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Home My WebLink About2013-01324 - water softner � . . CITY OF ORONO * 2 PJ 1 3 - 0 1 3 2 4 * 2750 KELLEY PARKWAY pATE �SSUE�: 12/3U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1905 FAGERNESS POINT RD / PIN : 17-117-23-23-0008 �„( ��J/�� LEGAL DESC : FAGERNESS ��Q(� �u� ' : LOT 017 BLOCK 000 � PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATGR SOFTF,MiR � APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG (<$500) 5.00 CULLIGAN SOFT WATER SERVtCE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 0597 22.00 OWNER HIBBS, WILLIAM 865 FAGERNESS PT RD INDEPENDENCE, MN 55359 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to Ihe approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not erant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. C � - / 3 /Zi� li /3 Applicant Permitee Signature Da Issue By Signaturc Date 12,R30/2013 15:10 FAX 9529335049 CULLIGAN MNTKA f�002 � R C Y USE ONLY 'p'�\ City of Orono / O/ /3 oZ �� P.O,Box 66 Date Receive .� Permit# � � f�"+. �\` 2750 Kefley Parkway �� t tl�-;: t� Crystal Say,MN 55323 AQproved By: Amount$-(� ��M�6� (952)249-4600 <�� CITY OF ORONO—PLUMBING PERMIT (Afl Commercial permits must be approved by the Building OfFcial or Inspec[or) GENERAL 1NFORMATION l. You may 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 return mail after a review is compieted. PERMITS ARE NbT VALID UNTIL YOU RECEIVE A PER�vIIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licenscd 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. b. All work must be inspected and air testad before it is covered. Call(952)249-460D. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aoaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �9 0 S �4 q er rvL S 5 �� 1`c1� Owner: �-�-'�'�l 1�o��r b�c.� Mailing Address: c�ty: z�p: ss 3 91 Home Phone: �a - 3$$ - �S 7� Alternate Phone: Contractor Information: ontractor: Contact Person: N�X �uL�.a�� w.a�� coc��rrior�ln�G Addres :b�� C��-�d�af� bVA� State Bond#: �r�� , MN 55345 City: �y�2) 933-720Q Zip: Eapiration Date: Phone: Alternate Phone: �f5 d • 9 �a- �3 � 7 ❑ Insurance—Current: 1 12�j3Q/20,13 15:10 FAX 9529335049 CULLIGAN MNTKA f�003 I >` P� U�'�NG�I.�TU�ES'BE�TG,Ti�fST�►.L;�;�A� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER 'I'YPE FL FL TYPE FL RL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water 5oftener � Dishwasher Wet Bar Sillcocks i�liscellaneous �`��' ` � F'�RNflT FE�CA�CUT:A'�'ION(S) ` , � r �u� fi��, �,P . , ,�= _ BASED O��-2�0`Z,�Ti�TE�TA7'i.l� �� r,� ;�'r..:-�;��:��,+'';�,�; �f Yes,this section applics �� The reptacement of a Residential f xture or appliance,that meets al!three of the following requirements: 1, Does not require modification to elecirical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of thc 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 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 12�r30/20�13 15:10 FAX 9529335049 CULLIGAN MNTKA 1�004 � '`'P�RI'vtI�'FEE�CA�,C�TL�A'I��3*] � ;�A=-�,JOBS-(�VER,�SOO:OD „ , .; 'r,.. , ;; ;; If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1,25%of contract price with a(iVlinimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div,Surcharge(Minimum Fee of S5A0) x,0005 $ (contract price) (minimum$ 5,00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TQTAL PERMIT FEE(Add Lines 1-3 Above) $ �� , (�(� ■ �` CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and other fixed costs. Tt is the amount to be charged to the cvstomer for the work done. If any material, equipment, labor or instaliations are fizrnished 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 event that there is a dispute on the amount of the job cost,the City may reGuest the submission of a signed copy of the actual contract, ■ **The STATE SURCHARGE is.0005 of the contract price under$1,000,040 or$5.00—whichever is greater. For vatuations over$1,OQ0,000 call the Building Deparhnent at(952)249-4600 for the price. ��a-:• - ,� , .,� � , , , ; �, � , , � + , �� . _ � . . y � �:� q �� , � Y � t � o 0 .}.� ,,�I�t4� �P . r;",� • 4 �� l � '� � � � .q 7 . 1�� rJ �-. ,v..' ,. .35:.�.i_.. , ........�M1...*_ �.. __-.._ . . '. . '�i ,f�., '1 1 _{"E'{. .1 4 f .�-0j' The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do al] work in strict accordance with the ordinances of the City and the regulations of the �tate of Minnesota, and certifies that atl statements made on this appiication are complete, true and correct. Applicant's Signature: Date: j �� - 1� f��s��Poit�i>: 3 v'�� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. %�DL� � d!3� COMPLETED ��b"� ADDRESS�.�6 S �4��r n�ss �� . I�E1. OWNER � TELEPHONE NO. CONTRACTOR CG!/sss�_�� e�.✓ S�s��.�'�- �; DESCRIPTION � tti ❑ FOOTING ❑ P�UMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � (�Ty��p�,p,� ❑ SEWER HOOK-UP � COMPLAINT � LJ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ ARD COVER REMOVAL J 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a !'era.v� ��., �.IAO � �// �� 4 0 �i�ia[� L�?�SJ1eGL�'/a.� �. � ° J� On�- h�m� W / � �6 l a� , i `C Q � 7��Gdl� A �� !✓IS� �l Ll��ls�L fU Z � �,��Q r' GJ c�i ar24 ,.L��S � � GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR L�ISPECTION REQUIRED.CALL TO ARRANGE ACCESS. �' � Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. ,�t �' White Copyllnspector's File Cenary CopylSite Notiee