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HomeMy WebLinkAbout2016-01086 - water softner � CITY OF ORONO * 2 0 1 6 — 0 1 0 8 6 * 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3680 LIVINGSTON AVE PIN : 17-117-23-34-0032 LEGAL DESC : NAVARRO : LOT O10 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER NOTE: NEW: 1 WATER SOFTNER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 CULLIGAN SOFT WATER SERVICE CO. MpIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA,MN 55345- TOTAL 52.25 (952)912-7379 Payment(s) CREDIT CARD 5107 52.25 OWNER MOUM,CHERYL 3680 LIVINGSTON AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued 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 described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction autt►orized 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 after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. „ �/ �-- /�C�C��e� /'��J��/ � l � l/�o Applicant Permitee Signature � Date Issued By S�igr►ature Date 09/07/2016 08:17 FA% 95293a5049 CULLIGAN MNTKA C�002 � .�p� City of�rono �,i�;,,,,�;;,�,��;-.�'�!�,,FOR�Cf1Y�USE;QNI.Y,��.��'�,;���•,;;,.�����,;, Q P.O.Box 66 �,Date"Received�a'�=���" I�";r;i�.`�"'�'i�!"�`�'�� .��. ',��'�;� 2750 Kelley Parkway �,w^�r.a;r; �^�;:�,• ; , �:,;; r '�'� �1,:�,�,���.���,��,�;��,W;' ,,� Crystal Bay, MN 55323 'Pe�it��;ir,�;�;,�,"���;i����.; � ,,:'.'�Cj!a!y�," µW.•' i,, ,,;,, ;�, . :� ' ,,,, ��. ,. (952)2a9�600-Main ��Ah�.,„��;;�,.�,;,;.�1;•�M��,,,�;,;,,�r:; ���'��;�k," .��,M� � ;��;�;,,��,;��„�., �'ffSHOQ' (952)2a9�4616�F� I[1��1�VCY��y„Lrii;�iii�ud���w�Y�y",a�ii��A�t�+ ''i„��1,�j'�ri��iiii�:�'�il�ll'I;n�� ��a.yu.�W:�iqi�:li�.:w�n� :�ii nryl^4Misy�l• w�l�„ � I i � w :Am�i-� a �Q:Iw,�L'J�, ,��r!: '",I I {� ° ount,pi���lii r��l�rHl�nl FlnM���'�I�wwn��iiq�I��r+N�� +�I'�.li�: C[TY OF ORONO-PLUMBING PERMIT (All CQmmercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn,qvvlCCLb/pbF/pe plumbplanrevapp.pdf �M1��� ����.�IMI�uiM�°�� �� � ���riw..�•IIi�aWi���i1�M1II�N���MYriW�li�iinM1l4� i�kI�II.uiIMI��M1llilnl�ww n�i�lx�•wesi�F�li��y�iap�n M R�'�NM���/'liu �1I4111MLi���nlll ';�EIIIERA'L";,lN��R�Mi4T14N , . ».,n�i�;,�,, ..�;r�rr�-�:���,. „� .��,�.,,�.:��„ rr.,: � , e� �;r ii� , 'wllkl'!°��i��°��.i��.�oi��:wl�l!;I',.'� nHni�.�+li.Hji�rP�:N;i71�w.,iwa+i�NM"wn�"uqiyi�ji.iM�4iµi�n�����w�w�i�i.rilx�.l�iu�inliw��ijo�aei�in�l�iinl:� .�GPuM",�u��iw�� 1. You may appty for plumbing permits by mail or in person at the City ofF'ices. Applications will be reviewed and a permit will be issued within two warking days. 2. Permifi cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VA�ID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTiL THE PERMlT CARD IS POSTED ON THE JOB S1TE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelfing. 4. When any new construction or remodeling is irnolved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. �II work must be insp�cted and air tested before it is covered. Cal) (952)249-4600. (24-48 hou�notice required) ...,.,,. _,,,,,,, ,,,,,, , ,,,,,.,,,,.,�.,,,,,��,��,,,,,�.,,,.,.,,,,, i�lA;lIl`wy M il�i IYI�NNNi�ilLiil���u ��Ml�iiullti4�tl��n1�`�. I�ii� .� ' � n��� � ���i:ii� ��ii��i�w� .� n �i 1' .���yi4�J�� ��M�I.i�im���w � ��i � � i�i i in�ir�i i�lii��n`iMMn�ii� iiMiWilH��i�� r11Nn11MIllulimu�Yu wNll�y�.��1 M�MiXIHNWM�4�1ij�� .;, I .� Y^ iV�iuiNiWi�'WI.���iMlw�i.�w�NA�T�fP ;�OE��;,PERNC,fT�Check;�AIL,TFia�Ap,pl.ji}'''�;,"��;����^.�•��y �F�� !,��„c ,��;MIM�x I i r s �i��l�WiMyiliVMi4iWi i�.1�ii��Li��J.��ri �����uYi��ur�� � ����ir�� i�rlwn�M i i j y� � y�w ��� �� �.� ,.i�,,. .,,w. � „,7 �,,,�r,�„a,��m�al�nF�ia,,.si�„���:r� .r',.,,a �� �Residential ❑ Commercial (Approval Required) [Backfl.owDevice:❑AVB 0 PVB] `�New [J Additional ❑ Repairs ❑ Replace ❑ 1n Accessory Structure? *You will need Arior aflnroval and may need CUP. (Per Orono City Gode, Chapter 78,Article f1� ' q �R'i;W �'Iri ww�.�.i��„ii, �+ i.i. �.r,� i.i�eM��IN�II^�.�.C�:;W�7� 4 �.� "1,5ob��i#e�J,,;�bwner,;;�n �rmation�. � .�y���;,���.���.���1!��a�� I� ��I�Ii�iulp�i�i�Mi�� i w��Wi�wlWl��.l Site Address: 3�, �0 L.i v��c�5-�o� Owner:�rT� 1�1uk� Mailing Address: City: Zip: -s�� `� � Home Phone: 95�- �03� �a�� Alternate Phone: ,.,:�o�itr��t'o"'�rif���' '#ion';:��:u��,.�;r�h M:�;�,�,�;���;a;,�;w�;���� ;�:�,.r; ��� ��� �'.,�. .Rtia , ".,�.,��.,����r;a�o,�� �i � �'ii:,�,�5r��; L�� .�iN�aMwiil�Jii�riiri�i.ix41 IieM�iylN.�l{.WMiiil I iln�i�i Contractor.�:4JLLfGAN WATFR r�n��n�'rrn������-Contact Person: !.!�* � 6030 CULLIGAN WAY Address: MINNETONKA� nn�y ��aa�State Bond#: (952) 9�3-720� City: � Zip: Expiration Date: Phone: Altemate Phone: �#5a -� � � - �3 I � ❑ Insurance-Current: Page 7 09/07/2016 08:17 FA% 9529335049 CULLIGAN MNTKA C�OOa . iI��M"�J".��7nui"m nMa:in"m��n�n,a�w�,' ���'rhs"+'�I'.iGli?w�h i�"�l'J {��1 �±,�, �Q�-V,� " ,��.,�,'�7i��1���J+ ��'E1J,��"�n"._•.�""w�i" � i�e�'ww'�',��� ,wm w.�.�.��'"�.'°�'�� „�°:im�n�'��C".�7:.'���.�d��.k'yn�Po+im �n°o�' ��4�?�,����w_ !;i r i"J:1i w,ari�'iT�C::"J�'a"�".�'���^..aR;;SC^L"�.'�."�.�q7!r,'�.."�„W� FIXTUR� BSMT 1 2NO OTHER FiXTURE BSMT 1sT 2No OTHER TYpE Floor Floor NPE Floor Flaor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Meater Disposal Water Softener � Dishwasher Wet Bar � Sillcocks Miscellaneous n16Y��w�� �x�i�4 �p;�' � M. M� IM n �^ �.���.�i'��IV I���.�I � i{ ��u•.�TY�n������ , N �� 9. CONTRAC'� PRIGE *is 9.25% of contract price�vrith a(Minimum Fee of$50.00) �O L� x.0125 $ , (contract price) (minimurn $5�.00) , , 2. STATE SURCHARGE . x.0005 $ (contract price) 3. POSTAGE S� HANDLING (Qnly on Mail-In Applications) $ 2.00 4. TOTAL P�RM1T fiEE (Add Lines 1-3 Above) $ �a��� * CONTRACT PRICE or JOB COST me2�ns the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed casts. ]t is the amount to be charged to the customsr for the work done_ If any rnaterial, equipment, labor or installations are fumished by the owner, tenant or any other pariy, the reasonable market walue of such items must be added to the estimated cost or contract price far permit fee purposes. In,the everrt that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actua( contracf. �,.�iUtlO a M�P � �I4r � M I w I �amn�QN y � s . .�.� ��!:�;�� ��P�� ',,, '��'T��"' ,� '' � ,C, � ,r � ��� � � 7he 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 Ciiy and the regulations of the State of Minnesota, and certifies that a[I statement made an this application are complete, true and correct. Appficant's Signature: �� Date: � `7� �ib Building Official/Inspector: Date: Page 2