HomeMy WebLinkAbout2016-00493 - water softener CITY OF ORONO * Z 0 1 6 - 0 0 4 9 3 *
2750 KELLEY PARKWAY DATE ISSUED: OS/09/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1224 BRIAR ST
PIIY : 10-117-23-31-0074
LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE
: LOT 000 BLOCK 002
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.25
CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00
6030 CULLIGAN WAY
MINNETONKA, MN 55345- TOTAL 52.25
(952)912-7379 Payment(s)
CREDIT CARD 5107 52.25
OWNER
HILLIER,JAMES
1224 BRIAR ST
WAYZATA, MN 55391-
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. AII 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 the date of issuance,or if construction is
suspended for a period of l80 days at any time afrer work has wmmenced.
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.
C��o '_'�� � � i cT i/�
Applicant Permitee Signature Date Issued B ignature Date
05/09/2016 09:3� Fal 952�a�5049 CULLIGAN �NTKA C�002
�'OR CtTY US�VfvLX
4 p�� City oi Orono
P.O.Box 66 Date Received: Perm;t#
����.i,,,, � 2750 Kelley Parkwny
( lq�z�K,r / Crys�sl Bay.MN 55�23 Approvcd By, AmountS:
4���,,�.�,�� (952)249-4600
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CITY OF O�20N0—p�,CJMBIIVG PERNIIT
(All Commcrcial permi[s must be¢pproved by thc Building Official o�Inspec[o�)
G�:�"ERAL 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 sen2 b�reCurn mail after a review is completed. PERIvIITS ARE NOT
VALID UNTIL YOCJ RECEIVE A PERMIT. WORK M[JST'NOT��CXN UNTIL THE
PER'VIIT CARU YS PClSTED O'.V TFLE JOB SITE.
3_ Plumbing petmits may be issued ONL�'to licensed plumbing eontractors and to property oWners
residing in the dwelling.
4. When any new construction or ramodeling is involvcd,a separate building permit must be
obtained.
5. All work must be done in atcordancc with State Code requirements,
6. All work must be inspected and air tested before it is eovcrcd. Call(952)249-4600.
(2448 hour notice required)
TYAE OF PERIV,�T
Gheck AlI That A 1 �
�12esidenzial ❑Commercial(Approval Required)
�New ❑,Additional ❑ Repairs Q R�place
❑ In Access�ry StruCtUie?
"'You will need arior anpror�al and msy nccd CUP.(Per Orono Ciry Code,Chaptcr 7$,Article rV)
Job Site/Qwner Information:
Site Address: � a�__ �1�'a� JT
�wner: ��S ��< <� i e r Mailing A,ddress: �
City: zip: _ SS 3 9 l .
Home Phone: _�I� - � 1 � ��Y Alternate Phone: '
;
Contractor Tnforcnation:
Contractor: Contact Person: � ;
���IGAN 1/i,'A��Fi CpNpITIOiVII�� State Bond#:
6030 , �
Cit : iVilY�lI�JI�TOEVl4A �N 5 5
7� �9 � � �xpiration Date:
Phone: Alternate Phone; �50�—9 � �7,�� '
❑ Insurance—Current:
1
05/O�i2016 09:33 F�fi 45293a5049 CULLIGAN MNTKA C�009
r , ,, r,��;;�,, �L �u��'�.�h�;�A��s�BE�a i�r�T�:��n�, � ,, ,,4�;,�.;
FIXTURE BSMT ] 2 OTHER �17tTURE BSMT 1 2 OTHER
TYPE FL FL TYPB FL FL
Watcr Closet �'Ioor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
I�itchen Sinl: Watcr Heat'er
Di5po5a1 Water So$encr �
Dishwasher Wet�ar
Sillcocks Ufisceilaneous
: '�'+��l�l.'i�i"�Clte^.r,;�7.,,1'i���.•v{��I::,.:.��,L.I�r .,I',','.(L: ,� ,�z� ,.T, �.�f.^ ';'�;,��„ !l;!rPr�•;�R�"G';i��:�rl�i';�i,'i°,
',�';�q�'� h � i•� � �a� ��� � ;,,, � ��� ��tR�vTT,�';,1�����-�AT�O�(�) �, ,�'-,�,: ;;,;. �,�„•�.,,,,, ,;..
,��� i 7 � :'r , N P,. i i; r.� � i..�y ,
:�(���•„� ,, . + ,�, '� ,,' ` ' � �A`SBI�fl�F. �4D2�SZ'AI'�STATUE � � :�-� � �� , � .;,; �°
❑ Ycs,this section applies
The replacement of a eside tial fixture or a liancc that mccts all thrc�of the fol)owing requirements:
]. Does not require modification to eleettical at gxls secvice.
2. Has a total eost of$500.00 or less;excludin�the cost of the�i�cture or appliancc:and
3. Is improved,instAlled or replaced by the homeowner or Iicenscd contracCor.
Skip nea�t section,if this applics; Cbst of Permit $ ]5.00
State Swcharge $ 5.00
Mail-In Fcc(If Applicable) $ 2.00
Totsl Permit Fee S
(Permit Fces Continued dn Next Page)
2
05/09%201� 09:a� FA� 9529�35049 CULLIGAV MNTKA �004
r r�.,��,.,�. �ti� ;�: � ,� y� � �� '�' '''i,
.,r� �'��},�.�'� '�`P���'�� �!'�`. ' �f;L:'�"�'�Tx�1�, S ''=��,OB;S'.C1��V`�7t,$�(?O;OQ �� ;�,r,k�;:`- 7:
If abovc does not apply;follow guidclines below:
1. CONTRACT PRICE "'is 1.25°/a of contract price with a(:V15nimun�Fee of�50.00)
x.D125$
(eon[racr pncc) (minimum$50.�0}
2. STA'I'E SURC�TA�(Y� *'�Add the State Bldg Codc Div.Surcharge(Minimum Fee of$5.00)
x.0005 $
(contractprice) (minimumR 5.00)
3. POSTAGE&HANDLII�iG(Only on Mail-In Applications) $ _ ?-00
4. TOTAY�1'�RMIT F'EE(Add Lines 1-3 Abovc) $ ��� �-S
■ * COZ�''fR4CT PRICE or JOB COSI" means tho setu�l or estimated dollar amount charged for tBe
permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged
to thc cuslomer for the work done. If any m2terial, equipmcnt, labor or installations are fumished by
thc owner,tenant or any other party, the reasonabla market value of such itcros must be added to thc
e5timzted cost or contraet priee for permit fec purposes. In the event th?�C Chere is a dispute on Yhe
amount of the job cost,the City may rcquest the submission of a signed copy of thc actusl eontract.
� '�*The STATE SLRCHARGE is.0005 of the contraet price under$1,000,000 or$>A�—whichevcr is
gre0.ter. Por valuations ovcr$1,000,000 call the Building�epartrnent at(9�2)249-4600 for the priee.
�':BIl�1��6�dN��.����p� �l199�^� A� � i 4 �I � H (r. i 5' a ,�i�i����1�jw�'f�i�i"�^�ii'�I:���'��"i�f'
;f4� r�+� � ,�1 � �„rzAi,9�'PT�;T711�'BB,TI'�1'�, �R�'T�P�'LXG`�`�4�`�bI*I�SA,G1����`�'� ,�, „c�-,:��,����_.�l.�,
The undersigned hereby applies to the C�ty for issuance of a Plumbing Permit, agrees to do all
wprk in strict accordance with the ordinances of the City and the regulations of the 8tate af
'.1�tinnesota, and certifies that aIl statements made on this application are complete, true and
CORect.
Applicant's Signature: Date: .J-� " ��v
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Res��Form
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DATE TIME �/
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED S Z 1 lo
PERMIT NO. ZO l lfl—OO�q.�OMPLETED
ADDRESS � ZZ� � I Q,IZ �S'� •
OWNER TELEP�Q N�E� NO.
CONTRACTOR (��-� I I �.�1
� DESCRIPTION �� n� — ��+er��-��
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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 ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC IN TALL
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2 OWNERlCONTRACTOR TO MEET YOU:_YES NO �
� COMMENTS:_n �� '���i c i S c�CSV�2 �r �(�,_
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W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE
� ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. � ) 249-46��
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice