HomeMy WebLinkAbout2014 - 01372 - water softner • ,, CITY OF ORONO1I <<111111111111ll� In I I U
2750 KELLEY PARKWAY DATE ISSUED: 11/25/2014
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1130 WILLOW DR S
PIN : 10-117-23-24-0033
LEGAL DESC : UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTNER
NOTE: 1 WATER SOFTNER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
STATE SURCHARGE PLBG(<$500) 5.00
CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00
6030 CULLIGAN WAY
MINNETONKA, MN 55345 TOTAL 22.00
(952)912-7379 Payment(s)
CREDIT CARD 8645 .00
OWNER
DAHLOF,ROSS&ANGELA
1130 WILLOW DR S
CRYSTAL BAY,MN 55323-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �, p
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Applicant Permitee Signature Date Issu-illy Signature 41111
' Date
11/25/2014 13:34 FAX 9529335049 CULLIGAN MNTKA e1002
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•
FOR CITY USE ONLY
o� City of Orono
PO.Box 66 Date Received: Permit#dye, 2750 Kelley Parkway
Crystal Bay,TvrN 32Approved By; Amount$:
(952)249-4600 553
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
•
GENERAL INFORMATION
1. You lnay 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.
S. 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 PERMIT
(Check All That Apply)
Residential E Commercial(Approval Required)
yNew ❑Additional ❑Repairs 0 Replace
E In Accessory Structure?
4`You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: 1130 1..)-‘1\o‘)
£'
Owner: R aS5 N4 I k0-k Mailing Address:
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City: Zip:
Home Phone: I - 3 S - 17 I Alternate Phone:
Contractor Information:
t;l Qa c CFWA'CEP CON p1TIONlMG Contact Person:
6030 CULLIGAN -WAY
AcM110 s.1EState$ond#:
(952) 933-7200
City: Zip_ Expiration Date:
Phone: Alternate Phone: `f 52 -91 a,- 7317
❑ Insurance-Current:
1
11/25/2014 13:34 FAX 9529335049 CULLIGAN MNTKA ll003
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FIXTURE ESMT 1'r 21ND OTHER FIXTURE BSMT 1ST 22ND OTHER
TYPE FL FL TYPE FL FL
Water Closet FIoor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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,l �5 ,, .a'nr ,1.;.�1:•..',;.,y ^i+"mb ,,�i�„�,;�3Ir ����. ,, t`k1�'lJ1TV�+/>�'`���.•°�^"'.: .a1. ^,��� ,�r,;�'S !�'�'=�'���.i•iq':•1Y�.
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. hoes not require modification to electrical or gas service.
2. Has a tQta1 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
11/25/2014 13:34 FAX 9529335049 CULLIGAN MNTKA 0 004
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If above does not apply;follow guidelines below:
I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee 01 550.00)
x.0125$ _
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$100)
x.0005 $
(contract price) (minimum$ 5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ , p�
• * CONTRACT PRICE or J013 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 arc 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.
i y i�,•ii't117j�,a'N u }.7 1�..y IPV.
ii't',.N.�F�t'M Y.9,1-. A!'.,,•�.",7.';,x' ;^•�',,r4'�•`1V��dB"1'1X.1,'7, d t't,'V�„(c,:1�P „! O, r0 AMM'*
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.
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Applicant's Signature: I Date: 1(—Ds_ I LI
Ceg ! o`
77
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1130 O3i( wDrS -
PARCEL B
That part of Government Lot 6, Section 10, Township 117, Range 23, described as -•
follows: Beginning at a point in the centerline of County Highway No. 87 (now Willow -
Drive) 138 feet southeasterly of a point in said centerline which bears South 41 degrees r
West from a point in the east line of said Lot 6, 66 feet south of the northeast corner ,
thereof; thence at right angles northeasterly 216.69 feet; thence southeasterly parallel Q l 01with the centerline of said Highway, 27 feet; thence at right angles southwesterly 216.69 6,6 30 - o
feet to said centerline; thence northwesterly to beginning. Zl �' ate'
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PARCEL C €-
That part of Government Lot 6, Section 10, Township 117, Range 23, described as , 2i
follows: Commencing at a point in the centerline of County Highway No. 87, which said �6 0 �L CO/ / G
point is 165 feet southeasterly along said centerline from a point therein which bears
South 41 degrees West from a point in the east line of said Lot 6, 66 feet South from the �(�� L6(✓ �� —�'�,
northeast corner thereof; thence northeasterly at right angles to said centerline of said S ? X,--
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Highway 216.69 feet; thence southeasterly at right angles 105 feet; thence southwesterly \, , moo�\ •:lea,✓070442W PL.
at right angles 216.69 feet to the centerline of said Highway; thence northwesterly along \ ,• - S\� O=Teo , rnoN. JET,
the centerline of said Highway 105 feet of the point of beginning. / Z
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CITY Of ORONO
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�\ ' I I SITE PLAN GRADING PLAN
c ‘ 1 I. 'APPROVE sj— 1 QC.).
\ ic: . ,11 sEvDIS-: -_ 1 0, t
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I hereby certify that this plan, survey or report was JOB #
SCHOBORG prepared by me or under my direct supervision and that I am
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N O SURVEYING a duly Registered Land Surve or under the laws of the State \ `\
of Minnesota. Book Page
-. 9 \ ORONO c,,,py
Scale
8967 Cry. Rd. 13 SE Date: -rFP/ , /a ZoG d Registration No. 14700 / ,:30 1
0123221 Delano. MN 55328
INSPECTION NOTICE
DATE t#ME
CITY OF 0.4-0711
71 � CALLED-IN
3_i Com' SCHEDULED
PERMIT NO. COMPLETE
ADDRESS /c3D, 7w) �
OWNER/CONTR.
❑SITE INSPECTION 0 MECHANIC RI 0 REINSPECTION
❑CONC SLABS 0 MECHANIC L FINAL 0 FOLLOW-UP
❑ FOOTING 0 INSULATION 0 COMPLAINT
❑POURED WALL 0 RATED ASSEMBLY 0 FIREPLACE
❑ FOUND. DRAINAGE 0 BUILDING FINAL 0 SPRINKLER SYSTEM
❑FRAMING 0 SEPTIC INSTALL 0
0 SHEATHING 0 SEPTIC FINAL 0
0 PLUMBING RI 0 S&W HOOKUP ❑
0 PLUMBING FINAL 0 GA LIN MANOMETER 0
o COMMENTS: il' — i,'.
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ICEj THER CORRECTIONS MAY BE REQUIRED PERMIT FINALED
W WORK SATISFACTORY: PROCEED PHOTO TAKEN
p ❑ ORRECT WORK&PROCEED
0 CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL:461.0469111.1W-
Metro West Inspection Services !lc.
Owner/Contr. on site: /
Inspector: r -