HomeMy WebLinkAbout2004-P08152 - water softner CIl�Y F OR N PERMIT
O O O Permit Number:
�1750 Kelley Parkway - PO Box 66 Pogis2
Crystal Bay, Minnesota 55323 Permit Type: FiXr�res
(952) 249-4600 Date Issued: tii3i2oo4
SITE ADDRESS: 3435 Eastlake St
L.ong Lake,MN 55356
PID: OS-117-23-13-0039
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Sub-type(s): Water Sofiner
Pernut Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit 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: Troy Kennedy
6030 Culligan Way 3403 Eastlake St
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 SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMtTEE SIGNATURI: ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
� � �'
CYT'Y OF OTtONO APpLICATION FOR PLUMBTI��G PERNIIT
Box 66 (2750 Kelley Parkway)
Cr�stal Bay, M�1 55323
CiE,�l.tAT.-�'ORMATTON
I. You may apply for pinmbing permiu by mail or in persou at the Ciry offices.
2. Permit cards will be sent by return mail after a review is completed. P�ILti1ITS A.RE NOT VAL173 UNT'IL
YOU REC�IVE A p�EZ:vSIT. WOR�C MUST:NOT REGIN LTNTIL THF_PERMIT CARD tS pOSTED O�T
T�B SITF_
3. Plumbing permits may be issued ONLY to licensed plumbing conuactors and to properry owners residing
in the dwelling.
4. When aay new construction or remodeling is �nvolved, a separate building permit must be obcained.
5. All work must be done in accordance wirh the: State Code requirements.
6, A.11 work musE be inspected and air tested ttefare it is covered. Call (9�2) 249-460Q. 24-hour notice
required.
Instruct��ns Complete all items on this application. Cvmpute the permit iee. Si�n and daie tile
certification. INCONIPLETE APPLICATTt�NS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: � New _ Addicion Repair 12eplace
Residential Coznznercial
�OB SITE:�--��� � �G� - -� Zip;c— �
Owner's Name: , �_Telephone Number "� ��(�
Mailing Address: �cam - �� ��V�''_ Cl Zip:
Contractar'sName: L�.! Y����NIN�elephoneNumber:
Mailing Address: City: Zip•
,
PLU,'�V�G FI�TT„TRE SCT�EnUI-E
FIXTURE BSMT 1ST 2;VD OTH]:R �T�YTURE BSMT 1ST 2ND OTFIER
-�ypE FL FL TYPL FL FL
Water Closec Fioor Drains
Lavato Sewer �jector
Bathcub Laundrv Trav
Shower W uher �
'Kitchen Sink Water Hea�er .
Dis osal Water Softener I
Dishwasher Wet gaz
Sillcocks Misc (Iist)
PERMIT F�E CALCU'LATION(S) •'
�
20 2 State Statute Yes, This Sec�tion Applies
The replacement of a Residential f xture or a t�liance that meeu all three of the following
requirements:
1) Does not require modificacion 1.o electrical or bas service.
2) Has a cotal cost af$500.00 or less; exciudina the cost o�the fixture or appliance:
and
3) Is isnpraved, installed or replaced by the homeowner or licenced contractor.
Skip next secu�n; Cost of Permit $ r5.00
State Surcharge $ .SO
Mail Yn�ee $ 1.50
�f above does not apply, follow guidelines be]o�v:
1. Contract Price* is .�125 7 of job with a Minimum Fee of ($35.00)
x .0125 $
(cantr,zct price) (minimum$35.00)
2, State Sarcharge. ** Add the Siate Building Code Division a (I1�tinimum �'ee of $ .50)
x .0005 $ �
(cono•act price) (minimum� .�0)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAY. PER�IIT F�E (Add lines 1-3 above) $ I�, ��� __
* CONTF.ACT PRICE or 70S COST means thc actual or esuma�ed dollar arnouni charged for the permitted
work includic�materials, labor,profit, and o�31er fixed costs. It is rhe amoun�to be charged to r.he customer
for the work done. If any material, equipmeca, labor, or installation are furnished by the owner, tenant or
any other party th� reasonable rnarket value cf such items must be added to the estimated cost or contract
price for permi[fee purposes. In th�event thac there is a dispute on the amoun[of[he job cost, the Ciry may
request the submission of a signed copy oP thc actual contract.
** The STATE SURCHARG�is .0005 of the co:itract price under S1,OOQ,000 or S.50 - whichever is greater.
For vaIuations over�1,000,000 call the Depa:-�men�of Inspection Services for the price. .
The undersigned hereby applies to the City f+�r issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ardinanc�:s of the City and ihe regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, trtie and
correct.
A�plicant's sianatur ; ,� � Date: J G��-I
�v \ ) c v
��'C� D�T TIME
CITY OF ORONO CALLED IN �/D/���—.
INSPECTION NOTICE SCHEDULED �� � � ..�7-���
PERMIT NO. �l� �/S � COMPLETED
ADDRESS � �� 3� �Q � � I 0. %L� S f
OWNER CONTR.
TELEPHONE NO. �S� � � OC � `�'�
� DESCRIPTION L.-�%�� cr �C��-� . �; ,,1c�(' ._
�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEP IC INAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED 4-i PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '7 CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-460�
OwnerlContr or�S te•
Inspector. — �'�
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