HomeMy WebLinkAbout2005-P09436 - water softner ` PERMIT
C�TY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P09436
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 11/21/2005
SITE ADDRESS: 745 Dickey Lake Dr Unit#
Long Lake,MN 55356
PID: 34-118-23-22-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Culligan Soft Water Service Co. OWNER: Robert&Lisa Hanten
6030 Culligan Way 745 Dickey Lake Dr
Minnetonka,MN 55345 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� �
CYT'Y OF 0120N0 APPLICATION FOR PLUM$�rG PERIVIIT
Box 66 (2750 Kelley Parkway)
Cr�stal Bay, M�1 55323
r,Err�R.aT,.�'oRNraTTo�
1, You may apply for plumbing permiu by mail or in person at the Ciry offices.
2. Permit cards will be sent by recum mail after a review is completed. P'�1L'1�1ITS ARE NOT VALTI�UNTIL
YOU RECEIVE A pL�t.�VSI'I'. VJO'RK MUST NO'Y'AEGIN UNTIL T F PHRMIT CARD 1S POSTED ON
TH�7aB SI1'F•
3. Plumbing perxniu may be issued ONLY to licensed piumbing couuactors and to properry ownezs residing
in the dwelling.
4, When any new constniction or remodeling is �nvolved, a separa�e building permit mus[be obiaiaed.
5. All work must be done in accordance wi�h the: State Code requiremen[s.
6. All work musF be inspecced and air tested t�efore it is covered. Call (952) 249-4600. 24-hour nouce
required.
Ynstru�tinns Complete all items on this a�plication. Compute the pernut fee. Sign aud date the
certi�cation. INCOI�iPLETE APPLICATTUNS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: Ne�v _ Addidon Repair � Replace
�Residential __ Commercial
.�OB SITE: i L.sa ��' �`� �P�- �
Owner's Name: TeIephone Nuinber:
.�'1L'�.._.��
Mailing Address: ity: Zip:
Contractor's Nam�Z�� � � Telephone Number:
MailingAddress: �T��,��T�MKA� M�-,�53�45 _City: Zip:
(952) 833-72.00 �
PL'tMBING FIYTU'RE SC�:ATJLE
FIXTURE BSMT 1ST 2�IA OTH]:R �T.'YTURE BS�IT 1ST 2ND OTFIER
7YPE FL FL TYP� FL PL
'Water Closet Floor Drains
Lavato Sewer �jector
Bathtub Laundry Tra
Slzower Washer �
Kitchen Sinlc Water Hea�er .
Dis osal Water Softener
Dishwasher Wet Baz
Sillcocks � Misc (Iist)
PERNfIT �E CALCYJ'I,ATTON(Sl '
20 2 State Statute Yes, This Sec�tion Appiies
The replacement of a �tesidential fixture or appliance that meets all three of the following
requirements:
1) Does not require modificauon t.o electrical or bas service.
2) Has a cotal cost of$500.00 or less; exc di Q the cost of the fixture or appliance;
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next seccion; Cost of Permit $ r5.00
State Surcharge $ .SO
Mail Tn Fee $ 1.50
�f above does not apply, follow guidelines below:
1. C�ntract Price* is .�125 70 of job with a Nlinimum Fee of ($35_00)
x .0125 $ �'
(caatr,ict price) (minimum$35.00)
2, State Surcharge. *�` Add the State Bnilding Code Division a (11�iinimum �'ee of $ .50)
.. x,,0005 $ �
(con�•act price), � (minimum$ .�0)
3. Posta�,e and Handling (Qnly mail-in applicarions) $ 1_50
4. TOTAY. PER�'IIT F'�E (Add lines 1-3 above) $ � �. c�
* CONTF�ACT PRICE or JOB COST means the actual or estima�ed dollar amouni charged for the permitted
work including materials, labor,profit, and odier fixed costs. It is:he amount to be charged to the customer
for the worlc done. If any material, equipmeric, labor, or installation are furnished by the owner, tenant or
any other party th� :easonable market value of such i[�ms must be added to the estimated cost or contraec
price for permi[fee purposes. In the avent thac there is a dispate on the amoun[of[he job cost. [he Ciry may
reques�the submission of a signed copy of thc actual contract.
** The STATE SURCHARG�is .0005 of the coi�trac�price under S1,OOO,Q00 ar S.SO - whichever is grea�er.
For valuations over�1,Od0,000 call the Depacunen�of Inspeetion Services for the price. .
The undersigned hereby applies to the City fi�r issuance of a Plumbing Pemut, agrees to do all
work in suict accordance with the ordinanc�:s of the City and the regulations of the State of
Minnesota, and certifes that all statements made on this application are complete, true and
correct.
Applicant's Signature � Date: I 11�/�
��� ��/ I I ( �� AT/'� / TI M E {�
OF ORONO � '� CALLED IN `L G'C/�
�' INSPECTION NQ�TIC� // 2r / SCHEDULED --1=�,���''-�
PERMIT NO.T�7" i J l/' COMPLETED
ADDRESS r� �� J .������' �-� � � L�
�
OWNER CONTR. `
TELEPHONE NO. �Z.�� l/ ��' "� D ��
� DESCRIPTION I�'( /�{�,Q.f� ��� f 1�C(t'�7�/<<�C f l�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FI�UNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTI INAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED C� OJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERINC� PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETIJRN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for ex{ nspection 24 hours in advance. (J52� 249-4600
OwnerlContr c r on i :
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice