HomeMy WebLinkAbout2010-00737 - plumbing CITY OF ORONO PERMIT NO.: 2010-00737
' ' 2750 KELLEY PARKWAY
ORONO, MN 55356- �A7'E ISSUED: 08/19/2010
952 249-4600 FAX: 952 249-4616 �E_--
ADDRESS : 2800 CASCO POINT RD
.; �
PIN : 20-117-23-32-0016 �t.-` '`�°
LEGAL DESC : CASCO HE[GHTS ,�r�r„�
: LOT 000 BLOCK 004 �'"�.��
PERMIT TYPE : PLUMBING (<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTNER
APPL[CANT PLUMBING FIXTURE FEE(<$500) 15.00
CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00
6030 CULLIGAN WAY
MINNETONKA, MN 55345 MAIL-IN FEE 2.00
(952)912-7379 TOTAL 22.00
PAID WITH CC# 0597
OWNER
KING,THOMAS& SHARON
2800 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performcd according to
the approved plans and specifications,applicable City approvals,and the
State[3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type ofwork
shall be compied with whether or not specified herein.l�his permit will
expire and become null and void if construction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspended for a period of l80 days a[any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Slatc Building Code.This permit may be
revoked at any time for due caas .
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Applicant Permitee ' Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
08/18/2010 13:27 FAX 9529335049 CULLIGAN MNTKA C�00'l
FO CI USE ONLX
0 Clty Of OCOnO DateReccivbd'�Permih# �d��-� �✓/
Q�' '�O P.O Box 66
��.,� 2750 Kelley Parkway % %
A roved Hy: Am�unt$: * - ,�
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��.���..60 (952)249-4600 � "'°
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official o�Inspector)
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GENERAL INFORMATIQN, . , ., .. „�.:, ;,. ..
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 UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
;. Plumbing permits may be issued ONLY to licensed plumbing contractors a�id to property owners
residing in the dwelling.
4. When any new construction or remodeling is invo[ved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code:equirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
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�Residential ❑Commercial(Approval Required)
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�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You wiil need nrior aaarov�l and may need CUP.(Per Orono City Code,Chapter 78,Article N)
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, a��D Co.5�0 'Pi�`�n� �cQ
Site Address: ,_
Owner: �a+� �e� �z�� ✓� Mailing Address:
City: Zip: �5 3�1 �
Home Phone: I��a- a9 3- 5�9 y Altemate Phone:
;Co��:ract�ir.T�ifoisiiat�4n�';.<' :=.-';�;.,:,,:,,,,,::" ,;;:
C�ntract�r:
� Contact Person; I� �u�Yoy
CULLIGAN WATER CONDITIONIN� State Bond#:
Address: 603
MfNN�TONKA, MN 55345
City: f 952) 933•7?�n Zip: Expiration Date:
Phone: Alternate Phone: 95 a.^�l�-�31�
❑ Insurance—Current:
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08/18/2010 13:27 FAX 9529335049 CULLIGAN MNTKA C�003
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FIXTURE BSMT 1 2 OTHER FTXTURE BSMT 1 2 O'IT�R
TYPE FL FL T'YPE FL FL
Water Closet Floor Drains
Lavatory . Sewer Ejector
Bathroom ' Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener I
Dishwasher Wet Bar
Sillcocks Miscellaneous
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� Yes,this section applies �
The replacement of a Residential fi�ure or aapiiance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a totaI cost of$500.00 or Iess; exclvdine�.he cost of the fucture 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 $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Pape)
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___ 08/18/2010 13:27 FAX 9529335049 CULLIGAN MNTKA 1�004
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If abova does not appiy;follow guidelines below:
1. CONTRACT PRICE �` is 1.25%of contract price with a(Minimum Fee of$35.00)
xA125$
(contract price) (minimum$35.00)
2. STATE SURCHA.RGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In AppIications) $ 1.50
4. 'I'OTAL PEdtNdIT FEE(Add Lines 1-3 Above) $ ���-5�
■ * CONTRACT PRICF or JOB C05T means t:�e actual or estimated dollar antount 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 con�act.
■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
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The undersigned hereby applies to tUe City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordi�ances 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: �' ��" �D
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