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. „
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Applicant Permitee Signature � Date Issued By S�igr►ature Date
09/07/2016 08:17 FA% 95293a5049 CULLIGAN MNTKA C�002
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2750 Kelley Parkway �,w^�r.a;r; �^�;:�,• ; , �:,;; r '�'� �1,:�,�,���.���,��,�;��,W;'
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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
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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)
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�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�
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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:
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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
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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
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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:
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