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Home My WebLink About2012-00237 - water softner . CITY OF ORONO * 2 P1 1 2 - fD 0 2 3 7 * . 2750 KELLEY PARKWAY DATE ISSUEll: 03/29/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 800 BROWN RD S PIN : 03-117-23-43-0005 LEGAL DESC : iJNPLATTED 03 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULL[GAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 �9s2�9i2-�3�9 TOTAL 22.00 PA[D WITH CC# 0597 OWNER SHEILA MILLER, LISLE C. VICKERMAN III/ 800 BROWN RD S WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which[his perniit is issued shall be perlormed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all reyuired inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. {'t�t'a'`-( L'�. � � '��-�+'� l l Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED A VE. 03/28/2012 12:39 FAX 9529335049 CULLIGAN MNTKA �002 . FOR CITY t15E ONLY 040�0� City of Orono P.O.Box 66 Date Received: Peimit q �f 2750 Kelley Parkway ��t�'�'_ 1� Crystal Bey,�MN 55323 Approved By: Amount$:: i��/ (952)249-4600 �� CITY OF ORONO—PLUMBING PERMIT '' (All Commcrcial pertnitr must be approved by the Building O�cial or Inspector) � GENERAL INFORMATION , 1. You may apply for plumbing permits by maif or in parson at the City offices. Applications will be reviewed and a permit will bc issued within two working days. 2. Permit cazds witl ba sent by retum mail atter 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 properry ovmers residing in the dwelling. 4. When any new construction or ramodeling is invoived,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 hoar notice required) � TYPE OF PERMIT - Check All That A 1 �- � �Residential ❑Commercial(Approva!Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Strueture? *You will need arior anaroval and may nced�.(Per Orono City Coda,Chapter 78,Article 1V) Job Site/Owner Information: Site Address: ��U -S L�►��►'� Owner: L15�� U j c�rw�A� Mailing Address: City: Zip: �3 9 � Home Phone: 9S� - y�3 - �U a y Alternate Phone: Contractor Information: ��[��i4AI If�G Contact Person: �NM�'�_ 6030 CULLIC;AN WAY Addre:�INNE State Bond#: s (952) 933-72a0 .� �ity: Zip: Expiration Date: Phone: Alternate Phone: q5 a; .-� �a• �.� I� � ❑ Insurance—Cu�rent: l i � 03/28/2012 12:39 FAX 9529335049 CULLIGAN MNTKA C�003 � � " Y y.,c rliC« ..L a ' id �.SU�:int'a:; ,� ,�,T �`]�i�'? 77'�-y �rt [�}}� 'y _,ni i�-;,,.,,":� �}�;Jl"':..�� :j�i�:'i:�:e%r�' r �r' h„ ��. l'tI"+r�'3�'-��',D'PJ !J�'J�l�� t :;Y': .fP�, � FI?, ,,., ��',;"�.'i;� ,,: . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains � Lavatory Sewer Ejector iBathtub Laundry Tray ; � Shower Washer Kitchen Sink Water Heater Disposal Water Softener , Dishwasher Wet Bar � Sillcocks Miscellaneous ��iq'qt'4 ° T� �a ��.,�,�t}F'r;h e' " +� � t �� . S r �,x'�t L's'F,',.�� 4�j�S�µ �}` � ��i . s'�Y,ki�a��flt�.�''�„7�.cy'$� 7 L�F��t��-lau ��°`,rl��'i �.�'� 5��r'�"z�t �� P! �� r ni, ,� ry*11 .ta�u�r� � lcf t� , 'i�o��1friNkt�4�tj»?k'��?"i�i`d i�'�T�a��4-�, , tk't7�J../ '�,�,�� ,�V�6;Vi1,�'f j N �}'q �. �.�N��-G-�fi��`"�- ��t�-�t;U�µz��'. 1 -a.t ssi^x..�;�r+� ,�,k��r�d:,5 � Yes,this section applies The replacement of a Residential fixture or appiiancg that meets all three of the following requirements: 1. Does not require modification to elecfical or gas service. ' 2. Has a total cost of$500.00 or less;exclud�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-1n Fee(If Applicable) $ 2.00 Total Permit Fee S • (Permit Fees Continued On 1�1ezt Page) • ' , 2 03/28/2012 12:39 FAX 9529335049 CULLIGAN MNTKA f�004 '1'c^�.aYF.,,4Ni��., _:��'i �`�' ..a..,..�,'. ,., �rJC�..} �..:.:,p.. i�.r,`:��„�3�1 � ' i ��+A��'�,.•N�r.� ��Y��t�� ,i�.R'�� _ .,rt'r ;�j 7:-. `y, �I (!�(��,/,�i�c�1 /� �.�r„i;n:: �$Ji :'{ �c�"-:� �, :'f:(;;�f�li.�•_.d��fin.o.+'�l��,?k':_. �i'.`�M'�="":��'�+��' �„�,,,�•','f��,�.'.��::�;Y;��.:;<:R;�;;�lt��W�:.. .1/ ,•�.+,+•.Y��:.�;.�c;:..�>'�. t If above does not apply;follow guidelines below: l. CONTRA.CT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ' x.0125 S (convacc price) (minimum SSo.00) 2. STATE S'URCHARGE ** Add the State Bidg Code Div.Surcharge(Minimum Fee of S5.00) x.0005 $ ' (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applicatio�s) $ 2.00 � 4. TOTAL PERMIT F'EE(Add Lines 1-3 Above) S �o�. �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted work including materials, Iabor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. lf any material,equipment, labor or installations are fumished by the owner,tenant or any other parry,the reasonable market value of such items must be added to the e5timated 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 eopy of the actua) 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 caU the Building Department at(952)249-4600 for the price. ' r. ' a >�L �� '' , - ., y �� •. , , , , . , � ,,_. - ,, � . � �-� -� , �,ti� a r , ,e. ,,� . �, .,. .. , . ,, _. _. � ,..... .,. ti t The undersigned hereby applies to the City for issuance of a Plumbing�Permit, agrees to do all work in strict accordanca 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 -a g - �� '�"�� mK' d,,� ,m �f �� ! � ^ 3