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HomeMy WebLinkAbout2014-00347 - water softner CITYOFORONO * 2QJ 14 - 00347 * 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 744 DICKEY LAKE DR PIN : 27-118-23-33-0007 LEGAL DESC : RINGERSWOOD : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 CULC,IGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER PETTIS,GERALD&ALICE 744 DICKEY LAKE DR LONG LAKE, MN 55356- AGREEMENT AIYD SWORN STATEMENT The worh tbr�vhich this permit is issued shall be perfbm�ed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is tor only the work described and does not granl permission for additional or related�vork���hich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at anv time tbr due cause. �.��� / / npplicant Permitee Signature Date Issued I3 ignature Date 0¢/21/2014 12:27 N'AX 9529335049 CULLIGAN MNTKA C�002 FOR CITY USE ONI.Y � \ City of Orono P.O,Box 66 Date Received: Permit# ��;��\ 2750 Kelley Parkway �t a ,��'(�'- �� Crysta1 Bay,MN 55323 Approved dy: Amount$, '����g.�.�o, (952)249-4600 --- � CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building O�ciai or Inspector} GENERAL T�IFORMATION 1. You may appfy for plumbing permiu by mail or in person at the City o�ces. Appiications 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 compfeted. PERMITS ARE NOT VAL1D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIT�THE PF,RMIT CARD IS POSTEA 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, 6. All work must be inspected and air tested before it is covered. Call(952)249-4b00. (24-48 hour notice required) TYPE OF PER'vITT Check All That A 1 �Residential ❑Commercial(Approval Reyuired) ❑New ❑Additional ❑Repairs �]Replace �\ ❑ 1n Accessory Structure? *You witl need arior aanroval and may need CLP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Tnformation: Site Address: 7y� 1�i�y �..,o�� �fl� Owner: l>�Y��� ��\S Mailing Address: City: Zip; Home Phone: gS a - 473 - 6�a� Alternate Phone: Contractar Information: ��q��N Contact Person: � 6030 �lVDtTlaNl�G Addr ��L���A� WAY State Bond #: �- �5�6fNfVE`�y� ,�. 55345 City: {gs2� 93�_72�Q Zip: Expiration Date: Phone: Alternate Phone: �'S�- ql a '7.317 ❑ lnsurance—Current: ] 04/21/2014 12:27 FA� 9529335049 Ciil.I.iGAN MNTKA �003 �. � _ � ��.u�nvG���s B��rG�,sTAZI;i�D, , ,. . . FIXTURE BS'vIT 1 T 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher I Kitchen Sink Water Heater Disposal Water Softaner � Dishwasher Wet Bar Sillcocks Miscellaneous ,i�,�:{sr r����}-����, �� P,ERMiT F:�E CAI�C`UL:�TIO�,=(�) ;� ` �� � {, s, '; -���%1:��'��`�:��"` ���rk :,,� BASED OFF—.2tlQ� S�'�i`I�S'�'ATUE, �x� , ;, , , � , ,,E` � •; ❑ Yes,this section applies The replacement of a 12esidential _fixture or appliance that meets all three ofthe following requirements: 1. Does not require modification to electricaf or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3, Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 5tate Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � 0�/21/2014 12:28 FAX 9529335049 CLILLIGAN MNTKA C�004 �- - :`PERMIT FEE CAI;CULA'I'ZOI�T S';,-J0$S OVER$500:�0 '; If above does not apply;follow g�idelincs below: 1, CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (mmimum$SQ�O) 2. STATE SURCHARGF, **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55.00) x .0005 $ (coniract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In AppIications) $ 2.00 4. TOTAL PER'VIIT FEE(Add Lines 1-3 Above) $,�a,Q� ° * CONTRACT PRICE or JOB COST means the actual or estimated doltar amount charged for the permitted work inciuding materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. (f 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 astimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the svbmission of a signed copy of the actual contract, ■ **The STATE SURCHARGE is ,0005 of the coniract price under$1,000,000 or$5.00—whichever is greater. For valuations over�1,OOO,Q00 call the Building Department at(952)249-46Q0 for thc price. k� �, ,, ,��L����:���iTsaP�Lr�A�`r��,���� y {��4��s��M��k�w���t��{ F.,� _ ��,� The undersigned hereby applies to the City for issuance of a Plumbing Parmit, agrees to do aIl 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: �'a l - t l .. .�. . ;,��'"=f�a �` r _'s`��,� 7i�'��`�!4 tr„``�,c,..hi,.�'.�a..i,.�4'.:;i�=x . 3 � I �P/ 1 DATE TIME CITY OF ORONO CALLEO IN � INSPECTION NQ�I�'F,r�D����SCHEDULED S-9_/ PERMIT NO. Q� ``� /COMPLEfED ADDRESS �G OWNER ✓� T�� TE PHONE NO. �SZ �7.3 lopZB CONTRACTOR �� � DESCRIPTION (�C�� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 i O DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERfCONTRACTOFi TO MEET YOU:_YES_NO � � COMMENTS: � � ' W � a v '� � � � O � � � O � W � Q � 2 W � W � J O , W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE w ❑CORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION FiEQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. ���49-46QQ OwnerlContractor on site: Inspector. - ���`� White Copyllnspector's File J Canary CopyfSfte Notice