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HomeMy WebLinkAbout2016-01538 - water softner � CITY OF ORONO * 2 0 1 6 - 0 1 5 3 8 * � 2750 KELLEY PARKWAY DATE ISSUED: 12/14/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1300 SPRUCE PL PIN : 08-117-23-32-0016 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK O10 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER NOTE: NEW:WATER SOFTNER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 CULLIGAN SOFT WATER SERVICE CO. MpIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA,MN 55345- TOTAL 52.25 (952)912-7379 Payment(s) CREDIT CARD 5107 52.25 OWNER MCLAIN,STEVEN&CHRISTINE 1300 SPRUCE PL MOLTND,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 Iaws 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be /��,�, revoked at any time for due cause. � ��� i l lQ�+. D`l� (� ` ��� /� � �� � I�o Applicant Permitee Signature Date Issued By Signatur Date 12/14/2016 09:Oa FAX 9529335049 CtiLLIGAN MNTKA �002 ., ` ��Q Gity of Orono ��" �';, r;:;,',',FQF7;CITYUSE'ONLY�,'�:'���'���. P.o. Box s6 Date Received: "�'���'%�l�L'r�1��11��� 2750KeIleyParkway ;P�Emilt�#�'"i:� ,�i'!�' I�: fl��, ��,' � Crystal Bay� MN 55323 � ,•;,��, �,,,,... .�,��„ � � � •; M,',,,�'}r, ' ' J R ' c? (952)249-4600—Main '��PProved By:� '�h'�;i: �,;�; '���" `�N^��:�;,`i;.;,,����:'i"����� �kFSHo¢� (952)2�49-4616—�ax ,,,,..,;�':,irj,";:.,..,;,.�,; '��� � '�!^'i�' :`�F„�.� �,;,,���; ��Amount�$:•����: :`+.� ��'�' i�'��.:.��� CITY OF ORONO�-PL.UMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) httn•//www dli.mn. ov/CCLD/PDF! e lumbalanrevapp.adf �r���F ������� i.�lii��il��iY.ii� iniH��lrnii�i���Y�ii� ��4oil�il.i�i�i%il.i���i.i.nr��iN��i.i.�i�4�nNl IL�ii�IH�liiwl��.I��Ini�wlR�Mliiil�i��ii.11� ..GENERAL;��INF,ORMATION�r�;i�r �„�;;;�� ;,,r,��ij��:�i�;r��:;������ .�;�q9i1nMYYC4ilb���iqliiw�i�' ;�:�� ,i����,�����,�, .�a��,��i�,���;,�.;,����� �:u;�;�,.i�.� �„p.� �, ,,,,,� ,,.�,, ,,, ,,,,, ,,,,::� ,.. ,,,;., ,..r,,,,,�,�, , „� , .,,.,,.,,,,„ � , ,�•�r� W. „ ,, 1. You may appiy for plumbing permits by mail or in person at the City offices_ Applica#ions will be reviewed and a permit will be issued within two working days. 2_ I�ermit cards will be sent by retum maii after a review is completed.,PERMITS ARE NOT VAL[D UNTIL YOU REC�IV�A PERMIT. WORK MUST NOT BEGIN UNTiI.THE PERMIT CARD IS POSTED ON THE JOB S(TE. 3_ Plumbing permits may be issued aNLY to licensed plumbing contractors and to properiy awners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. AII work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Ca11(952)�249-A�60�. (24-48 hour notice requi�ed) . .��i���4nPi�'��I iw1 rubliNalwql��ne���..� �e��nlu�nn � ' ni��.�i���n�.,,.. ., ,i • ����.���n��q�.inM���ir�'II"o- �.i�u.,n��ue ,�iJ��CL"n�i.w��l;�o�n..�l�;ML� w"un:l�innn" a�,�, �W�,����,a,,,�.,i„�w� :���rrM�„ �'^ „��:;�w•�����,��,����,,I:,,�,:�•�"I,:,r;!i:I:�IC�����l��l.�„w,ii�� „��,;;;�.,�..,.,,,�,�;,,���W,�;IiiMii:yi���i7M�IYu1i� '��;;�iT�Pr,EJ,�,';����P,ERMf�(Gh'eck'/AII:�;Th�at;'APt�„K),,;,y��.:,:u:: �:u;� ;�K,�.:,..�;,,,�� :a��r��,��..��,r��„�;�i., ����a�„ ��M�,� �Residential ❑ Commercial (Approval Required) [Bsckflow pevice:❑AVB ❑PVB] �New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? "You will need privr approval and may need CUP. (Per Orono City Code, Chapter 78,Ar�icle 11/) ,,,� .,i„y.,�.y ,. ,.,,.��„��.���.��n,� � ,�(��,o�'"iil".�:"1 �;Job';`•;Site���;,;�w'n"er.�,tn�'ormation.�;;,,;,;: ���;��;,� ..;,,:�r�::r:c:� Site Address:,_��o� .S�ru.t� �� ° Owner. ' .�� ���� Mailing Address: �;ty; Zip: SS � Home Phone: � �- a��` �ti l� Altemate Phone: ��;,C,oritract'QrprnfoRri'ati�?n:;;:�'""�`�w�;,a��;,��y�i��� !��,�'���� ;?i�r`����'"� � . .�... , .,.,.,,.., . . „ ,.�.,,,.,,, , � � „ ., Contractor. Contact Person: � .,,���EGAN 11VATER Ca � Address: 6030 CUL�IGAN WAY $tate Bond #: , MINf��TO , ���: _ � (95�) 933-7240 Zip: �pi�,tion Date: Phone: Alternate Phone: .5 ��l� - �� � ❑ lnsurance— Current: Page 1 12/14/2016 09:04 FA% 9529a35049 CULLIGAN MNTKA 1�003 e. �1 y�� �j /�� 1�1., �r!;������wmr�,,��4mU1 y1�yn�Y�i��i�:IV:ILwI�y�"fi�����M �i6w�.I.�T/lil� � ���w��M q�iiMFv p� �IR 11�, T}�t~L��i�� r� K�Ix��YN • b��MI�+iY ���qi:,y�w�wN � � V�1��\E ���B��N,�1���1�(u.:� � �'�',�Y4h�lr�i���lilNilniuM�.�i.I �nnhFlliH�wnnno !hy+u'Mi',,;��isxya�.,:.,'�A 7���;' ,.:.�i���,,;��+�lx,��,N�7��� .��,'�„ FIXTURE BSMT 1ST 2ND OTH�R �IXTURE BSMT 1� ZND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains l.avatory � Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water SofEener Dishwasher Wet Bar Sillcocks Misceflaneous . �p�.l.�..jj rR p "� �y� ryp��y{�j i � Rtiqwi��y�p`.'�'�l(i�.��y�",,,'r"i",.�rw!'��f*!� ���,'y���p� �� ^�aM�'^ ��ri ryY��fl.�����u..�.��..�'^.GL,�flarrn����������w iNw���4�W\'Miw�hw�iiy��w.��.�.:Y!'^Ia 1•u bril�abw`�we�:_.�°11 n4���JI�.K�.�.. M 1. ,CaNTRACT PRICE * is 1.25% of contract p�ice wi#h a(Minimurn Fee of$50.00) So� ' x_0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARG� x .0005 $ (contract price) 3. POSTAG�&HANDL[NG (Only on Mail-In Applications) � 2.00 4. TOTAL PERMIT F�E (Add Lines 1-3 Above) � �a� � * CONTRACT PRICE or JOB CaST means the actual or estimated doHar amount charged for the permitted work including materials, labar, profit, and other fixed costs. !t is the amount to be charged to the custorner for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other parky, the reasanable market value of such items must be added to the estimated cost or contracF price for permit fee purposes. In the event that ther.e is a dispute on the amqunt of �he job cost, the City may request the submissian of a signed copy of the actual cvntract. ���i`.���^� '°�'„'.�"'7CWA!Yl�n '�m���1,�,�,f.711��1�7�.�..'��F'�����•:i�4wirnii���"1''�'1_�'��I�:,�r '���� i.��°���� N��"Y.f�V��. i�•iq�� i The undersigned hereby applies to th� City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ardinances of the City and the regulations of the State of Minnesata, and certifies that all statements made on this application are complete, true and eorreck- Applicanf's Signature� Date: � - (`f- !�e Building Official/[nspeotor: Date: Page 2 � � DATE TIME CRY OF ORONO caLLED IN INSPECTION O CE(�( � SCHEDULED � �� PERMR N . '`-'`��� COMPL ED ADDRESS 3�O �� t�C- �m OWNER � M��� � C� TELEPHONE NO. ��-°3 �' / �'� CONTRACTOR � DESCRIPTION V`� �7'�2/ � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO � COMMENT'S: 4 — ca_ �r .l�o �' rv�,�� Q �P�►�, �i��,-'S , � ��,,o/�a n�• 0 � 0 W � Q � W � W � j W YYORK SATISFACTORY:PF�CEED PRW ECT COMPLEfE O � �CORRECT WORK 8 PHOCEED ISSUE CERTIFlCATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERINf3 PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. p p�{OTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR ��TAT10N ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in advance. (952) 249-4600 Owne�IContractor on site: Inspector: s'yI ar�. � - WMte CopYAns�Ctor's FlN C�nary CopYl8lt�NoUw