HomeMy WebLinkAbout2013-00001 - water softner CITY OF ORONO * z ID 1 3 - B 0 0 0 1 *
- 2750 KELLEY PARKWAY DATE ISSUED: OUO3/2013
ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1180 GARDEN CT
PIN : 07-117-23-23-0031
LEGAL DESC : WILDHURST WOODS/ l
: LOT 001 BLOCK 001
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 (<$500) 5.00
6030 CULL[GAN WAY
MINNETONKA, MN 55345 MA[L-IN FEE 2.00
(952)912-7379 MISC FEE 0.00
TOTAL 22.00
PA[D WITH CC# 0597
OWNER
THEDENS, PAUL&JANE
l 180 GARDEN CT
MOUND, MN 55364-
AGREEMENT AND SWORIY STATEMENT
"l�hc work 1or which this permit is issucd shall be performed according to
the approved plans and specifications,applicable City approvals,and die
State i3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of�vork
shall be compied with whether or not specitied herein.This pennit will
expire and become null and void if construction au[horized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
"I�he applicant is responsible for assuring all required inspections are
requested in confonnance with the State B�ilding Code.This permit may be
revoked at any time for due cause.
--�e�l �l,lcz_c.�e�. � � 1��r�rl.�i}�t, l
App�Per itee Sig ature Date Issued 13y S ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
O1/02/2013 13:50 FAX 9529335049 CULLIGAN MNTKA �j002
.� �
FOR CITY USE ONLY
O4��O City of Orono
P.O,Box 66 Date Received: Permit#
( �.�„ 2750 Kelley Parkway
� �7�� Crystal Bay,MN 55323 Approved By: Amount$:
� �''�� (952)249-4600
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� CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by che Building O�cial or lnspector)
GENER.AL TNFORMATION
], You may apply for plumbing permits by mail or in person at the City offices. Applications will be
I 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 CARD IS P05TED ON THE JOB STTE.
� 3. Plumbing perm�ts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
i " 4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
��,
� �� � 5. � All work�nus�Be done in accordaiice w'ith S�ate'�oae`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 Atl That A 1
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior aaaroval and may need CUP.(Per Orono City Code,Chapter 78;Article iV)
Job Site/Owner Information: , � . ,
Site Address: f ' ��g� Gar�v1 �� �V �
Owner: av� �°`�tQ� . , Mailing Address: '
,�,
City: _ Zip; .5.53 6y
Home Phone: �63 - 35�� �77�Z Alternate Phone:
Contractor Information: _
������N Contact Person:
iNG
60�0 �ULLIGAN WAY State Bond #:
Add ' N ET ,
� (952) 933-720;U rt;
`'' City: Zip: Expiration Date: '
Phone: '. ' Alternate Phone: cl�o� -9�a ' � , � 7
� ;,_ _� �;- , ,, , � ❑ Insurance—Current:
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O1/0�/2013 13:50 FAX 9529335049 CULLIGAN MNTKA I�003
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FI�CTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
T E FL FL TYPB FI. FL
Water Closet Floor Drains
�
L�vatory Sewer Ejector
B�thtub i Laundry Tray
�
S�ower Washer
K�chen Sink Water Heater
,� ,,,. D�,cposal _ _ _ _ Water Softener r ,,
f �
D�Shwasher Wet Bar
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Si�lcocks Miscellaneous
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h�, d �tir�3�;�: `Y/�+� y' •� � �, N '2 a zx"x,cPc� ��
k � ��''x lv irs.� u""I+i" ��r - � lr���j l.� �, ���.X�ti x��r S��ro t r"�����. a�k � ���
�`�H "�5 vv�U�'�i��a�t,j��+ik�.5�.i���s� ?'�ir R -�a'Uy G�g.� . ry-� �+ �y ��2�r{� .�''�a��e� �t� �t;rn d����`«�1'�.�f r'i��t���(
`an- i � `iF t 1 �.,�� � � .w �i�r 1�Tli .7 '1 ' � �] '�.
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•t� _
� Yes,this section applies
T�replacement of a Res_i�ial fixture or appliance that meets all thrce of the following requirements:
I. Does not requ'v�modification to electrical or gas service.
2. Has a total cost of$500,00 or less;axcludin�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 5urchazge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee S
(Permit Fees Continued On Next Page)
2
I
01/02/` 013 13:50 FAX 9529335049 CULLIGAN MNTKA [�]004
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� „ » �, Y � ��'EI�II�;FE�'�A��CT�AT�('31�'�, ;T �S.'C�:� �;$�'dA.,��,,a,. :.�..�,: ,;,..
.S./�d��...t �.�}'.�,\...�'k .
If bove does not apply;follow guidelines below:
1. CONTRACT PItICE * is 1.25°/a of contract price with a(Minimum Fee of 550.00)
;E ^�
. x.0125$
(contract price) (minimum$50.00)
2, STATE SURCHARGE **Add the State Bidg Code Div. Surcharge(Minimum Fee oi$5.00)
x .0005 $
(contract price) (minimum$ 5.00)
3. P05TA�&HANDLING(Only on Mail-in Applications) $ 2.00
t
4. TOTAL ERMTT FEE(Add Lines 1-3 Above) $ o�o�� OQ
' �'��� � � 'R � �j1 * CONTR,�CT' R10E or !OB COST means the actual or estimated dollar amount charged for the ���`�"'�
permitted work i cluding materials,labor,profit, and other fixed costs, lt is the amount to be charged
to the customer for the work done. [f any material, equipment, labor or installations are 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 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$5.00—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
�� N� :� •{ f� .�,. tL. �`' t ' �
T�►e undersigned herehy applies to the City for issuance of a Alumbing Permit, agrees to do all
work iq strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements mada on this application are complete, true and
correct.
Applicant's Signature: Date: �-07 ' �3
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�:,dFf�".��G,�+�KIL �t `ur
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CITY OF ORONO CALLED IN p��� �—�
INSPECTION NOTICE SCHEDULED � � � �D
PERMIT NO. (,�1.?�' �d� OMPLETED
ADDRESS �� Q �fJ�
OWNER TELEPHONE NO� �� �77��
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 ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP � ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
NE RACTOR TO MEET YOU:�S YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED JECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
1
OwnerlContractor on site•
Inspector. ' ( K
White Copy/inspector's File Canary Copy/Site Notice