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Home My WebLink About2012-00283 - replace water softener '' ` + CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 2 - 0 0 2 8 3 * DATE ISSUED: 04/13/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1629 BOHNS POINT RD PIN : 17-117-23-11-0005 LEGAL DESC : REG. LAND SURVEY NO. 0565 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: RGPLACE WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PA[D W[TH CC# 0597 OWNER GREEN,RANDALL 1629 BOHNS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not eommenced within]80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conform�nce with the State Building Code.7'his permit may be �revoked at a y time for due caus . Y.�i��-�� l l �%�,Lvt- �� /J' �/:� Applicant�Permitee Signature DaCe Iss By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 04/1.2/2012 _15:15 FAX 9529335049 CULLIGAN MNTKA C�7j002 w ' , ' F�USE ONLY O�O�O. City of Orono ��J � o/ �— O �3 P.O.Box b6 Date Receiv ; Permit# � � '+. 2750 Kelley Parkway � ; L Crys[eI Bay,'MN 5532� ' Approved By: Amount$::�• � " �� (952)249-4600 �� CITY OF ORONO—PLUMBIl�TG PERMIT '� (All Commerciel 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 a�ter a review is completed. PERMITS ARE NOT VALiD UNTIL YOU RECEIVE A PBRMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED OI�I THE JOB SITE. 3. Alumbing permits may be issued ONLY to liconsed plumbing contractors and to property owners residing in the dweUing. 4. When any new construction or remodeling is involved,a sepazate building permit must be' obtainC�. 5. All work must be dane in accordance with State Code requirements. 6. All work must be inspected and air tested before it is cavered. Call{952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �- �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs �Replace ❑ In Accessory 5tructure? . *You�will need orior anaroval and may need�P.(Per Orono City Code,Chapter 78,Article TV) , Job Site/Owner Information: Site Address: �CP 2--q �0�Y1 S �1 hT �.G� Owner: � �R�(� Mailing Address: J��9 �Oh i�! !"d�'r/r/�G� c�ry: C�r� d - z�p: 5��R/ I Home Phone: 55�� Alternate Phone: Contractor Information: Contr��r�IGAIV WATER CONDITIONI�ntact Person: ��"T �P�'-c.�-, Address: IVIINNETONKA, MN 55 4S State Bond#: City: Zip: Expiration Date: Phone: qlternate Phone: . ❑ Insurance—Current: - 1 04/12/2012 15:15 FAX 9529335049 CULLIGAN MNTKA C�003 � - ,,:.;>,�.,.�.,;:,,..; .,..<,,.„..,. . ,..._, _ sf �r.. .�.....M...��i'r.�,t�t�. .,,�,��,.;, .,.'., vi�l,i.1,-i.'+E.2ti� '"1'j:5,�::�,r��:�� ""��' �4i1� .f;. ..�i:-':. .�=:{;�`a� :iiV.:: ..._..� , ..i:'.:�,•:..,'.,w�,r...� �j.. .. � _. (�'� �+; �r T� �.j ','�'�- '.!f'ti'f' :.'+yyi:: .G �.aT�. +�: -�`a �.2.t •:�! ��'r '�'-':�L�'�''..+r.'' +ly� -i:>[^�. r,..J.vt�i,`��r�.:. .,t7,.4," ,.r'_4.=::�'-�„`��._ �.�ti..f�.: .�/� ��`! ..� �.,�.,,.,;.:,;;'.;.,;;�, FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Scwer Ejector Bathtub Laundry Tray Shower W asher iKitchen Sink Water Heater Disposal Water 5oftener Dishwasher Wet Bar Sillcocks Miscellaneous I � � . ._._ . , p5; - �• - - - . d�.�x ,�ft �'t+a ,�r"r,�'i i ��3'� �q��L _ i ie"" � T � 11 �, U. �r�t��t�¢. �� ''Sf� i;' ,�� - �'�1',iy�.rhi '��,i+a��7t��i��,P¢��tP��y� t�Lh,��T�bTLr j��, i�a`ktT� y�� 2i ��ttF,,,�� '�, ,�5 R�rk� 'kA 1'�t� �'�zA�.i�CN,�} +� '�i� ,ze`�i. m'� ��`f Y�'� M� 3 �� .�i*'t(��} � � �q' � � ,y�.x1,.��1 ��;' -��`Fz��r� ��,�'�* .:b'-�i!. � .,I � �a�'t 'kl ' ��S.S,t��.� ��.�,' �C�AI��,1r., �� ',.�f. -.E'S 4?.;,f a�-H ,i�i.te..i�b�k:).a.� � Yes,this section applies The replacement of a gesidential 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;exc in the eost of the fixturo or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor, I 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 I I 04/12/2012 15:16 FAX 9529335049 CULLIGAN MNTKA 1�004 I , . -��.�,:. � .', n,. ,r� - y t':T` FS."."' _' iaii;:;i'� ;��('+,'ii;/;�� s i;;A� �r� v ., .g:; ,�r�';:�;��- ac�Ct :',�.jl+� i4.�.i�f•5�;� 2. 1 i: i� .S: 7:�: :.;ti:i� J � r' t'�:.�f": .,�.�'' '�.: `�;.4r� ��;Qa.".: u$,. ' '�i��i�Y;..�. �•'r r y1 `!�,',, ( �t��,�{,�.,•ie#t 't:i�^'��':.il. �,' .�..i�', r3.� t ]f above does not apply;follow guidelines below: l, CON'�'RAC'T PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE '�*Add the State Bldg Code Div. Surcharge(Miaimum Fee oiS5.00) x.0005 $ ' (wntrac�price) (minimum S 5,00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 _ 4._TOTAL PERMIT FEE(Add Lines 1-3 Above) $ o�a- � � ■ * CON1'RACT 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 wotk done. if any material, equipment, tabor or installations are fumished by the owner, tenant or any other party,the reasonablc market value of such items must be added to the estimatod 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 STA'i`E SURCHARGE is .0005 of the contraet price under$],000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Departrnent at(952)249-4600 for the price. '�i t ' I�f � +'� �1' I 1 ,ri r 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 reguiations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � Applicant's Signature: �GG�'"��G�ir-� Date: '� Z ' q� ia�fl ��SB��4�� :• �.� �R��:�:f�w� I I ' 3 ` 1 5� AT TIME � CITY OF ORONO CALLED IN -��-�y�—�� INSPECTION NOTICE SCHEDULED �1c� •� � PERMIT NO.o�d/'1-DOa�.3 COMPLETED ADDRESS ��O z 9 �d��d v � � OWNER ��C� ��ELEPHONE NO. ��Z �3y �l�'Z� CONTRACTOR ��9c''-� a DESCRIPTION �� °Sv7�T�v lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL BING RI ❑ L ❑ FOUNDATION/REMOVAL OWNER/ ONTRACTOR TO MEET YO :�VES NO v, MENTS: � W a o lrv� f�1 ''� f� �CC'� F��l1� �LG�� '' �, �1 l� � 0 � � �; k ,> �'' i --�� -- � Q • � ��'C'_�A-�f� l� �'s �� C� N 1� •��y .,.-, W t--�� .�,..��J �� i� rn�/� �� A;��A� � t'Z� � � � � � � � 1 S�� W '�,WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on sit : Inspector. � �� White Copyllnspector's File Canary CopylSite Notice