact Person: ��7 6030 C Y Ad�sNETONKA, MN �5345 State,Bond#: (95 - City: Zip: Expiration Date: Phone: Alternate Phone: q5a- 9 �a- 73 I� ❑ Insuranc4—Current: ' � 09/23/�010 11:59 FA% 9529335049 CULLIGAN MIVTRA I�003 ;r.,9 ,i a;am. _ '�� r��.x�{��c� :.�;.'R•`.: •.,-;,;:. .r� �;:.�F�.',�'•':}� ..�•� ��:!:�'�> s x .� +' ��'•' '}?'�+Lli?�M'i.i� -;{�':{?�:i• -•�..;..;:a. FIXTURE BSMT l 2 OTHER FIXTURE BSMT l 2 OTf�R TYPE FL FL TYPE FL FL Water Closet Floor Drains Levatory , Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Sottener I Dishwasher Wet Bar Sillcocks Miscellaneous � , , i... 1`• �`',.= "t � Yes,this section applies The replacement of a#tesidential fixture or aR I�ig{�ce that meets al!three ofthe foilowing requiraments: 1. Does not require modification to electrical or gas sorvica. 2. Hes a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. is improved,instelled or replaced by the homeowner or licensed contractor. Skip aext section,if this applies; , Cost of Permit $ 1 s.00 State Surcharge � 5.00 Mail-In Fee(lf Appliceble) $ 2.00 Total Permit Fee S (Permit Fees Contiaued On Next Page) 2 09/.23/�010 12:00 FA% 9529335049 CULLIGAN �NTKA f�004 �''l:W.�°jJ�'''��''".•+:"•�•�y,:y.' i `.'t:• �� ,y�i �� . .V��F�`Ft�'�Y:7�i�.:l�:;/"zl:•�� '�1 .''��.i .1.�L••, .%;l,�� •m�r. �. If above does not apply;foUow guidelines below: ; ' ': � � 1. CONTRACT PRiCE "is 1.25%of contract price with a(Mit�imum Fce oi$50.00) , x.0125$ (canQact price) (minimum S50.o0) 2. STATE SURCHARGE **Add the Statc Bldg Code Div.'Surcharge(Mioimum Fee otS5.00) x.0005 $ (conuect prics) {minimum S s.00) 3. POSTAGE 8c HANDLING(Only on Mail-In Applications) $ �.DO 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S ��•� �� • � CONTRAGT PRICE or JOB COST mP�s the actusl or estimated dollar amount charged for the pennitted work including materials,�Iabor,pro�it,end other fixed costs. Jt is thc amount to be charged to the customer for the work donb, If any material,equipment, labor or installations are fumished by the owner,tenant or any other party,the reasonable matket value of such items must be added to tho . estimated cost or contract prico for ptrmit fee purposes, In;the eve�that thero is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contract. ■ **The STATE SURCHAROE is.0005 of the contract price under�1,000,000 or$5.00—whichever is greater. For valuations ove.r S 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. , �- a3 - �o Applicant's Signature: Date: ; . I : : 3 � � � S� TE TIME ✓ CITY OF ORONO CALLED IN I �� INSPECTION NOTIC SCHEDULED / � PERMIT NO. � MPLETED y4DDRESS OWNER �/ O IE � �`� CONTRACTO � � DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p 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 ❑ SE�INAL ❑ FOUNDATIOWREMOVAL Z OWNERI TRACTOR TO MEET YOU: ES_NO v�, COMMENTS: � W a � l�U U�� T�[7� O � � O � W � Q � Z W � W � � W ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECQVERING PERMANENT ❑CORRECTUNSAFECOND�TIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. C,��,�/��_� L�-S White Copyllnspector's File Canary CopylSite Notice