HomeMy WebLinkAbout2004 - P07334 - water softner LAITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P07334
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 3/26/2004
SITE ADDRESS: 2175 Webber Hills Rd
Wayzata,MN 55391
PID: 03-117-23-34-0003
DESCRIPTION:
Proposed Use: Kesidentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Culligan Soft Water Service Co. OWNER: Justin&Stephanie Pagel
6030 Culligan Way 2175 Webber Hills Rd
Minnetonka,MN 55345 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PE`RMITEE SIGNATURE SSUED BY SIGNATURE liP
Conies: 1-File(S&nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
(ENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by rerun mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 1S 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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: jC New Addition Repair Replace
Residential Commercial
JOB SITE: 0175 L - j-1-, 11_. RD Zip:
Owner's Name: ,J u , ,,,, P(-? . Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: CULLIGAN WATER CON DITIONIN(Telephone Number:
Mailing Address: 6030 CULLIGAN WAY City: Zip:
MINNETONKA, MN�� 5h 4ta
PLY •
0�`U R:IggL) E SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1 1ST I 2ND 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 gar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION(S)
2002 State Statute FYes, 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) Has a total cost of$500.00 or less; exciudinQ the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price_* is .0125 % of job with a Minimum Fee of ($35.00)
x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (l' inimum Fee of $ .50)
x .0005 $ •
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ /7 c o-0
* 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 installation 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 than 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 S.50 -whichever is greater.
For valuations over$1,000,000 call the Department of Inspection Services for the price. .
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: ' Date: 3/" 0 7
DATA TIME
CITY OF ORONO CALLED IN SA-3
INSPECTION NT CE / SCHEDULED —°� g-.5
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PERMIT NO. Pb 733 1 COMPLETED QQ,,,,��
ADDRESS ac. 'Wage'/ 75 We66e /�- --
OWNER Ata-- CONTR. eu C8
TELEPHONE NO.
DESCRIPTION 1� -t
• 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
▪ 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
MBING FINAL 36 FOUNDATION/REMOVAL
�L•AWII��ER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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WORK SATISFACTORY:PROCEED PROJECT COMPLETE
• 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
c) BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. o PHOTO TAKEN
INSPECTOR WILL RETURN
0
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952) 249-4600
Owner/Contra n site:
Inspector.
White Copy/lnspecto s File Canary Copy/Site Notice