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
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- �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)
�
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05/22/2014_11:29 FAX 9529�95049 CULLIGAN MNTKA f�004
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,.,.;-� ^, ,,;,, , ,-;':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�
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� 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:
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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