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HomeMy WebLinkAbout2009-00408 - water softner ' � CITY OF ORONO PERMIT NO.: 2009-00408 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 07/14/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 645 FERNDALE RD N P1N : 36-118-23-11-0032 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 0.50 6030 CULLIGAN WAY M[NNETONKA, MN 55345 MAIL-IN FEE 2.00 ' (952)933-7200 TOTAL 17.50 OWNER PAGE,THOMAS& MARILYN 645 FERNDALE RD N WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for c�ue cause. +��� � � � ��(.�/�`� / / Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED AB E. < , � FOR CITY USE ONLY City of Orono • �g'��� P.O.Box 66 Date Received: Permit# ��;;. „ � 2750 Kelley Parkway �a �� f r-,. �� Crystal Bay,MN 55323 Approved By: Amount$: ���t•�%a�,��;�w.o r (952)249-4600 \��„�o�' CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL 1NFORMATION 1. 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 retum mail after a review is completed. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 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 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)249-4600. (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 aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �y 5 �eri'1��`� �`� N Owner: T�� ��a9 �- Mailing Address: city: zip: S53`l� Home Phone: �� a -9 (�g- d p� Alternate Phone: Contractor Information: Cd��;w Contact Person: �sX G �— 605�CULIIGAN WAY Adc��EVETONKA�MN �5'�5 State Bond#: {952� 933-7200 City: Zip: Expiration Date: Phone: Alternate Phone: �SoZ -c11 a -7�� � ❑ Insurance—Current: , 1 7 , ' PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 � 2ND OTHER FIXTURE BSMT 1 2�'D OTHER TypE FL FL T`YPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener � Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEL CALCULATION(S) �_ BASED OFF - 2002 STATE STATUE ' � Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�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 State Surcharge $ .50 � Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , . . PERMIT FEE CALCULATION S -30BS OVER$500.00 If above does not apply;follow guidelines below: 1: CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ --};3� a7.OU 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ` ' S v ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaa- amount charged for the permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished 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 request the submission of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 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: 7 ' � ' U� Reset Form 3 -� �E L— � —�— �f DATE TIME CITY OF ORONO CALLED IN /-L1��:�,� INSPECTION NOTIC `DO i�/�-�CHEDULED Z�L�7/� �,v�D PERMIT NO.o�GY� �COMPLETED ADDRESS ��`� � � /l' OWNER ONTR. TELEPHONE NO. —��N - ���� � DESCRIPTION �` L�� � ❑ FOOTING � MEC ICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ ME NICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v�PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � ti � Q ti Z W � W � � d '� W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � t. W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor o site: Inspector. � White Copy/inspector's File Canary CopylSite Notice