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Home My WebLink About2017-00154-VOIDED , ' CITY OF ORONO * 2 1 7 — 0 0 1 5 4 * 2750 KELLEY PARKWAY E ISSUED: 02/2U2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2010 SHORELINE DR ��8 ^�'1� PIN : 10-117-23-31-0001 �■� LEGAL DESC : UNPLATTED 10 117 23 r' : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING t��,�, PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER �. a NOTE: REPLACE:WATER SOFTENER �� VALUATION OF PLUMBING 500 � � APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 CULLIGAN SOFT WATER SERVICE CO. MAIL-[N FEE 2.00 6030 CULLIGAN WAY TOTAL 52.25 MINNETONKA, MN 55345- (952)912-7379 Payment(s) CREDIT CARD 5107 52.25 OWNE HUDSON-WINER, MICHEL 2010 SHORELINE DR WAYZATA,MN 55391- AGREEMEN AND SWORN STATEMENT The work for which th' ermit is issued shall be performed according to the approved plans a specifications,applicable City approvals,and [he State Duilding 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 governing 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 t AO days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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 cause. -. --- �; , ;, � } � � - -� - I �� i � �� r��t c�,;c�,� f�-�.-t`.- � �� r , � ) Applicant Permitee Signature Date Issued By Signature Date 02/21/2017 09:52 FAX 9529335049 CULLIGAN MNTKA �002/003 .�0� City of Orono , FOR CITY USE ONLY � O P.o.Box 66 Date Received: '"�' -J<=� 1 - 1 `�?_ 2750 Kelley Parkway permit# ��1� � �'�� ,� Crystal Bay, MN 55323 i �' -Main �� ' � E� (952)249-4600 Approved:By "�KfsHaR (952)249-4616-Fax : �_ $, �c�,';; Amount$ � CITY OF ORONO — PLUMBING PERMIT (A!I Commercial Permifs Must be Approved by the State Prior to City Appr al) htt ://www.dli.mn. ovlCCLDIPDF/ e lumb lanreva ' GENERAL INFORMATlON . '; . ; ; " '' , ;. .. . - . 1. You may apply for plumbing permits by mail or in person at the City i . Applications wiil be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is comple RMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG lL 7HE PERMIT CARD 1S POS7ED ON THE .lOB SiTE. 3. Plumbing permits may be issued ONLY to licensed plumbi� ntractors and to property owners residing in the dweiling. 4. When any new construction or remodeling is involve , parate building permit must be obtained. . 5. All work must be done in accordance with State C r quirements. 6. Ali work must be inspected and air tested before � . vered. Call (952) 249-4600. (24-48 hour notice rec{uired) �, .,, >..: ; , Tl'PE OF,PERMI ck Afl'That Appiy) ' ' �Residentia{ ❑ Commercia! (A roval Required) [Backflow Device: �AVB ❑PVB] ❑ New ❑ Additional � ❑ Repairs �Replace ❑ in Accessory Structure? *You will need prior aparaval a may need CUP. (Per Orono City Code, Chapter 78, Article 1� Job`Site 1 Owner l�nformation: Site Address: aa I U �L,o,-e�'�� Y Owner: �oY`'� Ko °►�o ,-�� Mailing Address: City: Zip: Home Phone: Aiternate Phone: �,! a - ��" O�y'� Confractor`Inform tion:; Contractor.�� L1C�Ah� W�'�'�� t�czn�s-rG-r_;r,�FiS,�aContact Person: 6030 GULL{�r��f �"J.�'�: Address: � .6VdIhJ1��TUNKA�Mrv �..��5 State Bond #: {s�� ss-72oa City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: Page 1 02/21/2017 09:52 FAX 9529335049 CULLIGAN MNTRA f�003/003 , _, . . ..: .:�:: :-,�..:,;.,. .�. �x��,�. �:..,.:. �.> ':r�" ' 1:^�I:;i�i'!�:'.ti!��i..5 ..jk��'-�x'.";4�-x ---�a=:� �._..:.-...a?:,.�€'-'ir.4,'n'.� u#..: ��,�.4. 4.. {...P;,�S:.. . , � � .' .: ":.__ _ : it' :1!: y�l��.�,:.. •�i��:��•��Y� - '�r.�.a'�R; _..n.�.�i — ��:ax. � �,,w�p,. .:.,�,..:,�, ,.,:�... RES.:B�tN�i��TAL�EE�^.,�,�;,..��,�,: ,��,�,�n:.��,:�.�::��.g ��......__--.:� � �� :, 'Uf1�BI.N'G+,�E��ST - - - - ,�....v�.:..,. ,,... - - - „��_ .��.,w�,-8-:�`�<'.�'...�n��.we.,.::r�7P'.7,: ,..;��!t�a11"! � '� . � . .... ... ;...: e'..N:��:..��............,..,. ...: . _ ..�:... ._.....� ... t..w� FIXTURE BSM7 �sr 2ND OTHER FITMPE E BSMT ��oor Floor OTHER -�ypE Floor Floor Water Cioset Fioor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater pisposal Water Softener Dishwasher Wet Bar Sillcocks Miscellarieous , . .. � -_ _-- ,�fi :� t - , :�: � '.. �, �r �. ,, .. �, � § = �.� - �:.�,'�' - .,�.:. � - - s, . _.. „,, �....��41;.�i.:�dt,a��i". - - � - -- ._ „ ,. ,. _;„��-�� . ... : ::� � • .'�� :�.' _. ..__. , ....... ..�__ . ...... ...._::_� , �:. : 4.. a;;,�.,... :�r,: .r �_.;- .: . � ......... .... . _ ...... �... �.... ... .... 1. CON7RACT PRICE *is 1.25% of contract price with a{Mlnimum Fea of$50.00) � Lj� x .0125 $ � •�� (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) - 3. POSYAGE� HANDLlNG (Only on Mail-[n Applications) $ 2.a0 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) S �� a�-- ; CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. lt is the amount to be charged to the customer for the work done. lf any material, equipment, labor or instal{ations are fumished 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 pem�►it fee purposes. In.the event that there is a dispute on the amount of the job cost, the City may request the sufamission of a signed copy of tf�e actual contract. _ . ,. ._:., ..� , �F.,...:� .: �:.3,,,: ;,�`�;;��..,,��{� ,�:'' ��`��; �: �� _ '�� .'� � - �� W:. �:��'':. ,;�: a,.�'� ...�..:a,�: t. - - - .;. �.. � ;�,..�:.;:�� .�r:4 e:-..;�� ..��._.: � ._. , k�'lA� .�..�:��.w:.'C��.:-...,.. � . The undersigned hereby app{ies to the City for issuance af 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 certifes that all statements made on this application are complete, true and correct. ApplicanYs Signature: Date: a"'�d " �� Building OfficiaU Inspector: Date: Paye a � ,-- ��Ol VD � � ,, �F : � `�kf5 hl O�� February 23, 2016 Danielle, Attached is a refund request from Culli an, for permit#2017-00154 located at 2010 Shoreline Dr. Per the attached letter they will not be doing the work on this project. They would like a refund. Roger has agreed to refund the cost of the permit, minus the State Surcharge and Mail-In Fees. Please refund Culli�an$50.00 for the cost of the permit only. Thank you, �Za,che.L Do-d.�� Rachel Dodge Administrative Assistant Send refund check to: Culligan 6030 Culligan Way Minnetonka, MN 55345 02/22/2017 08:59 FAX 9529335049 CULLIGAN MNTKA C�001 ^ 4 � � better wcster_ pure cand simpl��:-� 603� Culligan Way, Minnetonka, Minnesota 55345 Telephone (952) 933-7200 Fax (95Z) 933-5049 www.culliganwater.com Attention: i�a�� Date� � / a� /� Company Name• ��ti i�� J'��'^ � City &State• � Fax Number: �-5 - a4 t - �"!� �O # Pages Sent: A (not including cover sFee�t) From• �� ►�e,,, `�5'a -9!a - 73 I � n ` , Message: rle C.l�Y��21 2Yrv�� i C.p.� � � v� -- � � cv�s�o� �►5 '�� e ' -��►� e �► ,H.��___-�-. -�h�, � - �, l-��'rm�f �v� �_Z;Uf ,c{ �c� � y ' � �i��, , 02/22/2017 08:59 FAX 9529335049 CULLIGAN MNTKA C�002 Orono � � �� FOR CITY USE ONLY �o�, c�ty of a �, , O P.O. Box 66 ' Dafe Received. ' { 2750 Kelley Parkway I ` �. Crystal Bay, MN 55323 �� Per.mit# �;� �� (952)249-4600—Main Approved By ��asH�R�' (952)249-4616—Fax ' Amount$: CfTY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approvaf) http�!lwww dli mn qovICCLDlPDF/pe p[umbptanrevapp,pdf GENERAL INFORM of��mbin erm ' ' ; : . ' 1. You may app y p g p its by mail or in�person at the City offices. Applications will be reviewed and a permit will be issued within iwo working days. 2. Permit cards will be sent by return mail after a review is completed.,PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON.7HE JOB SITE. ` 3. Plumbing permits may be issued ONLY to iicensed plumbing contractors and to property aw rs residing in the dweiling. 4. When any new construction or remodeling is involved, a separate building permit must b obtained. 5, All work must be done in accordance with State Code reguirements. 6. All work must be inspected and air tested before it is covered. Call (952)249-4600 (24-48 hovr notice required) , , _, ;: , ; �: ' ' ; TYPE OF'PERMIT(Check Alf That:Apply) ' " �Residential ❑ Commercial {Approval Required) jBao ow : ❑AVB ❑PVB] ❑ New ❑ Additional ❑ Repair �Replace ❑ In Accessory Structure? � �You will need prior approval and may need CUP. (Per r n �Code, Chapter 78, Articie f� � Job'Site !Owne�"Information:', Site Address: �,a I U o '� Owner: �o Y`'� o �c� Ma' ng Address: City: �p� Home Phone: Alternate Phone: ! a - b��p�'y'� Co.nfractor Info�mation: Contractor:•��.I�At� r - _ . � Contact Person: 6030 � �LLiG,�l�l Y�;��% Address: � -��3N� fV State Bond #: a2) 933-7200 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance— Current: Page 1