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HomeMy WebLinkAbout2014-00498 - water softener Y CITY OF ORONO * 2 0 1 4 - 0 0 4 9 8 * 2750 KELLEY PARKWAY DATE ISSUED: OS/22/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2965 DEER RUN TR PIN : 04-117-23-24-0012 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 005 BLOCK 004 PERMIT TYPF, : PLUMBING (<$500) PROPERTY TYPE : R�SIDENTIAL CONSTI2UCTION TYPE : FIXTURE NOT�: WnTER SOI�TENI�R APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG (<$500) 5.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER SWENSON, MICHAEL& CAROL 2965 DEER RUN TR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I'he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only Uie�rork described and does not grant permission for additional or related work which requires separate pemlits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein."fhis permit will expire and become null and void if construction authorized is no[ commenced within 180 days of the date of issuance,or if construction is suspended fbr a period of 180 days at any time afrer work has commenced. 1'he applicant is responsible for assuring�II required inspections are requested in conformance with the State E3uilding Code."I'his permit may bc revoked a[any time for due cause. a�c / �- �� � Applican ermitee Signature ate Issu By Signature Date 05/22/2014 11:29 FAX 95293a5049 CtiLLIGAN MNTKA �002 R Ci US�ONLY �� ���`�� City of Orono � � P.O.Sox 66 Da[e Re � Permit#i — � �� �I Z750 Kcllcy ParkwAy � �� Crystal Bay,MN 55323 Appru�ed Dy: Amoun�$ �. `��� ',D�,G�,/j (952)349�6D0 �v`�,ss°' CITY OF U120N0,PLU:VIBIN�PERMYT (All GommeCCial permits must be approved by ihe BuilUing ORiciel or Inspcccpr) GENERA�,XNI'ORMATIp�1 1. You may apply for plumbing pennits by maii or in person at ihe City offices. Applications will be rcviewed and a permit wi]]be i5sued within lwo working days. 2. Permit cards will be sent b�rcturn mail a�ter a revierv is completed. PERMI7'S ARE NOT VALID UNTIL YOTJ RECEIVE A PERMIT. ��`ORK MUST NOT BEGTN U1�1TXL THE P�RMxT CARD IS POS'�LD O:�THE JOB SITC. 3. Plumbing penniu may b�issued pNI.Y to lieenscd plumbing contraciors and�o properry owners residing in thc dwelling. 4_ When any ne'w conshvction or remodcling is invalved,A Separatc building permit must be obtained. 5. All work must be done in aecordance with State Code roquirements. 6. AU work must be inspec2ed and air tcsted before it is cove�red. Cal](952)249-4600. (24-48 hour notice required) TYPL 0�'PERMIT (Check AlI That A 1 �Residcntial ❑Commcrcial(ApproVal ReqUired) �I�tew ❑Additional ❑Repairs ❑ Replace /\. ❑ In Accessory Strueture? �Yov will need nrior annrov�l and may need CUP_(Per prono Ciry Cade,Chapter 78,Article iV) 1ob Site/Owner Information: Site Address: � 6 S ��r-� � 1�G ► pwner: (���_ J i„-�� 0 r-� Maiiing Address: City: _ Zip: _ �����^ Hom�Phone: ��a - 7S 1 - �7S� Alternate Phone: Contractor Information: GULLI.(�,$�r�,��� Contact Person: Mr��0 CU�LO�qN V�p,Y ���G �}`p� State Bond #: _ �s5z� s3s-�zoo C► : "Li�: Expiration Date, _ Phone: __ Alternate Phone: �5 a-- 9��.-73 i 1 ❑ Insurance—Current: l 05/22/2014 11:2� FAX �5293a5049 CtiLLIGAN MNTKA C�003 �� . - �Lu�r�G.��i�rx�s;�BE�r��.�rs��c;L��� � �.,� -���,.�� FIXTL'RE BSMT 1' 2' OTHER FIXTL'RE BSMT 1 2 OTH,�R TYPE PL FL TYPE FL FL Water Closet Floor Drains LavAtory Sewer Ejector Saehtub Laundry Tray Showcr Washer Kitohen Sink Water 1-fealer Disposal Water Soflcner �ishwasher Wct Bar Sillcocks Misccllaneous ,oZ�y�!dr�,a k'��71,Gai�p�r7!��Gk*emi Y,Pa� r`ry}(i� y�,7�1�-ry ti l� f �q �„�Y.��t3 ✓.��i { � { �1�i�41Y��':1;�1'iP�.�" J � �� ,,�+ I ��U1���E���i�"�`'Palbi�7�j��l�M�r�la h�b."^'�'� , �i i'p y J n �li 7 I e S � i �,�S,f a{�'����6q��p��N�'����r'i 14�A�J b I,� i � i ��. u a � � ��� �, � ���pX h�,�r,Ir i+r q i��i�F,1�r� t �. W �a�4.J�� �dl'���,��)h��ld IGTr�I+Wh�lf���r i�a,�'f! �yry�It r Pi�,�� �V � v � � , � � �i �j�� Ce�llll�l���A^I"��4r 1��d°�M R $P:5`ETJ C7�'�' �OC�2,�`�,A,�'�5�'�TC7� .�.:����.��tr:R��",.i�-�����•�� ❑ �'es,this section applies The replacement of a R Idtntial fixture or a liance that meets all three of the following requirements: 1. Does �ot rcquire modi'Ecation to e]ectrical or gas service. 2. Has a to I cost of$500.00 or less;excludin�the cost ofthe'Gxture or appliance; and 3. Is improved,installed or replacod by the homeowner or lieensed contr�actor. Skip next section,if this applies; Cost of Permit $ ]5.00 State Surchargt � 5_00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fec $ (Pcrmff Fees Continued On Next Page) � I 05/22/2014_11:29 FAX 9529�95049 CULLIGAN MNTKA f�004 � � ' ,.,.;-� ^, ,,;,, , ,-;':p��n�T�'��`�AI;C���A�Zo�tfS ,-JOBs?c��R;�Soo:oo ', , s�� If above does not apply;follow guideiines below: 1. .�( N�RACT PRICE *is 1.Z�%of contract price with a(Minimum Fe�of 550.00) x.0125� (con[rac�price) (minimum�50.00) 2. STATE SLII2C�ARGE **Add the State Cildg Code Div. Surcharge(Nlinimum�ee of S5.U0) x_0005 $ (wntrac[pricc) (minimum$ �,DQ) 3. POSTAGE&HAM7�.ING(Onty on Mail-In Applications) $ 2.0� 4. TQTAL P�i�MIT FEE(Add Lines 1-3 Above) $ . �(J ■ � CONTR�CT PRICE or 7Q� COST means the actual or estimated dollar amount char�ed for the pzrmitLed work including m�tcrials,labor,profit,and other fixcd 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,tenznt o[any other party,the reasonable market value pf Such liems mvst be added to the estimated cost or contract price for permit fee purposes. In the cvcnt that there is a dispute on the araount of the job cos�the Ciry may requcst the submission of a signed copy of the aetual contract, ■ '""'The STATE SURCHARGE is.0005 of the Contr�►Ct price under$1,000,000 or�5.00—whichever is greAter. For valuations over�1,000,000 ca11 the Building Dcpamnent at(952)Z49-4600 for the priee. � .�' S. ,eLM�..��Yr��ry^T N� o �' �{�, ur �� b '.A�j"'I�1r' A� �('ryI ry��y� �1+ n�{� A 1 O4Ar l I�l6.Y .rY.,f;t�li IHUJ��Y'��:���A����`u ��:'tl'J.A,�"+1J.1';��h+.O,�����M+! ! f�nil`11d�d4} ���1�� y.��y��Y�.l ,� :"��,�,nl�, ���w�-,���r The undersigned hereby appIies to the City for issuance of a Plumbing Permit, agrees to do all work in strict aGCordance with the ordinances of the City and the regulations of the State of Minnesot� and certifies that �11 statements made on this application a�•e completc, true and correct. AppIicant's Signature: � Date� �S—c�� — I�� i����'�+,��M�� '.�t- �uar�c�.u���or1��:.i�v,i� I 3 I i � D TIME�-�� CITY OF ORONO CALLED IN ��-_�� INSPECTION NOTI E ,/� SCHEDULED � � PERMIT NO. —�0 7"I COMPLETED ADDRESS��DS �����—�' OWNER ���� �W�'�'a� EPHONE NO.��Z 7S� Z75,( CONTRACTOR �� �� � DESCRIPTION � �j�r��� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION • ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP Q COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J d W� ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED IS E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. 95 � 2 6�� OwnerlConVactor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notiee