HomeMy WebLinkAbout2017-00377 (plumbing- water softener) CITY OF ORONO * 2 0 1 7 - 0 0 � 7 7 *
2750 KELLEY PARKWAY DATE ISSUED: 04/18/2017
`�� ORONO, MN 55356-
• (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2440 CARMAN ST
PIN : 20-117-23-12-0058
LEGAL DESC : LEHMAN LAGOON
: LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: NEW: WATER SOFTNER
VALUATION OF PLUMBING 1699
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.85
CULLIGAN SOFT WATER SERV[CE CO. MAIL-IN FEE 2.00
6030 CULLIGAN WAY
MINNETONKA, MN 55345- TOTAL 52.85
(952)912-7379 Payment(s)
CREDIT CARD 5107 52.85
OWNER
REEP, GREGORY& SALLY
2440 CARMAN ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,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
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 l80 days of the date of issuance,or if construction is
suspended for a period of 1 AO days at any time after work has commenced.
The applicant is responsible for assuring alI required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
04/18/2017 08:35 FAX 9529335049 CULLIGAN MNTKA 1�002
City of Orono , ; FOR CI.TY U ON�Y
��'�o P.O. 6ox 66 Date Rece�ved �� �� / �—
2750 Keliey Parkway � r�
' -� Crystal Bay, MN 55323 Perm�t# � �"�� ��'� �
� E„ (952)249-4600 Main Approved B.y
`�KfSH�Q' (952)249-4616–Fax . .°;:
Amount$
CITY OF ORONO— PLUMB{NG PERMfT
(Afl Commercial Permits Must be Approved by the State Prior to City Approvaf)
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';GENERAL.INFORMATfON. ' . ` .
1. You may apply for plumbing permits by mail or in person at the City offices. Agplications wi11 be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UN71L YOU RECEIVE A PERMVT. WORK MUST NOT BEGIN UN71L TFlE 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.
fi. All work must be inspected and air tested before it is covered. Ca1l (952)249-4600.
(24-48 hour notice required}
; TYPE OF.;;PERMIT(CheckAll ThatApply)
�Residential ❑ Commercial (Approval Required) [Backflow Device: �AVB ❑PVB]
�New ❑ Additional ❑ Repairs ❑ Replace _
❑ In Accessory Structure?
"`You will need prior approvat and may need CUP. (Per Orono City Code, Chapter 78,Article I�
Jab Site/ Owner!�nformation::: _
Site Address: �f � ��
Owner: �a�� U �� _Mailing Address:
City: Zip:
Home Phone: , `�5 - y 7 � _ )y1-5 Alternate Phone:
Contractor lnformation:`
Contractor: � �o E +rnn� �n+q-��}� r�ll�.t���`�nN�N�ontact Person:
603L1 CU"t�1G/�,�!''�V�Y
Address: State Bond #:
{952) 333-7�00
City: Zip: Expiration Date:
Phone: A{temate Phone:
❑ Insurance— Current:
Page J
04/18/2017 08:35 FAX 9529335049 CULLIGAN MNTKA �j003
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FIXTURE BSMT 1sT 2ND OTHER FiTMPEE BSMT ��oor Floor OTHER
NpE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry 7ray
Shower Washer
Kitchen Sinfc Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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1. CONTRACT PRICE ' is 1.25% of contract price with a (Minimum Fee of$50.00)
��;��l , �� _x .0125 $ .�� 0�
(contract price) (minimum $50.00)
2. STA7E SURCHARGE
x .0005 � ��
(contract price)
3. POSTACE 8� HANDL[NG (Only on Mail-In AppEications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � '�
* CONTRACT PRICE or JOS COST means the actual or estimated dollar amount charged for the
permitted work including materiaEs, 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.
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The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a!I work in
st�ict 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 co�rect.
Applicant's Signature: Date: 1�' ��+ r 7
Building Official/lnspector: Date:
Page 2
t� (� �/��' DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED _ J � �. � � �
PERMR NO. , '�-� ` ��COMPLETED �
ADDRESS %�L � /'` �_/'� %Z�'''r?G�`"� �-
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OWNER ����TELEPHONE .�'r�7 �`���
CONTRACTOR �-� �(=� � CS,�
'' DESCRIPTION p` �
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� ❑ FOOTING ❑ DEMO-FINAL ❑ SEP FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v/`�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i��� AS BUIIT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ $ TIC INSTALL
i OMINERICOKTRACTOR TO MEET YW1:�YE8_NO
� COMMENTS:
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� ❑WORK SATISFACTORY`.PFiOCEED �rROJECT COMPLETE
W O OORRECT W'ORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT VMORK�u FOR REINSPECTION TEMIPOFiARY
V BEFORE CONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN H��• O PHOTO TAKEN
INSPECTOR YVFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advance. (952) 249-4600
Owne�IContrector on sRe:
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