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Home My WebLink About2013-00862 - water softner � � CITY OF ORONO * Z 0 1 3 - P1 0 8 6 2 * 2750 KELLEY PARKWAY DATE ISSUED: 08/26/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1290 FRENCH CREEK DR PIN : 10-117-23-32-0011 LEGAL DESC : FRENCH CREEK : LOT 003 BLOCK 002 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NO"I�E: WA"I-ER SOF"I�ENFR APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG (<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PAID WITH CC# 0597 � OWNER JOHNSON, MR. & MRS. 1290 FRENCH CREEK DR WAYZATA, MN 5539]- AGREEMENT AND SWORN STATEMENT fhe work tbr which this permit is issued shall be peribrmed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 7�his permit is for only the work described and does not grant permission 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 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Sta Building Code"i�his permit may be revoked a y time for due cause. �o�� ! g' ,� ,� Applicant Permitee Signa Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 08/26/2013 12:06 FAY 9529335049 CULLIGAN MNTKA f�002 C—�USE ONLY "p�� City of Orono I��¢ �0�� P.O.Box 66 Date Received � Permil#0�3_� � ytq;,,, � 2750 Kelley Parkway �a �1�tJI� t� Crystal Bay,MN 55323 Approved By: Amount�: �O�i ��Y,+�,�y�.os-/ (952)249-4600 ��;�e� - CITY OF ORONO—PLUMBING PERMIT (All Commercial permiu must be approved by the 8uilding Oflicial or Inspector) GENERAL INFORMA'TION 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. Aermit cards will be sent by return mail after a review is completed, PERMITS AR.F,NOT VALTD L7?�1TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGTN UNTIT,THE PERMTT CARD IS POSTED ON THE JOB SI1'E. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. Wltan 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 beforc 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 aaproval and may need CUP.(Per Orono City Code,Chaptar 78,Article IV) Job Site/Owner Tnformation: Site Address: �019 O r�� Ct-�-k �+� Owner: 1—'1Qc+4 J Ohr�S 0�1 Mailing Address: city: z;p: SS 3�.,j Home Phone: q5� � �57 .q S 5 ? Alternate Phone; Contractor Information: Contractor: Contact Person: CUt�LIGAN WAT�R CONDITlONlMG A��k:CULLIGAN WAY State Bond#; MIlVR1ETONKA, MN 55345 City: (952y 933-7240 Zip: Expiration Date: Phone; Alternate Phone: `�5 a-�1� - 731� ❑ Insurance—Current: 1 08/26/2013 12:06 FAX 9529335049 CULLIGAN MNTKA �003 � � `PLU�!IB1NG FIX1'U„RES BE�]NCY��TA�lEIa . : FIXTURE BSMT 1 2 ° OTHER FIXTURE BSMT 1 2 OTHER TYPE FL PL TYPE FL FL Water Closet Floor Drains Lavatory 5ewer Ejector Bathtub Laundry'I'ray Shower W asher Kitchen Sink Water Heater Disposal Water Softener � Dishwasher Wet Bar Siilcocks Miscellaneous �,,�� ' r� '< < �`�� '` ,� ''� � �'1'��%I�T��F,E�CALCL��A'TZON(S} �s�,: ' ' `� ,� x a ,��-�-r.., �u'� ";,`'� �r�:,;'� ''., BASEll 4,F�' -2002 STATE 5'7'ATC:� ��z;� ,��.��_<_ ��,34 ` ,r �+�' r ` � �� ;a r - _ >,.. ��,�: �:�;�'" ❑ Yes,this section applies The replacement of a Residential fixture or app(iance that meets all three of the following requirements: 1. oes not require modification to electrica!or gas service. 2. Has a total cost of$500.04 or 1ess;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 5urcharge $ 5.00 Mait-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 08/26/2013 12:06 FA� 9529335049 CULLIGAN MNTKA [�004 � P�x�z�r��c�:cu�,��rtorr s ,�:ro�s�ov��soo:oo , .. < < , If above does not apply;follow guidelines below: 1. CONTRACT PR10E * is 1.25%of contract price with a(Minimum Fee of$50.00) x,0125$ (contraci price) (minimum$50.00) 2. STATE SiIRCHARGE **Add the State Bldg Code Div, Surcharge(Minimum Fee of�5.00) x.0005 $ (contract price) (minimum$ 5.60) 3. ?OSTAGE&HANDLING(Only on Mail-In Applications) $ Z,pp 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ aa, 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 costs. It is the amount to be charged to the customer for the work done. If any material, equipment, [abor or installations are furnished by the owner,tenant or any other parry,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 Ciry may requast the submission of a signed copy of the actual contract, � **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. l�y�ti.'It,� r.a4�� Ci..W`fl)�hi 1 .._ �� y—r 4!'p�i,'�'�� ;p��,t, ;C7 4�t�1ts � t, �<r't ��ii.^�.' f �'�i.?'?,it.l+ i. 3 ' 1`. r �,'�?�W'_ .�S].�.' _LI�Y,�'G��,� "'' x ;,�i%�. .t 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: � Date: $-a�,- 1 Reset Form 3 �� DATE TIME �� C�CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED t r � PERMIT NO. "' COMPLETED ADDRESS � �(') �f�Pl�IC l� �i�e � I��— OWNER TELEPHONE NQ-%��IS�-�� CONTRACTOR �� ; DESCRIPTION � � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p 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 ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES._NO ti COMMENTS: � W a � � O �. � O W � Q � 2 W � W � j GW ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. _ Cail for the next inspection 24 hou in advan ;� 249-46�� OwnerlContractor on site: ' Inspector. White Copyflnspector's File � Canary CopylSite Notice DATE TIME �� CITY OF ORONO CALLED IN INSPECTION NOTICE / SCHEDULED PERMIT NO. i�To/3 —dD gpiZ COMPLETED J/'//�/5r ADDRESS,/�10 /�r�•?c�i C/��.� O�^ � OWNER TELEPHONE NO. CONTRACTOR C��7�� -sc�'v�c G �: DESCRIPTION � tU ❑ FOOTING ❑ PLUMBING FINAL O EXCAV/GRADING/FILLING � O POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � G�TtMAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a �c�rrt,� �l'd�Be.. �•�lJ �c,�� 'w �c j • . o ��rtG ihs��c�•�•,. �. � ° �n O!�e. �N�le - W � Q � l�'/�QS e � l� l//O�(If C�iG _ �� 2 —r W � � �l.Q 4' ��uli ls150��b.� Lv d�.� !d�c.S � D r' Gc�rT:"�f Qir�. ci es�a.� — j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou�s in adv �. (952) 249-460 OwnerlContractor on site: Inspector. White Copyltnspector's File Canary CopylSite Notice