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Home My WebLink About2013 - 00719 - water softner yr ' III I III III 1111 H III III II CITY OF ORONO * 2013 - 00719 * • 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4550 WOLVERTON PL PIN : 31-118-23-31-9.99/r60 d-3 LEGAL DESC : FOXFYRE ESTATES : LOT B BLOCK B PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 MISC FEE 0.00 TOTAL 22.00 PAID WITH CC# 0597 OWNER GHERARDI, RICHARD&LORI 2985 WATERTOWN ROAD LONG LAKE, MN 55356- 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. t Applicant Permitee Signature Date Issue y nature to SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO . 07/25/2C'3 09:25 FAX 9529335049 CULLIGAN MNTKA l 002 i FOR CITY USE ONLY j City of Orono O\ P.O.Box 66 Date Received' Permit# 2750 Kelley Parkway 71 _ t' Crystal Bay,MN 55323 Approved By: Amount 5: er (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All 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 PERMIT (Check All That Apply) Ni1Residential ❑Commercial(Approval Required) 1=1 New ❑Additional ❑Repairs Replace 0 In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: (� Site Address: 4-55 b W o V e(�ro h P�a cst •Owner: J \ C �l.f O w��LoYs Mailing Address: City: Zip: 533 5 9 Home Phone: 9`.1`t-133 - 19 ab Alternate Phone: Contractor Information: J� CUlELV iNo ATER CONDITIONING Contact Person: �,.�►,� 6030 CULLIGAN WAY State Bond #: rlMffs,iffETONKA, MN 55345 (952) 933-7200 • City: Zip: Expiration Date: Phone: Alternate Phone: ,5a-9 1-A- '7311 ❑ Insurance—Current: 1 07/25/2013 09:25 FAX 9529335049 CULLIGAN MNTKA [j003 -r ., 11-INBNO FI TIJ ES BEK INSTA I D FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1ST 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 f,.. .t:�i:;R .cps.. :'i! '!i:' _ 'a��'s '?'4i' .,r.t§.=; ..¢hn „+i+°lN"irlr ;{.,• '��h vl'.r,, a„.„ix...:.i�•r -;,��: :'3t"r- ,.r.%. ''r ;.r. i^.'�{ ,:r.. _ off;i.:. .r y�-Zr tr !iit n2r K A r ! i M� �r r e � it r � 4! � -I .. >: �t,_ �.r. ..., 1. .. .__.., �. _ :��i :,. _ �:._. . . . ... .a. � �.�, ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: I. 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 07/25/2013 09:25 FAX 9529335049 CULLIGAN MNTKA l004 Y 4 '1 . PERS%I, FE ; ALL SL.r TION( )-1:101 0.V:t =$SQ 'OQ , . :` If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$5000) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.90) 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) $ Qa • Ob • * 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. '�"n;i�l�. �[ rr4'F�a;t'«-. � �.�,. �.�;.. ', "..t. .,�:„,�'t,,"gy{ ,•�^.� tti '?�I�J„��-,4',A4iTMe ,FL:'.i�iii r,�"•I ,k•Ti s'I 7ti t r.5 }i} t" :�'- ! tn. 'it;'17 r A !-• �'!�'•, i•{�; ,,,,i,%i:Qq i4:,;.�::t�I f�, �tr�it..y �'�-��t2rf:wIG��EIc,.'��:� � ��E�� , . .,..., ��, i!' r .w� z•.r. ,-'!: .g 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. 4 , Applicant's Signature: Date: 7 ' 015 - 13 ltr I” til. !�k1'` t r i sev rOa' q Y,'n! .};'+.aitch. ...T.: 3 et- V DAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 9-.`J— 'BE PERMIT NO. oto 13 -°07 19 COMPLETED ADDRESS "550 7.(,JBC L eusozi7? ! l OWNER GG Com( l0dXTELEPHONE NO. 91 ! -9�3- Z CONTRACTOR >; DESCRIPTION Lt. ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Cr ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W C cc 0 cc 0 W cc Q W W cc d qui ElWORK SATISFACTORY:PROCEED ACIOJECT COMPLETE W CICORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 ;: t1t01. onsite:ctor. White Copy/Inspector's File Canary Copy/Site Notice SDAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 9'.`7-' J'o PERMIT NO. o?0 '3 -00719 COMPLETED ADDRESS /550 ""Zele9/iUYI d%[ �6 q OWNER �u �=�( IVd TELEPHONE NO. ' �! -9"53—�/ Z� CONTRACTOR / },,1 (` �: DESCRIPTION L� 2 ( ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS C") 0 FRAMING 0 MECHANICAL FINAL El TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP -C ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO Ci)• COMMENTS: cc W O cc O W cc W W cc d WCC ❑WORK SATISFACTORY:PROCEED AC1OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice