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Home My WebLink About2013-00376 - water softner CITY OF ORONO * 2 0 1 3 - 0 0 3 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: OS/17/2013 . �` ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 265 CRESTVIEW AVE PIN : OS-117-23-14-0022 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 005 BLOCK 002 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICA1vT PLUMBING FIXTURE FEE (<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG (<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PAID WITH CC# 0597 OWNER PETERSON, COLIN 265 CRESTVIEW AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date oY issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all requircd inspections are requested in conformance witl�the State Building Code.This permit may be revoked at any time for due cause. ' ""� �. � � / / Applicant Permitee Signaturc Date Issued By 'gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. 05/15/2013 11:44 FAX 9529335049 CULLIGAN MNTKA f�002 . FOR CITY USE ONLY �p� City of Orono �� '�� P.O,Box 66 Pate Received: Permit� � �,,�,s._„ 2750 Kelley Parkway �a �1�'tl.r,r�t_ � Crystal Bay,MN 55323 Approved By: Amount$: 1��`4�'t%��.�/ (952)249-4600 �� CITY OF ORONO—PLUMBING PERMIT (All Commercial permiu must be approved by the Building O�cial or[nspector) 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 rnail after a review is completed. P�RMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORI{MUST NOT BEGIN UNTTL THE PERMIT CARD 1S POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dweiling. 4. When any new construction or remodeling is involved,a separate building permit musi 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 6our notice required) TYPE OF PERMIT {Check All That Apply) �Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑Repairs ❑Replace . � ❑ In Accessory Structure? *You will need prior approval and may need CUP,(Per Orono City Code,Chapter 78,Article fV) Job Site/Owner Information: Site Address: �bS ��1�e-�.J � Owner: �� C'r� e-r S �� Mailing Address: �;ry: Z;p; 55351� Home Phone: I�I a - S 1 7 - S SS_S Alternate Phone: Contractor Information: �,�� y� G Contact Person: �r�` 6030 CULL{GAN WAY Adc�1a[VETpp).kCe��?�� State Bond#: . (852) 933-7200 City: Zip:___ � Expiration Date: Phone: Alternate Phone: �s a - 9 �a `�3 1� ❑ Insurance—Current: 1 05/15/2013 11:44 FAX 9529335049 CULLIGAN MNTKA 1�003 �' ��,[T�1�IBT'NG�I�TURES B�II�IG iN5TAI:;�;ED , FIXTURE BSMT i 2 OTHER FIXTURE BSMT l 2 OTHER TYPE FL FL TYPE FL Fl. Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sirtk Water Heater Disposal Water Softener + � Dishwasher Wet Bar 5illcocks Miscc]laneous LA�(�Y iS�n��M��f YI � y � 4 � S � 1 Y il ,,ir i� �}t x �, z ��?��'�'�E�GA�,�UL�'T'xQ��'��n` :i�� t �� R, �, ��' > ,,r' ��'��.,',,_` } h; y �,��; .�,�}��''f�i: " a�'��i",; ` '��a, # `',�, �� ,:t�xMi [� Yes,this section applies The replacement of a Residentiat fixture or appliance that meets all three of the following requirements: 1. Does not require modifcation to electrical or gas service. 2. Has a total cost of$540.00 or less;excludine the cost of tha fixture or appliance:and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Permit $ 15.60 5tate Surcharge $ 5.00 Mail-In Fee(if Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continaed On Next Page) 2 05/15/2013 11:44 FAX 9529335049 CULLIGAN MNTKA 1�004 _ . � �: . PERNTI'TF��,G�AI;CUL'AT'I(3N�S: ,�J'�JBS:O�R$500;D0. .';' '' - < If above does not apply;follow guidelines below: 1. CONTR4CT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contractprice) (minfmum$50.00) 2. STATE SURCHARGE **Add the State Sldg Code Div. Surcharge(Minimum Fee of�5.00) x.0005 $ (contractpnce) (minimum� 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ c�o� � �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amoant 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 fumished 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 contract, ■ **The STATE SURCHARGE is .0005 of the coniract price under$1,000,040 or$5.00-whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. ' pL��ivr��t��c�n��i,ic�mr�on�AG��iv�rr�� ,,',¢�� .r�,T:¢ '°,�;e, 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 cartifies that a11 statements made on this application are complete, true and correct. Applicant's Signature: � Date: - �S- { ,;��,;,�'�':�'��="�"r'"rt'."�,,� !'�5,�'�;l��1; >K.;.:t,t4"1... s.l:, ..`�C . . 3 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �?0%3-Gb�3?� COMPLETED -30/ ADDRESS a 6S C��fL`vt e� i�v� . OWNER TELEPHONE NO. CONTRACTOR C�//�T.�, � DESCRIPTION L!/`a�cr 50��.�1�►.i � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TfiEE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v O DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL LJ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � �Crw��` �a�� 4� �� —c .2 !l �6r Q o �/�?�G s`JSdtG�la... a � ° l'10 D��--- �iowc e - W � Q 2 _ ��eaS E Gq X D�vKv G��, � !� � SG.�sy�s�C � 4' ��K�G !�?S�GGG/d ti 1�� 4X�te� Sd'�'+�G.tB,� � � � 1h.s��t/1's�b�, wcFl�.;, /5'�4� J O � ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 1� \ Cail for the next inspection 2a hours in a nce. (g52) 249-46�� OwnerlContractor on site: Inspector. �/. .� �- White Copyflnspector's File Canary CopylSfte Notiee � e�G) (J � � ��/ � 7E, TIME OF O ONO CALLED IN ' � INSPECTION TICE SCHEDULED % - � PERMIT NO '� COMPLETED ADDRESS � � OWNER TELEPHONE NO.��a`�83 CONTRACTOR �—� �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ P G RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OW N FiACTOR TO MEET YOU:�YES_NO c., COMMENTS: a (�V�C!/ ��Tr'/�i'�' /rt�7�¢�i '� � J � GI�� G�B �' �rb !/<b'tr� ' O � W � r.Jb�6C �+�-rvcC�ic�� Q � z � ,�✓ �.� .�;.rc��? w � J W ❑WORK SATISFACTORY:PROCEED ��ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. �/�-'�/ White Copylinspector's File Canary CopylSite Notice