HomeMy WebLinkAbout2011-00180 - plumbing CITY OF ORONO PERMIT NO.: 2011-oolgo
2750 KELLEY PARKWAY
` ORONO, MN 55356- �ATE ►SSUEn: 03/29/2011
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 1220 GARDEN CT
� PIN : 07-117-23-32-0045
LEGAL DESC : TONKAVIEW GARDENS
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOI�TYPE : WATER SOFTNER
APPLICANT PLUMB[NG FIXTURE FEE(<$500) 15.00
CULLIGAN SOFT WATGR SERVICE CO. STATE SURCHARGE PLBG (<$500) 5.00
6030 CULLIGAN WAY
MINNETONKA, MN 55345 MAIL-IN FEE 2.00
(952)912-7379 MISC FEE 0.00
TOTAL 22.00
PAID WITH CC# 0597
OWNER
ERICKSON, RICK
1601 SUNNYBROOK
MINNETIZISTA, MN �5364-
AGREEMENT AND SWORN STATEMENT
l�he work for which this permit is issucd shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work dcscribed and does
not grant pennission for additional or related���ork���hich requires scparatc
permits. All provisions of la�vs and ordinanccs eovcrning this type of�vork
shall bc compicd���ith���hether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commcnced���ithin 180 days of the date of issuance,or if construction is
suspended for a periud of I 80 days at any time after�vork has commenced.
"I�he applicant is responsible Cor assuring all required inspcctions are
requested in conformance with the State Building Code.This permit may bc
revoked at an}°time for due cause.
`�i2l.�,cL �.. � � � �
Applicant Permitee Signature Date Issued l3y Si ture Date
SEPARATE PERMI7�S REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE.
03/28/2011 13:10 FAX 952933504I CULLIGAN MNTKA . �002
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FOR C1TY USE ONLY
'0� City �f Orono
O� '�Q P•0.8 x 66 Dete Received: Pertnit�
' ,„ 2750 Iley Parkway
,� � '�� Crystal Bey,MN 55323 Approved By: Amount$:
�,�'� (952) 9-4600
��an�
CITY OF ORONO—PLUMBING PERMIT
( I Commercial permits must be approved 6y the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and permit will be issued within two working days.
2, Permit cards ill be sent by return mail after a review is completed. PERMITS AFtE NOT
VALID UN YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3� Plumbing pe its may be issued ONLY to licensed plumbing contractors and to property owners
residing in the�dwelling.
4� When any n construction or remodeling is involved,a separate building permit must be
obtained.
5, A!1 work mus be done in accordance with State Code requirements.
6fAIl work mus be inspected and air tested before it is covered. Call(952)249-4600.
(24-46 hour nptice required)
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TYPE OF PERMIT
Check Ali That A 1
� esidential ❑Commercial(Approval Required)
�l�� d' 'o al Re airs Re lace
ew ❑ Ad ►t� n ❑ p ❑ P
❑ �n Accessory Stru�cture?
�You will need �or a roval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner I ormation:
Site�lddress: arc�e. C�t�+
Own�r: � C- �►c.k u h Mailing Address: �
c;ry.� z;p: SS 3b 4
Home Phone: S - 3- �`�5 U Alternate Phone:
Contractor Information:
�]d41t�J�tN V1/ NQ Contact Person:
6030 CUILIGAN WAY
� Add��INETONKA, MN ���a� State Bond #:
� �(�62) 933-7200
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City: Zip: Expiration Date:
Phone: Alternate Phone: '�15a-�i'��l .73 i 7
❑ Insurance—Current:
1
03/28/2011 13:10 FAX 9529335049 CULLIGAN MNTKA (�003
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains •
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
� Kitchen Sink Water Heater
Disposal Water Softener I
Dishwasher Wet Bar
Silicocks Miscellaneous
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Yes,this se�tion applie�
The replacement of a Residential fixture or appliance that meets all three of the following roquirements:
]. Does not require modification to electrical or gas service,
2. H�s 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 $ 5.00
I Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee S
� (Per it Fees Continued On Next Page)
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03/28/2011 13:10 FAX 9529335049 � CULLIGAN MNTKA C�004
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if above does not apply;follow guidelines below:
; 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee oF$50.00)
x.0125 $
(contract price) (minimum$50.00)
2. ST�TE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee oiS5.00)
x .0005 $
(contract price) (minimum� S.OD)
3. POSTAG�&HANDLING(Only on Mail-ln Applications) $ 2.00
4. TOTAL P�RMIT FEE(Add Lines 1-3 Above) $ �o� . ��
■ * CONTRACT P�ICE or JOB COST means the actual or estimated doflar amount charged for the
I permitted work iqcluding materials, labor,profit, and other fixed costs. it is the amount to be charged
' to the customer r the work done. lf any material, equipment, labor or installations are furnished by
the owner,tenan or any other party,the reasonable market value of such items must be added to the
estimated cost o contract price for permit fee purposes. ln the event that there is a dispute on the
� amount of the jo cost, tl�e City may request the submission of a signed copy of the actual contract.
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■ **The STATE CHA�tGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is
greater. For valuations ov�r$I,000,000 ca11 the Suilding Department at(952)249-4600 for the price.
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� I The u dersigned hereby ap lies to the City for issuance of a Plumbing Permit, agrees to do all
work ' strict acco ance ith the ordinances of tha City and the regulations of the State of
Minne�ota, and ce fies t t all statements made on this application are complete, true and
correct.
! Applicant's Signa Date: 3 —c�� — � �
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