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Home My WebLink About2014-00026 - water softner � CITY OF ORONO * 2 0 1 4 - 0 0 0 z� 2750 KELLEY PARKWAY DATE ISSUED: O1/09/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS ; 1179 ELMWOOD AVE PIN : 07-117-23-14-0030 LEGAL DESC : SKARP& LINDQUISTS FERNH[LL LA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER NOT�: WATER SOFTEI�LR APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 STATE SURCHARGE PLBG (<$500) 5.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 9645 22.00 OWNER GARLOCK, MR. & MRS. BRUCE 1179 ELMWOOD AVE MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This pennit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspcnded fbr a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requestcd in conformance with the State Quilding Code.This permit may be revoked at any time for due cause. � � � / / Applicant Permitee Signa ure ate Issue By Signature Date O1/08/2014 13:07 FAX 9529335049 CULLIGAN MNTKA f�002 OR IT USE ONLY � ,��\ City of Orono � q � � P.O.Box 6b Date Receiv�f Permit#�� /�g''�, �� 2750 Kelley Parkway � ,��'�'- Crystal Say,MN 55323 Approved y: Amount$:� �!�q�r,o�� (952)249-4600 \.�aip�s� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by tha Building O�cial or Inspector) GENERAL INFORMATION 1. You rnay apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARA IS POSTED 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 'ts involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requiremants. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (Z4-48 hour notice required} TYPE OF PERMIT Check All That A 1 �ResidentiaJ ❑Commercial(Approval l2cquired) ❑New ❑Additional ❑Repairs �Replace ❑ Tn Accessory Structure? *You will need arior auarovaf and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner I�farmation; Site Address: I I�� E�Y`^W 00� ,�..� Owner: � G�r �uc� Mailing Address: City: Z.ip: Home Phone; 45 a - y7 a ' 3� 93 Alternate Phone: Contractor Information: �i�{�J4N Contact Person: N�.cy�y 6t?30 ��LLIGAN VVAY IfVC Addr�� State Bond #: {9�2) 9�3-72U0 City: Zip: Expiration Date: Phone: Alternate Phone: 950� -9 la - 73 I'7 ❑ Insurance—Current: l O1/08/2014 13:07 FAX 9529335049 CULLIG9N MNTKA �003 f "'' '1��TNIDT�7�'r�I�"TCJR�S`�3E1NG;71�J�'t'AL:T��D - .�.t FIXTURE BSMT I 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatnry Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener I l Dishwasher Wet Bar Sillcceks Miscellaneous r��`��,;��`�,s��j,�r'r�~� � , µ P�R.�T�'E�CALC�[:7I:ATI�7N(� �t�'��a � �� ' �`4=�� x�: a �r� ��;�. �, r.r�ts�",�. . � � I3A;�'ED CUF�':—.2Q02 STA'TE STATUE. ;'w�'ca�;�'= �� '�, ��`',''�}fi�:;$�� ❑ Yes,this section applies The replacement of a Residential fixture or agpliance that meets all three of the following requirements; 1. Does not require modification to e]ectrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,ifthis applies; Cost ofPermit $ 15.00 State Surcharge $ 5,00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . * Ol/O8/2014 13:07 FAX 9529335049 CULLIGAI' MNTKA �004 1 '� .�..�. : ,..;;°p��r��c��tc�ui;ATTo� �; ':h sb�s:Qv�R��oa:oo s. r ;,, ,. , If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of$50.00) x.0125$ (contract prica) (minimum$50,00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (cootract price) (minimum$ 5.00) 3. POSTAGE&I-TANDLING(Only on Mail-In Applications) $ 2.00 4. TQTAL PERMIT FEE(Add Lines 1-3 Above) $ �d . Q� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit, and other fixed cpsts. It is the amount to be chargad to the custorner for the work done. [f any material,equipment, labor or installations ara fumished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the avent that there is a dispute on tha amount of the job cost, the City may request the submission of a signed copy of the actual contract, ■ *"`The STATE SURCHARGE is.0005 of the contract price under$1,OOO,Q00 or$5,00—whichever is greater. For valuations over$1,OOO,U00 call the Building Department at(952)249-4600 for the price. �� - �,-� yf n n t �.;n. 4 ,.,'�;�� - b ��3�� 5 ri'f�(�� ,��+n �� ,.�_, � I ,di ,f:n _tt'�rby�i�.�, The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all 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: 1 "S ' j Y <,�+�. �� , ,; ��3. �OI'i'#l� 'i� I,� 3 �� DAT TIME ✓ CITY OF ORONO CALLED IN �` INSPECTION NOTICE SCHEDULED o?- � PERMIT NO.'?D/�-DOO�� COMPLETED /O:30 ADDRESS Cl7 LI � � OWNER ��-�� TELEPHONEN0.7�� '�7Z 37�� CONTRACTOR CI�� ; DESCRIPTION (��I � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � a G!',:- rc�-�s�� — � J O o _i� rK Ll�.•1�� .�� s aC � W Q PO,�,.� .�,�� z W � W � � J � ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE �' � W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. (952� 249-46�0 OwnedContractor on site: Inspector. ` White Copyllnspector's Ffle Canary CopylSite Notice