HomeMy WebLinkAbout2005-P09017 - water softner PERMIT
CIT�' OF ORONO
27,:,0 Kelley Parkway- PO Box 66 Permit Number: Po9107
Crystai Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
8/24/2005
SITE ADDRESS: 66 Hackberry Hill Unit#
Long Lake,MN 55356
PID: 33-118-23-44-0024
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Culligan Soft Water Service Co. OWNER: Jeanette Henderson
6030 Culligan Way 66 Hackberry Hill
Minnetonka,MN 55345 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
`��l.l�.l.e V►1
APPLICANT PERMITEE SIGNATURE SSUED E3Y SIGNATURE
Copies: I-File(SignaturesRequired), 1-Appiicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
� CTT'Y OF 0120N0 APPLICATION FOR PLUM$�TG PER�'VIIT
Box 66 (2750 KeIley Parkway)
Cr�stal Bay, M�1 55323
(:Ei�1ERAT,�INFORMAT'YOI�[
I, you may apply for plumbing permiu by mail or in person at the Ciry offices.
2. Permit cards will be sent by recurn mail after a review is completed. P�RI�IITS tLRE NOT VALTD UNTIL
YOU REC�IVE A pERiviIT. wO1tK MusT_�voT BE�nv ti'r�TiL T F_PHRMIT CARD 15 POSTED ON
TH�$ STTP-
3. Plumbing permiu may be issued ONLY to licensed plumbing conuactors and to propeny owzurs residi.n�
in the dwelling.
4, When aay new constnicdon or remodeling is mvolved, a separate building permit mus�be obcai.ned.
5. All work must be done in accordance wirh the: State Code requiremen[s.
6. A.11 work must be inspec�ed and air tested t�efore it is covered. Call (952) 7A9-460Q. 24-hour nocice
required.
Instructinns Comptete all items on this application. Compute the permit fee. Sign and date tl�e
certification. INCO�IPLETE APPLICATTC)NS WII.L NOT �E PROCESSED. If you have
quest�ons, call (952) 249-4600.
Please check one: � New _ Addition Repair Replace
� Residential Commercial
roB sz�: �� �c.k� r�r� ��, z�p: 5 35
Owner's Name;�� rsZ-�k-e._ k�a,10 �o c�,� Teiephone Number• �S�. - y-��7�, `-7(�,(„g
Mailing Address: �`�cr `�— City: .Zip:
Contractor's Name:� � � � , Telephane Number:��=?, ���
MailingAddress: n ���Cit�: rvC� Zip: S �� �
PLT.MBING FIYTTJRE SCTi'EDT_TLE
FIXTURE BSMT 1ST 2ND OTH]:R �TYTURE BSVIT 1ST 2ND OTFIER
TYPE FL FL TYPE FL FL
'Water Closet F1oor Drains
Lavato Sewer �jector
����b Laundrv Tra
Shower V�/asher �
�K.itchea Sink Water Hea�er .
Dis osal Water Softener
Dishwasher Rlet Bar
Sillcocks Misc (list}
PERNTIT E CALCUT,ATTON 5 r
20 2 State Statute �Yes, This Section Applies
The replacement of a �tesidential f xture or appliance that meets alI three of the followin�
requirements:
1) Does not require modifica�ion t.o electrical or das service.
2) Has a cotal cost of$SOO.OQ or less; excl�din� the cost of the fxture or appliance:
and
3) Is improved, installed or replaced hy the homeowner or licenced contractor.
Skip next secuon; Cost of Permit $ T5.00
State Surcharge $ .SO
1_V�ai? Yr_ Fee S 1.SQ
�f above does not apply, follow guidelines below:
1. C�ntract Fri�e* is .0125 I of job with a Minimum Fee of ($35.00)
x .0125 �
(contr;zct price) (minimum$35.00)
2. State Surcharge. *�` Add the State Building Code Division a ('iViinimum Fee of $ .50)
x .0005 $ �
(conu�act price) (minimum� .�0)
3. Posta�e and HandlinQ (Qnly mail-in applications) � 1.50
4. TOTAL PEl.t.1'IIT F�E (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimaced dollar amounc eharged for [he permitted
work zncludiq,materials, labor,profic, and odier fixed costs. It is che amount to be eharged to che eustomer
for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or
any other party th� reasonable snarket value cf such i[ems must be added to ttie estimated cost or contrac[
price for permi[fee purposes. In the avent tha�there is a dispute on the amoun[of the job cost, the Ciry may
request the submission of a signed copyo uf thc actual contract.
** The STATB SURCHARG�is .0005 of the coiitract price under S1,000,000 ar 5.50 -whichever is greacer.
For vaIuations over 51,000,000 call ttte Deparrmen�of Inspection Services for the price.
The undersigned hereby applies to the City fi�r issuance of a Plumbing Pemut, agrees to do all
work in strici accordance with the ordinanc�:s of the City and the regulations of the State of
Minnesota, and certifies that all stacements made on this application are eomplete, true and
correct. � �
A licant's Sianature� � � � �� Date: ' � �—���
r� n .��-o r �
� DATE TIME �/
� � c'
CITY OF ORONO CALLED IN �/� -�
INSPECTION NOTIC/E+ —7 SCHEDULED � �
PERMIT NO. _�/�'�����/ COMPLETED
ADDRESS �
OWNER �R. "
TELEPHO E NO. ��� ��� l SP�[7
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADIN ILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � `^� ��36!FSO1U�,NDATIC�1/REM�
� OWNER/CONTRACTOR TO MEET YOU: YES_NO �� 6 V/ l j��,
� COMMENTS: � i .�DIZ
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W� ❑WORKSATISFACTORY:PROCEED /r�PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED ' ,r SSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
r7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContractor on site:
Inspector. ����� l���
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