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Home My WebLink About2016 - 00578 - water softner CITY OF ORONO 11111111111111111111111111111111111111111111111 * 2016 - 00578 * 2750 KELLEY PARKWAY DATE ISSUED: 05/24/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2175 WEBBER HILLS RD PIN : 03-117-23-34-0003 LEGAL DESC : WEBBER HILLS : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER NOTE: REPLACE:WATER SOFTNER VALUATION OF PLUMBING 0 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA,MN 55345- TOTAL 52.25 (952)912-7379 Payment(s) CREDIT CARD 5107 52.25 OWNER MANDY,CHRISTOPHER&NIKOLE 2175 WEBBER HILLS RD WAYZATA,MN 55391- 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. ir Oki l ` n S / ? y Applicant Permitee Signature Da e `7 Issued By ignature Date 05/23/2016 15:31 FAX 9529335049 CULLIGAN MNTKA 1002 • FOR CITY'USE ONLY City or Orono 'O 'O P.O.Box 66 Date Received:5f 2 )IL ermit# 1-Q((n r GE) 2750 Kelley Parkway Crystal Bay,n2N 55323 Approved By: CW Amount S: (952)249.4600 CITY OF ORONO—PLUMBING PERMIT (Ail Commercial permits 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 working 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 MUST 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 PER.1V11T (Check All That Appy) Residential ❑Commercial(Approval Required) New ❑Additional ❑Repairs Replace ❑ In Accessory Structure? \ *You will need prior approval and may nccd CUP.(Per Orono City Code,Chapter 78,Article IV) • Job Site/Owner Information: Site Address: a 17.5 WEj 41115 i 115 )a • Ch r. Owner: S i'Ylaw� Mailing Address: City: Zip: S.5 3 5 I Home Phone: 954 H76 - 60 02 Alternate Phone: Contractor Information: CCUttr PMWAIEftCONDITIONING Contact Person: NwX 6030 CULLIGAN WAY AddlIANNETONKA, MN 55345 State Bond#: (952) 933-7200 ; City: _ Zip: Expiration Date: i. Phone: Alternate Phone: ❑ Insurance—Current: 1 05/23/2016 15:31 FAX 9529335049 CULLIGAN MNTKA U003 S. n.."' ,•a,�„-'fry. .'�. ,,, (, r ;,;,,;::., FIXTURE 13SMT lsr 2ND OTHER FIXTURE BSMT �' 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 Bar Sillcocks Miscellaneous r�!,��1��''��lII,'"rr 'i'L�i�+ ,.,45 :'" ' .r..;,, .� �,r.,. ��ii�rl. ;,iv..,•V.('. �� ,'l� � !' I. Ir ,"I i��. ;( 'I•i;".,'I,'11�'r,�;,C'I,�p„;.i ''�ir.;,,, :1';,,,;,��:'a�'.,•� ,, . ., „ ��'Q� ❑ 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- Has a total cost of$500.00 or less;excluding 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(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 05/23/2016 15:31 FAX 9529335049 CULLIGAN MNTKA Z004 • r �,`,nr,;,„��,)p,. %!• -pn�,`I;. d', F .",,., ,w7: W; i, i, ,",ly„,.y a�.do�iai�}I4 b,; 'y'i,v„ If above does not apply;follow guidelines below: i. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SLIRCHARGE '**Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum 5 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4, TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Sc), S ✓ * 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. ' t„�, ,� •ri � -,i; .v(h �u a, r r. Pw7,txV{7�'A''G(x� Ni�,:aP.-�..�,rr. V.r�;;;;�iir��?,i;I,C5:,9„�,,�i�-� f�`�;.�� 1�' ''.?�'�$ ,`T��1��'�`�' �D�'r��G�EF��IE �',.',�� ,:�.�;�,�,�, ��:,,, ,?�:� 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: } L �...5 -�- Date: Jr- a 3 / • 3 :� C/1 DAT TItvii CITY OF ORONO CALLED IN INSPECTION NOTICE ,i SCHEDULED 411i-17.04 — l(� /1. 3 -- PERMIT NO. C/0 b c MPLETED ADDRESS c ! 7g 1 2 / - 1,1-it(s Ge OWNER TELEPHONE NO. Zia ci-7c-Gtig CONTRACTOR [- a YL ('?.LD i f, DESCRIPTION 4,4. _1,,),--.4_&,- sof, Ly ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL . ❑ DEMO-SITE 0 S PTIC INSTALL IC 2 OWN ERICONTRACTOR TO MEET YOU: YES _ NO ri)• COMMENTS: —� cc a Alk ccfir VO c I O W 2 Q 2 LAJ cc /777)./. v2 . y 1� L tt /9 W• D WORK SATISFACTORY:PROCEED • PROJECT COMPLETE `"' �f Wcc ❑CORRECT WORK&PROCEED El -SUE CERTIFICATE O OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 9 ).249-4600 Owner/Contractor on site: A,., d- r/ Inspector. � '�' ��' White Copy/Inspector's File Canary Copy/Site Notice