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Home My WebLink About2013-00156 - water softner CITY OF ORONO * z 0 1 3 - 0 0 1 5 6 * , 2750 KELLEY PARKWAY �AT��SSUE�: 03/06/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 270 CRESTVIEW AVE PIN : OS-ll 7-23-14-0063 LEGAL DESC : AUDITOR'S SUBDIVISION : LOT MB BLOCK MB PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 MISC FEE 0.00 TOTAL 22.00 PAID WITH CC# 0597 OWNER BAUTISTA, LEWIS& LESLIE 270 CRESTVIEW AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for on(y the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of Ihe date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due caus �.,��Vl.�'�'�.�� / / Applicant Permitee Signature Date Issued By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O E. 03/06/2013 13:15 FAX 9529335049 CULLIGAN MNTKA [�002 � FOR CITY USE ONLY A� City of Orono O�'�`1'�\ P.O.Box 66 Date Received: Permit# / �. 2750 iCelley Parkway � t, � Crystal Bey,MN 55323 Approved By; Amouot$: �� S�� (952)249-4600 � �� CITY OF ORONO—PLUMBING PERNIIT i (All Commercial permits must be approved by the Building Officia)or Inspector) NERAL INFORMATION 1. You may apply for plumbing permits by mai3 or in person at the City offices, App3ications will'be f reviewed and a permit will be issued within two working days. a� 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 3. Plumbing permits rnay 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. 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 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑New ❑Additional ❑ltepairs �Replace ❑ In Accessory Structure? *You will need arior anaroval and may need CUP.(Per Orono City Code,Chapter 78,Article iV) Job Site/Owner Information: Site Address; o�`�� Cr@S�V�►e� � Owner: KO��n �y�e� S�h Maiting Address: C;ty: zip: 5535 � Home Phone: (,I�' S�? - $5$5 Alternate Phone: Contractor Information: Contractor: Contact Person: CUL�iGAIV WATER GO(�DlTIO�J1�l.�a p��ULLIGAN WAY State Bond#: MlNNETQNKA, IVIN 55345 C;tiy;(952) 933-7200 Zip: Expiration Date: Phone: Alternate Phone: �S�_9 I �_�3 I? ❑ Insurance—Cunent: 1 03/06/2013 13:1 FA�X 9529335049 CULLIGAN MNTKA C�003 � i � � i i . ,,.�..�v u,�,.,��:'�r��i.. .�. :�1� ..F��:tf.�.�Y.•�� . � '.'t... .. y .) ti�-� ...':':.�c �+ y �;y �c :�:U�..'.'.�'v.�.��.. .,.: .il:'.' L:.�'!' /� i.! :1... - � .5 � .•��t . . i�'.'� � .•' i�:.��'�i..; .. � . . . � . ... • �:..�,�,1•' ..... ..�.::. .n r;:..i' I.,:i:ti:�;i �'f'<.: ;i;.�'' - :f_ ',,.`��•°'��`\t7=.��7� L"+�.. .-1:+i �'T"i��:' - ,�,:.:.,.;;>: r,,. , � ..;.� �...e:-r.�.�if�� . . � ... ur:�;...r;:� �' ,.. .i.�....;.�.� ; •r.„� .�.:<`:�:...,..;...�i..... .. .. .. . . . ... . .,.,:.., .. . . FI TURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER T PE FL FL TYPE FL FL I W ter oset Floor Drains L atory 5ewer Ejector B thtub Laundry Tray S ower Washer Kitchen Sink Water Heater Disposal Water Softener 1 � Dishwasher Wet Bar Sillcocks Miscellaneous ih u �f e i , t� R �7-t ji 2"r�'.p ��t �y.q+.�„f'� � ". ,.r:,'i ' ��.ti� ��,�,�Hi��r�"� '�y �, et��4�klJ �l�fiz ' i� �`f7+hy 4 �� i �``�i� I� ��x'hi��l4it'+�p ytn}�N��x��' y�t, �;a ! r ' �'k' � .� `ty'3��1�'��t ��d4 �6t ,y��ir a ,:��-�``�{�?�7x'fi�''x,��,�,]�v�+�.�,�� ro � d ��,Fr� �w �y F�. ,::�F�� -��. ....I' ��t� r�t s- , �� r�'«. � .:-�� ❑ Yes,this section applies e replacement of a Residential fixture or appliance that meets all three of the following requirements: p Does�ot require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. � Skip next section,if this applies; Cost of Permit � l 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ermit ees Continued On Next Page) i� 2 03/06/2013 13:15 FAX 9529335049 CULLIGAN MNTKA C�004 � '� � � �r i ,�..: ,,. �'��,tt:•r,.•x�r;;� „%�� 1'.��, .,�..��'��: "��.�{��, � '�� '" :�RJ�Q'��,k' ��',�:;;:, :"<.�' ,.�:;a..,, ' i Tf above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00) 1 I X.a�25$ (contract pnce) (minimum 550.00) t 2. STATE SURCHARGE **Add the State Bldg C�de Div.Surcharge(Minimum Fee of 55.00) x.0005 $ (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) S d�.a� � � __ _ . _ __... . _ _ .. - - ■ * CONTRACT PR10E or JOB COST means the actuaf 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 work done. if any material, equipment, fabor or installations are furnished by the owner,tenant or any other party, the reasonable market value of such items must be added to tha estimated cost ot contract price for permit fee purposes. 1n 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 contract price under$1,OOQ,000 or$5.00-whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-46�0 for the price. � � ,� ; i . r, .! ,�� . � � . ,'�.� '�� t,3_: �, + �- � � The undersigned hereby applies to the City for issuance of a Alumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regvlations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. pplicanYs Signature: Date: .3 - L-. � r � �� t ' ' � t�a 'r,C,3:'�%�,'�G,i5 d�;!�� 1 3 �� AT TIME V CITY OF ORONO CALLED IN 3�I �3 INSPECTION TICE SCHEDULED .3'� -I_`� � PERMIT N0. �0 �� ETED ADDRESS �� U! OWNER �'�s�-- E PHONE N(��r-�5 CONTRACTOR G� >; DESCRIPTION U�U" �- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEEf YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q ti Z w � W � j � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CEFITIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. 0 White Copyllnspector's File Canary CopylSite Notice