HomeMy WebLinkAbout2013-00488 - water softner ' CITY OF ORONO * 2 0 1 3 — 0 0 4 8 8 *
. 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3980 DAHL RD
PIN : 08-117-23-23-0001
LEGAL DESC : UNPLATTED 08 1 17 23
: LOT 000 BLOCK 000
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 TOTAL 22.00
PAID WITH CC# 0597
OWNER
MCGLYNN, THOMAS&TONI
3980 DAHL RD
MOUND, MN 55364-
AGREEMENT AIVD SWORN STATEMENT
The work for Hfiich this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is fi�r only thc work describcd and does
not grant permission for additional or related work which requires separatc
permits. All provisions of laws and ordinances governing this type of work
shall be compied with wheUier or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of U�e date of issuance,or if construction is
suspended Yor a period of 180 da��s 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.'�his permit may be
revoked at any time for due cause.
/►"( Cl.c�� �. � � l l
Applicant Pcrmitec Signature Date [ssued I3y.' gnature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
O6/11/2013 11:45 FAX 9529335049 CULLIGAN MNTKA C�002
FOTt CiTY T35E ONLY
/��j�� CityofOrono
P.O.8ox 66 Date Received' Permit#
��o�� �ti 2750 Kelley Parkway
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, � ..�,. �� Crystel Bay,MN 55323 PP Y
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CITY OF ORONO—PLUMEING PERMIT
(All Commercial permils must be approved by the Building Official or Inspector)
GEIv'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 sent by return mail after a review is completed. PERMITS ARE NOT
VALTb UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMJT CARD IS POSTEll ON THE JOB SITE.
3. Plumbing permits may 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.
b. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PBRMIT
(Check Ail That Apply) ,
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑ Repairs ❑ IZeplace
❑ In Accessory Structure?
*You will need arior approvul and may need CLP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner lnformation:
Site Address: 3�1�0 ��l ��
Owner:�ov�� VYl r �����v� Mailing Address:
Ciry: Z;p: 553�y
Home Phone: ��- ��5� � � � Alternate Phone:
Contractor Information:
Contractor: Contact Person: �
C�J�eGAN WATE�i CONDITIONING State Bond #:
�'030
MfNNETONKA, MN 55
;
City: �95 ��: Expiration Date:
Phone: Alternate Phone: `�5 a -�l� -�3�7
❑ Insurance—Current:
I
06/11/2013 11:45 FAX 9529335049 CULLIGAN MNTKA C�003
PIrIIMBINGFIXTIJ,RES BE�TG�STALLED �
FIXTURE BSMT 1 T 2 OTHER FIXTUI2E BSMT 1 T 2 OT'HER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower W asher
Kitchen Sink Water Heater
Disposal Water Softener �
Dishwasher Wet Bar
Sillcocks Miscellaneous
� �;t a �
� '��� ` , '�.� �' ������ � � � P�RM7T;��`FE'CAL�L'T;�A7'�Q�v`(S) '� � "`� ';���`��� ����
���i,�;;,,k,�4;��a�','���` ���°' ..�,�;- T�A�ED�OFF _2002 S'TATE 5T�ITLTE�.�';�' t , �� '�'�'�.' a` `�,;�_���xa,
❑ Yes,this saction applies
The replacement of a Residential fi�cture or appliance that meets all three of the following requirements;
1. Doas not require modificaTion to alectrical or gas service.
2. Has a total cost of$Sd0.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the homeowner or licansed contractor.
Skip next section,ifthis applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2,00
Total Permit Fee $
(Permit Fees Continued On Next Page)
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06/11/2013 11:45 FAX 9529335049 CULLIGAN MNTKA �j004
'::1'ERII�I,IT��E'CAZC�A�'I�N�' '=,JOBS C)�ER.$SOQ:UO
If above does not a�ply;follow guidefines below:
1. CONTRACT PRICE �` is 1.25%of contract price with a(Minimum Fee of$50.00}
x.0125$
(conh'act price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(M;nimum Fee of�5.00)
x.0005 $
(contract price) (minimum$ 5,00)T
3. POSTAGB&HANDLING(Only on Mai1-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ aa•U�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materiais, labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, cquipment, labor or installations are fumished by
the owner,tenant or any other party,the reasonable market value of such items must be addad to the
estimated cost or contract price for permit fee purposes. In the even#that there is a dispute on the
amount of tha job cost, the City may request the submission of a signed copy of the actual contract.
■ ** The STATE SURCHARCrE is.0005 of the co�tract prica under$1,Q00,00�or$5.00—whichever is
greater. For vafuations over$1,000,00�call the Suildine Department at(952)249-4600 for the price.
1��`����i�,.,,Y'� . .":_."�'�,UMBII�G PERM�!'�I'i�LrCA'f10N;AG°R�GEMENT.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do al1
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all staternents made on this application are complete, true and
correct.
Applicant's Signature: � �ate: � - 1U-�
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3