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HomeMy WebLinkAbout2010-00515 - water softner CITY OF ORONO PERMIT NO.: 2010-00515 . -- . � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 475 DEBORAH DR P[N : 31-118-23-23-0004 LEGAL DESC : MCCULLEY FARM : LOT 004 BLOCK OOl PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : WATER SOFTNER NO"I�E: WATER SOFTGNI?R APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERV[CE CO. STATE SURCHARGE PLBG (<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PA[D WITH CC# 0597 OWNER KATHERINE M. SWEETMAN,JAMES G WAIGHT& 475 DEBORAH DR MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate permits. All provisions of Iaws and ordinances governing this type of work shall be compied with whether or not specificd herein.This permit will expire and become null and void if construction authorized is not commcnced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. I�he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pecmit may be revoked at any time for due cause. �lr�,c�� ��/,3 �/o ��Yc��v 9� i3 � ia Applicant Permitee Signature Datc I ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 06/22/2010 14:07 FAX 9529335049 CULLIGAN MNTKA �j002 _ �� FOR C1TY TJSE ONLY g ��0 City of Orono ��O �O/O' S� P.O.Box 66 Date Receive • Permit# ��;�. � 2750 Kelley Parkway � �a ��7„�;�` � Crystal Bay,MN 55323 Approved By:, Amount$�_ ��''�t�c (952)249-4600 � �a�i / CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Huilding Official or Inspector) GENERAL INFORMATION � , ;.. �. , .., . : 1. You may apply for plumbing permits by mail or in person at the City o�ces. Applications will be reviewed a.nd a permit will be issued within two working days. 2, Permit cards will be sent by retuni mail after a review is completed. PERMTTS ARE NOT VALID UNTII.,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properly owners residing in the dweliing. 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:equirements. 6. AlI work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) ,��....y �� ...�—�.:. �'.',:�__�:._..;. �.I. _ ''Y.�..a': �..f. 'I, ..1' ��Y:' ':I�� 4. �� e'�5;1'::��iijl�:.r '.:�:'� �:'I`. `�I:� .1 `:I'' � I.l��'. ::(M��:.y v`'�.:.. :;�;�=��:I:; :pF''.F'' '�`'.;;;;':;;:' • , , .,, , ,,: ,,<..,� . • :::,, . ,; .. �., , ., ; ..,:.:, . ..;.. ., ,., , . ., �:��.. � ,�;:1,� ,;�. �;T- �, .E � ,�,-: ,..:��:k�i���::�,;��,�� �-:,.,�, , �:, , ,.,,;:,i�,.. .,. <::....... . .. ..>�,:. :;;`: � :�.;�:�....,�',,: :.,, i: '�;�:;:�.': ,.� f'f;; ;�t ;°d=';i�� �>:F;�`.;:�:'",���r`r`;:�r�.,.,t�.�;�.,.i ��:<f�.:,", �j,: ..�;� `'1'' ,r�.�. .r. l�re, - ^'i - q.,,:"'r:t_:;.�..� .I ,c. ..�>.�,�,,.. �:-.. . �.., .; '�,. ,, �+'���.:�,-��,�.�... �.�..•,., �� ..:,.;,}..� ,:, _„ ;.�Y.:�, i�...,,..,�`.'.,....,.. � . � . „�j.',:�':. .:�:'�' ��.r{. .. . �, .�,.�. � .,. , , . .. ..�. ,.F_.,. .:..:: u,;,..,� �.., : .� .:.,:� ,A1"That'A 1� �;,�.: �:;�: ,..� .,�. �. �GlYecl�>� �,. � ,„�.::���:;�;;.;:.;;,.;,�: �Residential ❑ Commercial(Approval Required) � � ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need urior apProval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) I� . . .. ,�,�rr..: .... ..Y: �:.. .�:�� i,�;'�,,.'.'� ',li�'�:. � � �� �I:;.,.:'I ::ToI���Site�/.,:��3.�v�?ez;�zi�9,�;??atiQi�;.,::�"° �;�; �, :;:,��. 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Site•Address: y�5 � eb u�rµ� �r�V'� Owner: i�� SW�m a f� Mailing Address: c��: z;p: 55 3 S � Home Phone: q.5 a ` �7 3 - �64 q Alternate Phone: � . �.: ;`C:o.�itractQr,;:�ij;fo�atior�:�a'-';` � ,�: �or• Contact Person: � Ct�L1�'�N INA ONDITIONING 6030 CULLIGAN WAY State Bond#: � A�i��lETO , 3d5 City: (952)' 933-7�pp Zip:____r Expiration Date: Phone: Alternate Phone: qS 1 -�ia - �3i� ❑ Insurance—Current: . 1 06/22/ZO10 14:07 FAX 9529335049 CULLIGAN MNTKA l�003 � ` � t, ,,,. . ...... .,,:....,.,. - ;.�i.��i..,�,..:=vr!i�.4��;.�^� 4. �.v.:2q': '��` �j� •u. �.,._.., ':!" ,�f i'� .:h� � ..}. .�_, '.,�:� .�.���Vy)ti�':��i.:";�'-w`}�r��l;.'i}i��:d''a.'i�:�KY.=:i ;,,�. ,M.,;,. :'i<: �;t.,:k` �� ;.: .�.. }, i..4.�,. �' r,�,�•.r <,. ;��;: �:,,.; �:. .Cr:�I�. :S�B��1G�:iIa'��� -LED,:n��S .Ck•'J=A� vl� .4-� •;+�r =�[r!:r:i/i., �'. �.+.'n,a� �•�!.1���-�1� .��,\4� .� .zhi�:�ti:?i:..'.��-,'e";:`p., FIXTURE BSMT 1 2 OTHER FTXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory 5ewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener � Dishwasher Wet Bar Sillcocks Miscellaneous � � � � .Ctu � 3.: 4� 3� r�l.� i ' C � f T���ra i a7 n�r; viirk ��F� 9(r�} �e� 1( r r 1�S �"' 'l' i I c r +�7 n (i F t r 1 �' i ��'r [�`aF ��th � � F� 1 '� y��.`�� � �!(�r r�iSt �., � �P��,��€���1 y-��V;.F�-� ����V��-�;� '� ��I����y �14k�1 �S�'i�t�������'�i G � {Ki rf:1 r i �I!1;ir iS � i�e - � ! ��nn t rvj � I i (�it I ��. i i p i . ��,I i�'i���4 ��.r�. �� �11��� �Ii�L�t t 1!4-.ti 5f � f �}I ) €b�a������ ���° �3,;;� {.,�f ,,., .,��� �,,', BAS�ED,QFi�, 2002'Si'A`�� S�:AT�E���� �� �� �,�t� , , �,. �, , , .,h-�, _� Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements; 1. Does not require modification to etectrical or gas service, 2. Has a total cost of$500.00 or less;exctudinQ the cost of the fixture or applia��ce: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 Petmit Fee $ (Permit Fees Continued On Next Page) 2 06/22/2010 14:08 FAX 9529335049 CULLIGAN MNTKA 1�004 , �r <.,,. .:,� - _,z' "�-;i:;�, �:�'" �.sf;:^'': r_c;:;�,�.'=<: �-'i . .��;?'� 'a'. "�c' �r ,c,•''r;i't.'a.�. iij;,`' ��C. .I'<1.'.t.. ,,,;,� ,:; ,.� PE�rII'�FE�;�AtiC�7L1��'IpN S;: �0!BS.:�O�R$50:'�;;Q� ,, If above does not apply;follow guidelines below: 1. CONTRACT PRICE �'is I.25%of contract price with a(Minimum Fee of$35.00) x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the SYate Bldg Code Div.Surcharge(Minimum Fee of$.SO) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING'(Only on Mail-Tn Applications) $ �i�9� c���V 4. TOTAI.PERMIT FE�(Add Lines 1-3 Above) S_ �� ' S Q ■ * CONTRACT PRICE or JOB COST means the act��al or estimated dollar amouat chargad 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 f�e 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 actuaI contract. ■ ** The STATE SURCHARGE is .0005 of tlie contract price under$1,000,000 or$.50—whichever is � greater. For valuations over$1,000,000 call the Building Departm�nt at(952)249-4600 for the price. 4¢� � 3 �3��4 ��t� ,�r� g' }��^ji� ' �j" �i��` 4y a�^ � 4 tp ya�i{fir�,��Rt��I.;!1 t.1.y��£��`Y�i'r3 � !4�`I"��',.%�;�. j� . <f,11�Y:t �1'�,�IU'r'1�i..t„i I� ,}�� ` i���• i. F<fi� 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 certifies that all statements made on this application are complete, true and correct, Applicant's Signature: Date: b�ao� ► � � � �;� !I�� � ni�,)l��1 1���+hi'.;� p1���lU�U� � � i;-i i� � rf, _ ' ;��� � �;�Reseti F�orm � �.��,� _ __.�Y�.,..M.L`i��_tt��..���..�',r�,_., ,,;1....�. �d " >,,.rz... .. 3 TIME v CITY OF ORONO CALLED IN ��`� INSPECTION NOTICE j� SCHEDULED �� a i PERMIT NO. �I� ��/0�/� COMPLETED ADDRESS �7 J D�b�� � OWNER ��_,�I�I�tQ�1REL-EPHONE NO.���7 �17g ��3 CONTRACTOR �p�C —A_J �vrz. ��r 39 3 a DESCRIPTION �' 1��l � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W - � � � O a � O � W � Q � Z W � W � j GW ❑WORK SATISFACTORY:PROCEED d�PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETItFN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor o site: Inspector_ � White Copyllnspector's File Canary CopylSite Notice