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Home My WebLink About2014-01465 - water softner CITY OF ORONO * 2 0 1 4 - 0 1 4 6 5 * • � 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1480 SIXTH AVE N PIN : 26-118-23-32-0008 LEGAL DESC : DOUGLAS ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER NOTE: 1 WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 6030 CULLIGAN WAY MAIL-IN FEE 2.00 MINNETONKA,MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER GULBRANDSON,DAN&ERICKA 1480 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 1'his permit is for only the work described and dces not gant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date 12/22/2014 1a:43 FAX 95293a5049 CULLIGAN hiNTKA , �001 , � ' � � b�i�i��r wcat�r. pu r� cr r�d s�m p 1��M 6030 Culligan Way, Minnetonka, Minnesota 55345 Telephone (95�) 933�72U0 Fax (952) 933-5449 www_Culliganwater.cam Attentian: �'"'��5 Date: _____�/ / Company Nam�• „�i�T, 4� �'�d�b City & State: �ax Number: �5a - r�`� 9 - � b � �c # Pages Sent: _ __ _ _ (not including cover sheet) From: , _ Message: 4$U� 0 l9 O 013� $ ��5------ --��I_�?� 35�i . 12/22/2014 13:4a FA% 95293a5049 CULLIGAN MNTKA f�002 PO�CITY USE ONLY O�p�Q City of Orono P.O.Bax 66. Datc Rcceived: Pennit# 275o Kelley Parkway � t � Crysnl Hay,MAI 55323 Approved ey: Amo�mt S: �� (952)249�600 CITY OF ORONO-PLUMB�.I�TG PERN�'�' (All Commercial permirs mus[be eppcoved by[he Buiidmg Offcisl or Inspector) . GENERAL INFORMA'X'YQ�T 1. You may apply for plumbing permi�s by mail or in person ai the City�ffices. Applications will be reviewed and a permit will be issued within iwo workins days. 2. Permit cdrds will be sent by return mail after a review is completed. PERMITS ARP.NOT VALID UNTIL YOU RECEIV�A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSCEn ON THE JOE SITE. 3. Ple�mbing permiu may be issued ONLY to licensed plumbing contractors and to properry owners residing in the dwelling. 4. When any new construction or remodeling is imolved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requiremenu. 6. All work must be inspected and air tested before it is covered. Caq(952)249-4600. (Z4-48 hour notice required) • TYPE 0�pER,MXT Check All That A 1 �Residcntial ❑Commercial(Approval Rcquircd) �New �Addidonal � ❑Repairs ❑Replace / � ❑ In Accessory 5trucdue7 . "'You witt need nrior annrovsl and may need Ct,�.(Per Orono City Code,Chapter 78,Article 1'N) � Job Sitc/Ornmer Information: �� Site Address: �y�Q �� 'v � , /�", pwner; CI�C.y, G•,.! b r c�n�,S01'� Mailing Address: City: Zip: ._5S'35� ,�� HomE Phone: �la-.3�� « Alternate Fhone: Contractor Information: ��°�� ING Contact�erson: la�►e��i 6�30 CULLiG/�N WAY Addr�:NNE�'nr.i�n wah� ��C State Bond#: , (952) 933-7200 City: Zip: Expiration Date: Phone: Alternate phone: q5a-4��•7,�!] � ❑ Insurance�Current: I 12/22/2014 1�:4� FAg 9529a35049 CULLIGAN bINTKe1 f�003 �,� h'��°��"t�°��w:��r��o il'�1� 'i7�� y �y�.*h;�y��T A� !�. ,��..,��. i..�� . e [�:�t%�� 'cXif�;cy!� .� :�1 '��il�?i." i� A�� '��V.�''F.�;RSV��?'��?�u.)�', �C ��, 1.��'"',+,•'?;.;1 '�tii4.J�!�%:'�':+ .) '�•I-:15ri�'� `�k q ��,b;i#'n;l?'l:l''::,�L'�wi�k4Fr�:!:il FIXTCTRE BSM7' 1 2 QTHER FIXTURE $SMT I 2 OTHER TYPE FL hL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Baihtub Laundry Tray Shower Washer Kitchen Sink VVater Heater Disposal Water Sof�enor Dishwasher Wet Bar Sillcocks Miscellaneous �*!'ir�j{;��;�!r., v;`+!�.��"�i%•� �P;,��h �,�„�� 4�4� I � JTY' ' �r {'��J��rr6'Ati';y`.r.., �.i�4��y�, .�� ;a,."� ^.y ��+ �!:�,';��'�.�<t'�,y�f�4M�;I�;wr '.irr,�?, ,;{+ �,.T��` y��,� ��a �' y� '�;�r,r� ,,),;rfu��,�' 'r'�" i� R ��,�n��`,��. �;� r7:?"j� �'i4 r,N,l',.r�:'.<,',�i'�y'•`��;I'�-'?.� '� M1 F��•'i ,�.@ ;v.; �ti;,�}�� , i� r �� ,±a T �i •H, �.v.1 Ip�,�+wAr"�.. nr��..�"��ii;��, -:� . .� ,y,7'��;I��, �-K(�:,,r.,. ni��'p�• �.��.r'r �;1• i'.! ;�'�. �.,;�e�1��'�'!y-�,t��r �.'{1n� y�ry'�'� ,�{i! ��, .� .l4t�r,l�i�� i-�fs:`�='rt '��5,��fika hli�r� �;r�l��,f:j�p'�!'�J iy11� �'��'F�7.riL!�47'1"L"':'lr'�ll�ll6r+��+G'J=1�.��'';'"i.1�"':��'1�'� _�f�V�i� i. ti��^a��r,�.� �'-';�v i r ;r:. •�i,; n��; ;p�r�H_'ro�. „i. ❑ Yes,this seccion applies The replacement of a Residentia)fixcure or sQpliance that mccts all three of the following requirements: 1. .Does not require modifieation to cicctrical or gas service. 2. Has a total cost of$544.00 ar less;excludine the cost of the fixture or appliance:and 3. IS improved,installed or replaCed by the homeOV►mer or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) � 2.00 Total Permit Fee � (Permit Fees Continaed Op Nerct Page) 2 12/22/2014 13:44 FAX 9529aa5049 CULLIGAN MNTRA f�004 "' '�'S,�P��•`�':e�l� f� �� ,�'',,'�' �h.y..'ti,i�r� �� ,.�, ,.+�1,'�',(� o�'Z•�r � �, �� ,'i��•—t c� dh w � i ,i i Ir � 4 7�i �1 .�jA, � -u'�'.g Ik�.:•, '�,i. tiw„ 1 , _t�,� ''� M. ?�: ..��tx�.��'.��',f�SiD5V1k�e�,t„i�a'oSwtiF;li: '�i,4�:'.^( If above does not apply;follow gvidelines below: 1. CONTRAGT PRICE 'is 1.25%of contract price with a(Minimum�ee oT 550.00) x.0125� (Contract price) (minimum$50,00) , 2. STA7'�SX7RCHARGE *'�Add the State Bldg Code Div.Surcharge(Minimum Fee of SS_00) x.00�5 $ (contract price) (miniMum S 5.00) 3. POSTA,GB&HANDLING(Only on Mail-In Applications) $ 2.00 4. '1"p'�'AI.PERNIIT F'EE(Add Lines 1-3 Above) $ ��.Q� ■ * CONTRACT PR10E or J'0$ COST mcans the actual or estimatcd dollar amount ehargcd for the permitted work inCluding materials,labor.profit,and othcr fixed cosu. Iz is thc amount to be charged to the customer for the work done. If any material, equipment, Iabor or instaliations arc furnished by the owner,tenant or arry orher party,the reasonable market value of such items must be addod to the estimated cost oc eontract price for permit fee purposes. In the event Chat there is a dispute on thc amount of the job cost, the City may request the submission of a signed copy af thc actual conuae� , ■ **Thc STATE SURC�iARGE is.0005 of the contraCt prlCe undcr$1,Q00,004 or$5.00—whichever is greater. For valuations over$I,000,000 call the�uilding Departrnent at(9S2)249-R}600 for the price. �� p+�, p7�'pry�j�, up��{�+ �1 .�, � �� ,,.��p,�+,��9�„�4r�� , .V�:M.� .dl'W )��+CI��'IMNeY�i�a 1 � �4'"h'�f1WT_._.�ll n[d'.�' vf+,1W�y�p'Y IfrG��ri}�,.�'PII.iY�� 9'�/+�1�".��1 1,.�4iL . 1'll�l The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinences of the City and the regulations of the State of Mumesota, and certifies that all statements made on this app(iearion are complete, true and correct Applicant's Signature: V bat�: �v� —a�- � ��'rt��,.,�,.�.c�F�Or„�, . h .{4!^•,1:7�i ,.l�lidP,.::jw.E:;.a 3 I / AT�j TIM�/ CITY OF ORONO CALLED IN � � /S INSPECTION NOTICE SCHEDULED 1�'.� /S , `�(7 PERMIT NO. '� co PLETED ADDRESS OWNER TELEPHONE NO�7�1D�� %30 � CONTRACTOR �� DESCRIPTION � � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j '� O � � O � W � � Q � � 2 W � w � j GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in a . (952) 249-4600 OwnedContractor on site: � Inspector. White Copyllnspector's F � Canary CopylSite Notice