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HomeMy WebLinkAbout2016-00392 - water softener CITY OF ORONO * 2016 - 00392 * 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1345 VINE PL PIN : 07-117-23-42-0004 LEGAL DESC : REG.LAND SURVEY NO.0488 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER SOFTENER NOTE: REPLACE WATER SOFTNER VALUATION OF PLUMBING 1949 APPLICANT PLUMBING FIXTURE FEE 50.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(VALUATION) 0.97 6030 CULLIGAN WAY MAIL-IN FEE 2.00 MINNETONKA,MN 55345- TOTAL 52.97 (952)912-7379 Payment(s) CREDIT CARD 5107 52.97 OWNER YANIK,DAVID R 1345 VINE PL MOUND,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 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 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. N( ( M, � Applicant Permitee Signature Date Issued By Signature Date 04/19/2016 10:32 FAX 9529335049 CULLIGAN MNTKA 10008 FOR CITY tJSE ONLY � � P.O. ox City of 66 Orono pare Received: I��(��!b Pamit# 2750 Kelley Parkway �Qp�(, Crystal Bay,MN 55323 ApproC Amotmt S; (952)249-4600 CITY OF ORONO—PLUMBING PERMPT (All Commercial permim must be approved by the Building Official or Inspector) 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 worlcfng 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 MIST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 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. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PB MIT Check All That A 1 X1esidential []Commercial(Approval Required) []New ❑Additional 0 Repairs A4eplace ❑ In Accessory Structure? *You will need prior approval and may need Q_JP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: ` l Site Address: Y\9-) ce, Owner; tmAj Mailing Address: E City: Zip: Home Phone: r a cl C.� Alternate Phone: I Contractor Information: i Contact Person: Contractor: i CULLIGAN ING AddrejNN CULLIGAN 1NAY State Bond#:ETONKA, MN—M45 City: (952) 933-7200 Zip: Expiration Date: F Phone: Alternate Phone: Z�2—cl ).-1- -7 3(- 4 ❑ Insurance—Current: 1 04/19/2016 10:32 FAM 9529335049 CULLIGAN KNTKA Z009 "w�;"4,�,,a1',; .ir' �;.,, ,''' 1 Vii„" ` ES;�3EIIt1 '• IS,, �' ;,''' ,;,;�;• I FIXTURE BSMT 151, 2ND OTHER FIXTURE BSMT 11T 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �.,..,pN;T'w�3.R�{�.r4!Yip.yS7:;Y.;��%f.��`i+t'•11^TI� , F�„+�'j',",,'1. r�' I�'i ',�;��� ''�l..:I,,"�+!(?k:��;.�:.1�1;I r r;;�I�•'^i�;� r. ,IQ,,'J4,�rg ',is ii''•;�, ;.� a '.� '''";`•'`u;i'l 1f�'p,''li'` �L' ".r: "•l'�vC'.'I��''AL3,%YAJ.J��:00VU's 7T6l..f.l2. 1�1.i -,;;tr:' a,;%tq� �"1-,; I• I',,,;,p,:'qv,'r•, i� "-C �A .ro; �. 5% °•I'�,i 4r..•r 'ice ❑ Yes,this section applies The replacement of a residential fixture or appliance that meets all three of the following requirements; 1. Does not require modification to electrical or gas service. 2. Hasa total cost of$500.00 or less;excludinE the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee Of Applicable) $ 2.00 Total Permit Fee S (Permit Fees Continued On Next Page) 2 04/19/2016 10:32 FAX 9529335049 CULLIGAN NNTKA laolo • If above does not apply;follow guidelines below; I. CONTRACT PRICE *is 1.25%of contract price withWinirnum Fee of$50-00) x.0125$ f50___00 (cobtrarli price) (minimum$50.00) 2. STAT)&SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S5.00) -7 x.0005 $ (conw=pricc) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 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. It is the amount to be charged to the customer for the work done. If 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- ■ **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.D0—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. FIIRIR..&�Mffil_WWRI-k-l! The undersigned hereby applies to the City for issuance of 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 certifies that all statements made on this application are complete, true and correct. Applicant's Signature: 44- Date: Iri"fl" s, Vol'— V/ DATE TIME CI OF 2NO CALLED IN INSPECTION NOTICE r- SCHEDULED (o PERMIT NO. ZD 1104�03g2OMPLETED ADDRESS 3 q '=� V 1 VIE �L. OWNER TELEPHONE NO. 5Z-2-q'Z-91 CONTRACTOR DESCRIPTION VA 1 aJ C ISS l� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �_7 I V12 Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP [IFOLLOW-UP W El AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: ,YES NO ` COMMENTS: �12Q�S (h _ Irl/►�I a O O O W Q 2 W W Cc j O W ❑WORK SATISFACTORY:PROCEED ❑ OJECT COMPLETE ac ❑CORRECT WORK&PROCEED IS E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 Hours in advance. 49-4600 Owner/Contractor on site: Inspector_ White Copyllnspector's File Canary CopyISite Notice