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Home My WebLink About2011-00096 - water softner CITY OF ORONO PERMIT NO.: 2011-00096 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUED: 02/1 U2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1185 LOMA LINDA AVE , PIN : 07-117-23-14-0068 ' LEGAL DESC : LOMA VALLEY : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER 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 WOOLEY, ROBIN&LORI 1185 LOMA LINDA AVE MOUND, MN 55364- 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 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 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 app(icant 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.` `�'i�t-�c-c-� �--�, / / / / Applicant Permitee Signature Date Issued By Sig a ure � SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOV . r 02/10/2011 13:2 FA% 952 335049 CULLIGAN AtNTRA C�002 '� FOR CITY U9E ONf.Y I � J ��"�'�� P 0 Box 66rono Data Received; Permit/ 2750 Kelley Parkwsy 3, Z Crys�l Bey, 55323 Approved By: Amount 5: 7� � � (952)249 � CITY OF ORONO—PLUMBING PERMIT � (All Commercisl permits must be approvad by the Building OtFiciel or Inspector) GENERAL INFORMATION 1. YQu may apply for plumbing pormits by mail or in person at the City offices. Applic.�t.ions wiU be re ewed and a permit will be issued within two working days. 1 2. P 't car�s will be sent by return mail after a review is completed. PERMITS ARE NOT V 1D UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGII�I UNTII,THE P RMIT IS POS D ON JOB S 3. P mbing permits may be issued ONLY to licensed plumbing contractors end to property ov►mers 'ding in the dweA'�g 4. en any new const�ction or remo�eling is involved,a separate building permit must be o tained. 5. A 1 work must be done in accordance with State Code requirements. 6, A 1 work must be inspected and air tested before it is covered. Call(952)249-4600. � ( 448 doar aotice raqnired) TYPE OF PERMIT Check All That A 1 I � �Resi 'al ❑C�mmercjal(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Struch�? *You 'll need rio� a roval and may need�.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Infor�mation: �Site Address: ��5 �--0�4 �.iv��o� �Y�. Owner: Qob��r �Oo��T_ MailingAddress: ci�y: z;p: 5531�y Home hone: 6�a - 9b4- y(�0 Alternate Phone: . � , . Contraqtor Information: CU ontractor: Contact Person; � ' , .LLIGAN WATER C NDITIONING dd 30 ULLIG State Bond#: � A M� NET A, 55345 City; �9 � ��-7. � Zip: Expiratian Date: Phone: Alternate Phone: 95a - ��a" �31 � � � � � � Tnsurance—G�rrent: l 02/10/2011 1 :28 FA% 9529335049 CULLIGAN MIVTRA f�003 . - ' � � �A�}�e��i�, �s ; i�ihq,' ,ge. }� y�.,;��^.��! dt '" 7. r:h:PJ. ��P:{• FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL Fl. i Weter Closet Ffoor Drains ��ory Sewer Ejector � Bathtub Laundry Tray Shower washer ' I , Kitchen Si�ilc Water Heater Di�sal Water Softener Dis�washe Wet Bar SiUFocks Miscallan�us I I . � I � I 1 I I � j < < a :a Yes, is section applies The replacement of a Residenti�l fixture or�npliance that meets all three of the following requirements: l. Does not require modification to electtical or gas service. 2. Hag e tota of 5500.00 or less; xclu in the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip qext section,if this applies; Co�t of Permit $ l 5.00 � � Stato Surcharge $ 5.00 I Mail-In Fee(If Applicable) S 2.00 Tobl Permit Fee S � I I (Permit Fees Continned Oa N rt Page) 2 � _ 02/10/2011 :28 FAX 9529335049 CULLIGAN ffiVTRA C�004 . - . . � , .� :.��, � •.�,•� If above dces not appty;follow guidelines below: 1. CONTRAG'1'P E *is 1.25%of contract price with a(Minimom Fce o!$50.00) x.0125$ (conaect price) (minimum 550.00) �. ATE SU C ARGE •*Add the Stete Bldg Code Div.Surcherge(Minimom Fee ofSS.00) � x.0005 $ (contract price) (minimum S 5.00) I 3. POSTAGE&HANDLING(Onty on Mail-In Applications) $ z.00 I , � 4. TOTAL PE�P'E�(Add Lines 1-3 Above) S o��•�� • • CONfRACT PWCE or 10B COST moans the actual or estimated dollar amount charged for the permitted work including materials, labor,profrt,and other fixed costs. it is the amount to be charged to the customer for the work done. lf any material,equipment, Iabor or installations are fumished by the owner,tenant or any other party,the roasonable market value of such items must be added to the . � estimated cost or contract price for permit fee purposes. In the event d�at there is a dispute on the amount o�the job cos�,tho City may request the submission of a signed copy of the acheal contract. I ■ *+The S�I'ATE SURCHARGE is.Op05 of tfie contract price under$1,000,000 or 55.00—whichever is greater. �or valuations over S 1,000,000 call the Building Deparlment at(952)249-4600 for tfie price, The unders ed here applies to the City for issuance of a Plwnbing Permit, agrees to do all work in t accord e with the� ordinances of the City and the regulations of the State of i Minnesota, d certifies that all �tatements made on this applicateon are complete, true and correct. Applicant's Signature: Date: �- �� ( � � � i I / • � � � i . . I I 3 �W DATE Gl � �I�IE �/ CITY OF ORONO CALLED IN ��—� ` c � INSPECTION OTICE SCHEDULED 3'�' �l � PERMIT NO. ��L I —��G�COMPLETED ADDRESS � � � s ��'- �`'�°� �-� OWNER ��`� ��`-� TELEPHONE NO. �O �Z�� CONTRACTOR �`�-C.�-��—� >; DESCRIPTION w� �C�rt�-�¢� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEiE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVEAING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on s' e: Inspector. White Copyllnspector's File Canary CopylSite Notice