HomeMy WebLinkAbout2018-00298 - water softner � CITY OF ORONO * 2 0 1 e - 0 0 z 9 8 *
. 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1240 SPRUCE PL
PIN : 08-117-23-32-0007
LEGAL DESC : SAGA HILL REVISED
: LOT 005 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 1949
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.97
CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00
6030 CULLIGAN WAY
MINNETONKA,MN 55345- TOTAL 52.97
(952)912-7379 Payment(s)
CREDIT CARD 5107 52.97
OWNER
LINDER,JENNIFER
1240 SPRUCE PL
MOiJND,MN 55364-
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 dces
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 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.
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Applicant Permitee Sigr►ature Date Issued By 'gnature Date
03/14/2018 13:13 FAX 9529335049 CULLIGAN MNTKA C�002
.
� ��� City of Ororo ;.:FOR CIN US 0 LY: ::
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O P.O. Box66 Date.Received:: '::..;�✓'f '� `. .:: .. ,
2750 Kelley Parkway Perrrtit#.: � I
a� � Crystal Bay, MN 55323 �Q�� 0����
'f �� (952)249-4fi00—Main Approved By
��'�K�snoa (952)249-4616—Fax
Amount$ �1' .�� .. '
C1TY OF ORONO -- PLUMB[NG PERMIT
(AA Commercial Permits Must be Approved by the State Prior to City Approval)
http:/lwww.dli.mn.ctovlCCLD/PDF/pe plumbplanrevapp.adf
;:GENERAL�:_INFORMATION ::' � �- .' - - -
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be .
reviewed and a permit will be issued within two working days.
2. Permit cards wifl be sent by retum mail after a review is completed.,PERMITS ARE NOT VALID
11NTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGiN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE. �
3. Plumbing permits may be issued ONLY t�licensed plumbing contractors and to property owners
residing in the dwefling.
4. When any new construction or remodeling is involved, a separate-building permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. AI!work must be inspected and air tesied before it is covered. Call (952)249-4600.
(24-48 hour notice required) ,
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` ,. ;_.�=:y,� .',.T;.. TYPE4�.PERMIT(:.Check'AIf;ThatApp�y); _ - ;;:y*:,��-�_�. �_
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�Residential ❑ Commercial (Approval Required) [Backflow Device:�AVB ❑PVB)
�New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
"'You will need,prior approval and may need CUP. (Per Orono City Code, Chapter 78, Artic[e I�
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'Job.��ite_l Owner;lnformatior�.;�,,;,. ;;:;:: : '...;F,�. :=-
Site Address: �o1''I O �p�uc.� P��.
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Owne��+nn+��� L��� Mailing Address:
City: Zip:
Home Phone: 61� - 53 a - �$9`� Altemate Phone:
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`Gontractor:�nformation`:;���'
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Contractor, Contact Person:
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" Address: 603C� CULLIGA�J VVAY State Bond #:
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��_ E952) �33-720o Zip: Expiration Date: �
Phone: Alternate Phone:
❑ Insurance —Currenfi:
Page 1
03/14/2018. 13:13 FAX 9529335049 CULLIGAN MNTKA f�003
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FlXTURE BSMT �sr 2Nn OTN�R FIXTURE 8SM7 1sj 2ND OTHEf2
TYPE Fioor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
pisposal Wafer Softener �
Dishwasher Wet Bar
Sillcocks Misceilaneous
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-1. CONTRAC�'PRfCE *is 1.25% of contract price with a (Minimum Fse of$50.04) ��- � �
�� y �• �0 x .0125 $
(contrac# price) (minimum $50.00)
2. STATE SURCHARGE
x .00Q5 $
(contract price)
3. POSTAGE � HAN'DLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ -SO�.�� ��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including maferials, labor, profit, and other fixed costs. It is the amount to be charged to
the'customer for the work done. tf any material, equipment, labor or installations are furnished 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 permit fee purposes. In.the event that there is a dispute on,the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
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The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do afl work in �
strict accordance with the ordina�ces of the City and the regulations of the State of Minnesota, and
certifies that all statements made on this appfication are comp{ete, true and correct.
ApplicanYs Signafure: � Date: 3' ��- � g
Building Official/ Inspector: Date:
Paqe 2