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Home My WebLink About2015-01438 (plumbing-water softener) , CITY OF ORONO * z Q� 1 5 — 0 1 4 3 8 * 2750 KELLEY PARKWAY DATE ISSUED: 1U09/2015 � ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 3225 CASCO CIR P[N : 20-117-23-43-0021 LEGAL DESC : SPRING PARK : LOT 029 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIV TYPE : WATER SOFTENER APPLICAI�TT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 1.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345- TOTAL 18.00 (952)912-7379 Payment(s) CREDIT CARD 8645 18.00 OWNER LEESTMA, MART[N&KATHRYN 3225 CASCO CIR WAYZATA, MN 55391- AGREEMENT A1vD SWORN STATEMENT The work for which[his 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 gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing Ihis 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. ,� ,� , ��i�� l k f ' 1 / p �� Ca � '.�C� �'�� `�_��_�/� � ��%t-S�; � (/ � / �� Appficant Permitee Signature Date Issued By Signaiwre Date 11/06/2015 11:28 FA� 9529a35049 CULLIGAN MNTKA �008 . � � { FOR CITY U5E ONLY Q CityofOrono � /� f O� �� P.O.8ox fi6 Dnte Received:�1 (�� `'f'6finl�#�� C��7 y�;;,�� 2750 Kcllcy Parkwny n'^ �� J � i{'�, , �* Crystal Day,MN SS323 Appra�cd 13y: ,��'J Amount�; � „��!��` (952)249-46�0 �� t , CYT'Y OF ORONO,PLUMBY�i C T'EIZMIT (All Commercinl perrniLS mltsi be xppioved by thp Building O�cial or InspeUor) GENERAL INFORMATION 1. You may apply for p{umbing permits by mail or in pei'son at the City offices. Applications will'bc reviewed and a permit will bc issued within two working days. 2. Permit cards will bc scnt by reNm mail afrer a review is completed, PERMITS ARE NOT VALID UNTIL YOU RECETVE A PBRMiT. WORK MUST NOT BEGIN iJN'I'XX.TH� PERM�'F'CA�IS POST��Oh'Y'HE JQB SITE. 3. Plumbing permits may be issucd ONLY to licettsed plumbing contractors and to propcRy owners residing in the dwtlling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained, 5. A11 work must be done in accordt�nce with State Code iequirements_ 6. Ali work must be inspecied�nd Air tested before it is covered. Call(952)249-4600. (24-48 hour noticc rcquired) TYPE OF PERMIT Check All That A 1 �ResidentiAl ❑CoromerciaJ(Approva]Rcquircd) �New ❑Additional ❑IZepai��s ❑Keplace 0 In Aecessory 5tructure? '�You wi11 need nrior unvroval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: .. �a� S �t S t� �iyt� __ Owner: �� Lees -� m�1 MailingAddress: City: Zip: �5.3� � Home Fhone: Alternate Phone: Cl Jr�— d��q g�� Contractor Information: ��1�p'a/y,kTER CONDIYIONING Contact Person: � 603Q �IJ�.LlGAfV WAY Adps��,4��Nf�A, MN �5345 State Bond #: (952) �33-7200 City: �ip: Expiration Date: Phone: Alternate �hone: �SaZ- ��•7�� ❑ Znsurance—Current: 1 11/06/2015 11:28 FAX 9529aa5049 CULLIGAN MNTKA C�009 n " , , , �i.y�"��.7;iAiS(�.;.il`r'.;.,�. ,�i, �,.�h�ili�.�,,., � } ti,h "�e7�'�"�I.'i�.n�,��1;�„ '�i, � �, �-„,..,�._;�_.;,,a,;��;;.;;:.;,:,,��,;��.,�-�-,PL�ur��r.��z��,�,B�,u��-��T��. ��„, _ :�. F13C"CURE BSMT 1 2 OTH�1� FIXTURE 13SMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Ploor Drains Lavatory Sewer Ejector Bathtub Laundr}�Tray Shower Washer Kitchan Sink Water I�eater Disposai Water Softener t � Dishwashcr Wet Bar Sillcocks Misceilaneous ;,;,n,;:,,�•.w,,,,.;,,.�;v,... ,. �,,�� r�,,-;,.�„ , :', ,,� , . ., ., _„ �I� L, .P,,�.i .Y . }" '4' �il J-��T( '�";''r;' 'ir�_,.:',i�„�dy,�,�d;! .<G��.,�,�.,��„�p. .,�rN f�. p • .4'!�' i I��•;ri.. .,,� �I q' , Y l'.,,.,�� r 'I ',�� _ , .�.�� ,.°,.�,.,wa.�'h)�.c'1�1�: h"'�'.�1i��..,�1'.6.,��I:��i�i:F('��•� �,�,F��' r.,i� . . 1J1V'l /�.�.''.'; �„'.', ,��,p�y�.�.�;:,l,p,i�ld��l..q:� ��'A�,�„ � � �r � �E "'� I ' S �'� il � ' ��1� �;i � � �'i �i.( ❑��y � r,�i r,� �� yy i r,�,�� a ''ll �7 �. h � � � �i'"�i.� �I� ��y �i at.�{� �.� .�� r ;t i�'�O�J✓�.�� ,QL��'1�1�L1�S��1� ,i, .),.� ,I � Yes,this scction spplies The replacement of a Residential f xiure or an lp iance that mecCs all three of the following requirements: 1. Does not reyuire moda�cation to electrical or gas service. 2. Has a total co�t qf$500_00 or less;exc din the cost of tht fixture o[3ppllance:and 3. 15 improved,instalIed or rcplAced by t}le homeovma or lieensed contractor. $kip nea:t section,if this applies; Cost of Permit $ I5.00 State Surcharge � $ 5.00 Mail-In Fee(If Applitabie) $ 2.00 1"ota!Permit Fee $ (Permit�ees Continued On Next Page) 2 11/06/2015 11:29 FAX 9529�35049 CULLIGAN MNTKA C�O10 . � , , , , y-7 " 7-� �y�y ' y� �'A 01'�; � =J�gS`QVER�'�50�':DO�� , �� , � ,- ��alir�fi�'��,�u',1�!f�,��( �,n�L'' ` �'l�r�..P ,Gil;.� .'q�4�� ,rU�;�,Il.r �{i.��.R„ � � Tf above does not apply;follow guidelincs below' � • ' ' 1. CONTRACT�RYCE *is X 25%of contract price witl�a(Minin;rum Fee of�50.00) x.0125$ (contract price) (minimum$50,00) 2_ STA,T�SYJRCEit�T�tG� **Add the State Bld�;Code Div.Surcharge(M�nimum�ee of$5.00) x_0005 $ (wntract pricc} (minimum� 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FE�(Add Lines 1-3 Above) � •�4 ■ * CONTRACT PF�C�. or 70B COST mesns the actual o[ estimatcd dollar amount charged for the permitted work inciuding materials,isbor, profit,and other fixcd costs. It is che amount to be charged to tho eustomer for the work donc. If any matcrial, equipmcnt, labor or inssal3ations are fumished by thc owner,tenant or any other party,the reasonable markct value of such items must be added to thc estimated cost or contTact price for permit fee purposcs. In tfte evenC th�t there is a dispute on the amount of thc job cost, the City may rec�uest the submission of a signed copy of the actual contract. ■ '"*The STAT�SURCHARGE is .0005 ofthe contract price under$1,UOO,Q00 or�5.00—whiehever is greater. For valuations pver�1,000,00�cal!thc Building Dapartment at(952)249-4600 for the price. �;�;`�,"�?,��`i,i `px,CJ��`�-r:��"�i�IIa'�"�"'�i�'�'��'.��.1�''0��,hf '��'�'„�;� �,.";•,..,,"��^y,"ri�',`��li�; J �n',�� T� �Irrlri.�• ,,� 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 Ciry �nd the regulations of the State of Minnesota, and cercifies that all statements made on this applieation are complete, vue and correct. Applicant's Signature: Date: ��"_�- �J _ ,�,r.m^��I:��„f�filPu��kr�"%c°�p aF��ex�r,Q;�?G` �,�.�,,,.,;,�.:,..��,.; :,,y,, �.� :�... 3 prr � �- DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED PERMIT NO. �-C�l Jr"��coM �Eo ADDRESS ��S ��''�-�� C�• OWNER TELEPHONE NO. CONfRACTOR � DESCRIPTION � � �- " W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC INAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FO�LOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNEWCONTRACTOR TO MEET YWI:�YES_NO c�., COMMENTS: -� � �1 • � W , a , � - � O � � O � W � Q � 2 W � W � J O W ❑WOfiKSATiSFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 6 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RERJRN ❑STOPORDER POSTED.CALL INSPECTOH �CITATION ISSUED ❑INSPEC710N REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. g52) 249-4600 OwnerlContractor on site: Inspector: White CopyAnspector's File Canary CopylSite Notice