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HomeMy WebLinkAbout2013-00086 - water softner � � CITY OF OROlyfO * 2 0 1 3 - 0 0 0 8 6 * 2750 KELLEY PARK�'AY DATE ISSUED: 02/04/2013 ORONO, MN 553 6- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 2130 SHEVLIN DR PIN : 03«117-23-34-0022 LEGAL DESC : WEBBER HILLS � : LOT 005 BLOCK 003 ' PERMIT TYPE : PLUMBING(<$500) ' PROPERTY TYPE : RESIDENTIAL ' CONSTRUCTION TYPE : FI'XTURE NOTE: WATER SOFTENER � I APPLICA T PLUMB G FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE S RCHARGE PLBG(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA,MN 55345 MAIL-IN EE 2.00 (952)912-7379 TOTAL 22.00 PAI WITH CC# 0597 OWNER WYER,MR.&MRS. 2130 SHEVLIN DR WAYZATA, MN 55391- AGREEMENT AND SW STATEMENT The work for which this permit is issued sUall be performed according to the approved plans and specifications,app�icable City approvals,and the State Building Code. This permit is for ordy the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinarices goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State 9uilding Code.This permit may be revoke�any time for due,,,cause. I �� � � �3 oZ,� / ,[3 Applicant Perrnitee Signature � Date Iss d By Signature Date SEPARAT PERMITS REQUIRED FOR WORK O, HER THAN DESCRIBED ABOVE. 02/04�2013 13:05 FA%'9529335049 ICULLIGAN MNTKA f�002 ' � FOR C USE ONI.Y 0 �1 otOrono �J , O$' i, 0 ;. P.Box 66 Dnte Recei� � Permit# .Q�Q/.3— O� , a750 Kelley Parkway i � , r � g52)249 y �55323 , Approved By, Amount S: � �3, 3 ��� ��!t'I ��11�. � �Jiil. . � a� ��� .: � , ' 1� .;"' J C OF ONO```PLUN�IG PERMIT ;, � (All Commercial pertn�ust be approved by the Bpilding Offioial or Inspector) i.r� . , . G ORMATION �'• . � , , l. ou mayl apply for plumbing permits by mail or in pa on at the City offices. Applica�ions will be eview and a pern►it will be issued within two work g days. 2. armit s wi4 be sent by return mail after a review s completed. PERMITS ARE NOT ALID YOU RECEIVE A PERMTf. WO ST NOT B GIN UNTIL THE E CARD IS POSTED ON THE JOB SITE. 3. lumbin permits may be issuad ONLY to licensed pl mbing co�ractors and to property ovmers esiding(ui the dwelling.. 4. � e�a�y new construction or rempdeling is involve a separate building permit must be btainedi � I . ,�,.�', ' - - �� S:���►1f�8r �$s�6e�e ip accordane��witfi���ate"� equirements. '��o� 6. /�11 wor must be i�spected and air tested before it is vered, Call(952)249-4600. ', �(24-48 ur notice required) TYPE OF PE , �;' '' � K~Kr� <,° -,:,,- Check All That A 1 .�rr���'� 'Lf. .. . Res'deu�ial "s` � (� . ommercial(Approval Required) `;' � ���• , 9 ;z�z., ,. __ �_ � - -- -_ ... ._.----._.___._� _ , Nev�r i [� dditional J � -;. , i ; �F�� �rs ; ` t❑Replace � ,'.�i� ,,� R��� ,�cs n _ �;« �., ��� +n ��o S��'s r al and ma�need CiJP: e Oro`no Ci Cod`e,C � •- --- — - - ' _ ha S,�Article"TV ""' �_ ''�.__�: _..�_- y (p.. _ �Y P� ) Jo Sitey/._ e;I�,f tion: :,, � � �-� �._,,�� � :v � ,� �pr��,,,�����;�� ,,r.�„�� �roF ,. !::�:�, Wf�.� �.:. ,`� T)'.. i�:ir ' 1!�,' . ��I' . � _ r � � �� � � Site��►dtl��"����,���i��� .��ie� II� , ��� ;�� _ �. ��� , ,��.�;.� �;c�.. . � . � . , , �;.;c,; � : Yti. �,., ��.,� . .. .:._. ....,. ....-.... . ..___ ..�....��,.........,: ' . �..� 1'� f ,�� ''. . � 1 r .. � ,.� Owner ^ � :`���Vlailin arAddre��;.r:, � .i�F������a�- •�r3er � ��csid =�rz�tr�.l t��u "� Cj� �t�ht [t �r �TY:�; � �<i�, ,[j��}' , ,:U; ,�q . . ��pl�l� i;4,a�ne�. Home P��O�►v�'���'"�I' ' �' 9 0- g'17�, . , , :���Iter�i`�t'e Photie: , , � � �� ,.,� , . � Contractor In orm tion ' _. _. _ .__ _..�____ . -- ...__ . ' - -- P: , ; t �'� r i_Contractor• ,.��{ ;�'Conta'�.t.F�rson• ,, �ie.� .,�` Li� �HN WATEF� CO ond�. Add'res�s. '' .� A��ItaAl��� N G ' . , INNETONKA, MN :.� 5.. _ ,:., G,i�;.c City:`,;`"� � ._ g��.s,33-72� '� ah Date: . c:c:a ors' ti a ;:�.,.,, Phone :�Y �,� ,;� ;vt -A�tern te.P,.�one: ... � . . ___ _- --- _. ._..__� __.. _ , ' f,c��, ; �,,_.- (,.ti,j Insw ce—Current: � ; , , , I `` 'i..r. .'�ri��'LS " ! ..: —_' !"l I v �, 1 _ . . � . _ . . __..---. . . .__.1 ... _._ _....�.. . ._..._, . ... _.._.___—�---'f—. r, , � ,,,'� :: , ' r, ^. i ' ,t},: r . ... �,, . ,._ � _ .. _ _ .__.__ . _ _�_.._ __ _._. I 02/04/2013 13:05 FA% 9529335049 � CULLIGAN MNTRAi �003 . - ! li , } i '��' �r"��K '�''�.ir Y i 'y-�L.1';� %�.'`,i1��y��,��;„...S,rir y�•';'�r�iC�'•ri'E:� Y` `4' 1•�;.: L''a'Si:j-Y ..u`...'s1P�tli•' FI SMT � 2 OTHER FIXTU BSMT 1 2 OTHER E L FL TYPE FL FL W r C et Floor D 'ns La atory '�, Sewer ector B tub Laun Tray 5h war Wasber, Ki hen Waber er ,Ri sal �_ _ _ W�t�� ftener I C�0 0 3 {�.����..�� .... ' ��i�', � � i�; Ci_�_ . � Di was r Wet B Sil cocks Miscell aous i � ; ��---_ . _ ., _ _ ._ _ , � 35i�'i. T � , �X . ' t i . . t•. , M•,� _. .t�ris seetion a lies _._._ _ .. ._. _ ' :�� - , ' e��ll throe of the following'requiremenS: - repl enrenrt�f a esid r a lisrt�e that m _ _ -not re ' mod�fi , �rto eteotrical y¢r g ,, rvice. , --� _.._ __.. Dae q ' �s- � � Has total co of$ 00.00 r less;excludme the st of the fixture or appliance:and . _ is in�proved,i ta�}e�t or re d by)the ho�neo, , er or licensed contractor.-.. , _ - . _ ,, , �, . : � , , � _ , • th�s lies; ......__._Cost of it _ __ _�._._. �i ;; r t5�0�---- ._ Sk' ncxt secti rf� , � State Sur' arge $ .00 _ _ _,. ,.__�. __. ,_ ...; Mail-]n F (If Applicable) — $�-_ � `''' � ' { � � Totaly'e � it Fee $ � , �. ... _ ..I. ._ ._ _ ._ , . --- (P it ees Coqtinued O Next Page � • �-.._ _ i£ . _ , ,. . _ - - . , :a. , , � y , : , .. :: _�. ._.. _ ..:i �:�� . .__. ..:� ... _..__ ._. _ _.: _ _. _ _. _ _ -� � 2 �,� :.;s. �.Li,�s��.��su� ,��pis. � � � :'� ;�i I ctr rrr"clr'a Reti� �-b'. L��' •�� z�:.�� -_ ,,r� .,1�: , ut� . .vm;r rryi•ir��, �ts. 'r ��,, . :-�„�,e r_ , �,,,, �r„-, , . v.�� .. 02/04/L013 13:05 FA%�9529335049 CULLIGAN MIVTRA 1�J004 A • p , I i I � �,�'�1v��.1. �F � r1 :�� �'��1{�rN.L`":? ��•�M�•�tl• :� �+�, �yt�j w'i�:'i:. If ve does not�ppty;foll w guidelines below: ', 1. CO C1' RICE *is 1.25%of contract pri�e with a(1Kinimnm Fee ot S50.00) ' x.0125 S (wntrect prica)� (minimum 550.00) 2. T SUR HAR E «'�Add the State Bldg�ode Div.Surcharge(1Minimum Fee of S5.00) � I ' x.0005 $ ' (contrect price) (minimum S 5.00) . POS7IAGE 8c NDLING(Only on Mail-In Appl�cations) $ 2.00 . : TOT�►L PERM�'I'FEE(Add�Lines 1-3 Above) � $_ o1a •V v 02;04 OL3 13: �; T'y t' "��r' '� 1`I:LIGt �T�-T �1004 � � �COI�'�►ur�1t10E or JOB COS�`ineans �ie actua� r estimated dollar amount charged for the F ' permitted wofk including materials, Iabor,prPfit,and oth fixed costs. It is the amount to bo charged to the custortyer for the work dona. If any rt�aterial,equip ent, labor or installations are fumiahed by the owner,tefiant or any other party,the reasonable merk value of such items must be added to the . estimated cosk or contract price for permit fr.e purposes. In the event ihat there is a dispute on the ' :..amaunt-o�th�-}ob-cost,.the_,Cig+..may.request the_subCt � -of a,sigaed coPY-o�the.actual.ea�ntxact. -- - I '�y " .�it ;1'f�� �:A�r��,�. ���r"�- _... . � ... _:...._ � . . . ._: , ___ .. , .__._. . ._ .,..... . . ... '_ . � • *"'The STATE SURCHARC3E is.0005 of the contract pri e under�1,000,000 or$5.00—whichever is �i greaten,.�F�vale►ati.ons over,$q,000,000 cal!the Building epartment at(952)249-4600 for the price. __. . __--- �p�; . .. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in=stric�a�coo�anee.witFi.the ordinances of tiie ty and the regulations of the St�tieC'of Minnesota, and certifies that all statements made on is application are wmplete, true and � correct. _ _, -- _ . . �, i � �ma�,, __ � , ,. �� .. , � �/�!.i.: ; . .2�•- � , Applicaiit's Sigr�ature: � Date: a '��'^�3 . . �E .. . . , - ,,. � J";'';�,i_ �4� . _ _ ., : 4' ' . 1,..,_ .,a . ,. i., � � � i : nc i ;.�,; . , , :t� tc :;.� I��,�; . ��u� � ioi: , .. :. ,�,+..;.,� ,r�t., s,. 1, .. . ... ..z.:, �i � � �lt�'� �. � . ,�.iC ���t . 1' „ , . ,.. r� t� , � �i � � . . . ,�.� .�q . � •. .. .,.:., :. . .:.. ... .. �., ,.. ..:: ..�.0 .... .... .. .�._ . . _ . � . . . . , . .�, .. � . j t. � � :. ' ' . . � , ,.n � . � ..� . ' �- .. � .�r � v'� . ., . „ . : i , __.- 1. ;�.. ..___, 1 ;de! .. i; � t :['c ' I . . :l ,[ _., .Gc. .i:.,. .. '.k: . :�. '.� . , d.:. ; . , u�. _ . i�� �. ._ h. '�,.. ,�;.,. J '�! ; � - � 1'.. .1" ' ,.i.tCl; � � "� � � �_ , ._�____ t_ _ � � � �I� 1� �D��/ ` � TIME � Y OF ORONO CALLED IN 1 INSPECTION NOTICE /�,� SCHEDULED T�� PERMIT NO. ���C� ��1 IG��,��. COMPLETED �� DRE,S �� ( .��'% -���r�lC � � I �1 �d2 _ WN� �1�'� Lt-��� ELEPHONE No. �� ��� `����6 CONTRACTOR �'�-�� ��-� � DESCRIPTION : � ���� -J���/��- C-"��� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ INAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL tlRAB�IN RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL OWNEWC�NTRACTOR TO MEET YOU: � YES_NO � COMMENTS: � W � � � O � � O � W � Q � 2 W � W � � �-y GW ❑WORKSATISFACTORY:PROCEED �+PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑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.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlConUactor on sit : Inspector. � � White Copyllnspector's File Canary Copy/Site Notice