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HomeMy WebLinkAbout2010-01203 (water softener) ' CITY OF ORONO PERMIT NO.: 2010-01203 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssvEn: 12/22/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3799 CASCO AVE PIN : 20-117-23-32-0021 LEGAL DESC : CASCO HEIGHTS : LOT 014 BLOCK 004 � PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER NO"I'E: WATI;R SOFTENLR APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG (<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PA[D W[TH CC# 0597 OWNER DAVIES,JEFF& KRESTA 3799 CASCO AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permil is issucd shall bc performed according to the approvcd plans and specitications,applicable City approvals,and the Statc Dui�ding Code. 'l�his permit is for only the work described and does not grant permission for additional or related�rork���hich requires separate permi�s. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is nol commenced�vithin 180 days of d�e date of issuance,or if construction is suspended for a period of 180 days at any time atter work has conunenced. The applicant is responsible for assuring all required inspections are requested in conformance with thc State Building Code.This pennit may be revoked at any time Cor due cause. ld-�C�C � / � �j"�`"' � l l /O Applicant Permitee Signa e Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 12/22/2010 13:56 FAX 9529335049 CULLIGAN MNTKA 1�002 FOR CITY SE ONLY �O,$Q City of'Orono / n ' P,O.Box 66 Date Received` �`Permit�{�_+ �� J � 2750 Kelley Parkway ��� � �, , � Crystal Bay,MN 55323 Approved By: Amount$:� �� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial pertnits must be approved by the Building Ofticial or Inspoctor) GENERAL TNFORMATION 1. You may apply for plumbing permits by mail or in person at the City offces. Applications will be reviewed and a permit will be issucd within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL1D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TflE 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 AII That A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs 0 Replace ❑ In Accessory Struciure? *You will need nrior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article 1V) Job Site/Owner Information: s�te,�ddress: 3�99 CosS c � � Owner: Se�C� �Gv��eS Mailing Address: c�ry: z�P: 5539 ( Hom�Phone: �a - 5�.3 - g��S Afternate Phone; Contractor Information: Contractor: Contact Person: i.W.�*�i GULLiC,,/af� WATER CONDITIONINfa Addr�;30 CULLI�AN WAy State Bond #; MINNETONKA, ►VIN 55345 �.o. City:` (9�2) 933-7200 Zip: Expiration Date: � Phone: Alternate Phone: �Sa- �I 10�- �3 I � ❑ Insurance—Current: ] 12/22/2010 13:57 FAX 9529335049 CULLIGAN MNTKA C�003 .;�. ,::;... '.,"•g.,'ik�ytb�Pfy t.���.`::�,x.t�..r�'1�.� y�`�' � �' .^F., ..,r "r�r�?'.,. 'iG�n°:t`;�'+'°;'t�'1q'.;;.?{?;'7?l:1.-:�:n.i�..:._,,_;! :f>. � T �i�,: ,F�d1;..i i, +�x�':F.tit: �i �:;�; �,�: [ •:�;� y ,.h�r.. ,�{,.i �; 1�� _ � :..r.V. �';iiiiY�: �.'�K'_'• � ��F:'1 ,�1��• :f:. _�'.'r,'ln��.:;J`.e?^t^;MJ;";C-0-:".:':. .;�T'r'� :r,k'%%.'�'•: FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 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 SoBener I Dishwasher Wet Bar 5ilicocks Miscellaneous , lx(a, �r H+ y,t � a � 1 `�4� p� ���{�, ; E ���C��l'1 r r� �dk'Qtj z,�r'T1���AS t t �b � ti�r �f �a-�t�z �� 8,.� u�zr��Y�a� s � v.- {��� � � t����` d{+�� �, � , a ) �r�5 rr ti�1c� °i i '� t r k =-t"�. v .:� }.�x �-;� � � ',-w t�� r'�tit!'�i� �.��� �'�r�if���(1�'�' .� m�' � � + i z � /��y/� [� "y'} �4 �!�r;-SC� . �vlr�5e�:`�Rf� b��,��:tit'?'��sh�.kn�1� ti.� LVU�,1J���i�1•�,�; ,��a..xrc[it'��;���.�`�'�w. .i�-a��f; � Yes,this section applies The rcplacemeni of a Residential fixture or appliance that meets all three of the following requirernents: l. es not reguire modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,ifthis applies; Cost of Permit $ 15.00 State Swchazge $ 5•OQ Mail-1n Fee(If Applicable) $_ 2.� Total Permit Fee $ (Permit Fees Continued On Next Page) 2 12/22/2010 13:57 FAX 9529335049 CULLIGAN MNTKA C�004 ,.. .� , .�•- � yo� ,y ..�. ��r i; � ,, _ ,`....�.;-- ,� , r��: ':::yp_'t'�- � ..,`!_ i.y.s j��, r ii G F' �t� i 7 I .t.�""'�1. �E�;�"',�ji:j'yt,- a,a-.:ic'7;�;:;i�yC:r�.�sd�k.. '�..i',;`�..t� �� _ 'xi..,�� "� .t.� ��.�b,(z�iu�„w�in�4i ;�',J:,_.,;= i 'L.: If above does not apply;follow guidelines below: I 1. CONTRACT PRICE * is 1.25%of contract price with a(Miaimum Fee of$50.00) x.0125$ (conaact price) (minimum$50.00) 2. STATE SURCHARGE *'`Add the State Bldg Code Div,Surcharge(Minimum Fee of 55.00) i x.0005 S (contract price) (minimum S 5,00) ' 3, POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 i 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �.0� ■ * CONTRACT PRJCE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. ]t is the amount to be charged to the customer for the work done. If 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 estimated cost or contract price for permit fee pwposes. In the event that there is a dispute on the amount of th�e job cost, the Ciry may request the submission of a signed copy o�the actua] contract. ■ **The STATE SURCHARGE is.0005 of the contraet prica under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Depariment at(952)249-4600 for the price. � - �� •t �,rt���.� 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. ApplicanYs Signature: Date: �a'o�-� (� � �;.` r i-c�; R��i���Of�tT1�= 3 � �l�� `�— / DAT TIME � CITY OF ORONO CALLED IN ---�-y�� / Z��� INSPECTION NOTICE SCHEDULED I 2��� -� PERMIT NO.a�/D-dl�b3 COMPLETED ADDRESS OWNER ,S ELEPHONE NO.�'�1�� ��`�7�5 CONTRACTOR >; DESCRIPTION � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL NER/C TRACTOR TO MEET YOU�YES_NO � COMMENTS: � VI � �, � '� • � � J O � � O � W � Q � 2 W � W � � e ,. GW ❑WORK SATISFACTORY:PROCEED .O�}iOJECT COMPLETE � ❑CORRECT WORK&PROCEED '-' ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. (g52) 249-460� OwnerlContractor on site: � - Inspector. � White Copyllnspector's File Canary CopylSite Notice