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Home My WebLink About2010-00947 - water softner ` CITY OF ORONO PERMIT NO.: 2010-00947 , 2750 KELLEY PARKWAY ORONO, MN 5535C- DATE ISSUED: 10/OS/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1509 LONG LAKE BLVD PIN : 35-118-23-22-0003 LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 000 BLOCK 000 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(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA,MN 55345 MAIL-IN FEE 2.00 (952)912-7379 MISC FEE 0.00 TOTAL 22.00 OWNER CASHMAN,THOMAS 1509 LONG LAKE BLVD LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate - permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in wnformance with the State Building Code.This permit may be revoked at any time for due cause. / / � / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • � ' FOR CITY USE ONLY ,¢0� City of Orono P.O.Box 66 Date Received: Permit q ��„ � 2750 Kelley Parkway �� r r Crystal Bay,MN 55323 Approved By: Amount$: ��.�.b� (952)249-4600 �,�asa� CITY OF ORONO—PLUMBING PERMIT (All Commercial permiu must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE 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. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 6our notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) �]New ❑Additional ❑Repairs ❑Replace �� ❑ In Accessory Structure? *You will need arior aoaroval and may need C1JP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 5 �5 ►� �-t�� L��Y� Owner: �i15�p� CL�S�w�c� Y1 Mailing Address: city: zip: S53 5 lo Home Phone: �5 I_- `�q 0-5 I U�j Alternate Phone: Contractor Information: �%��t�rYVATER CONDITIONINV Contact Person: � 6030 CULUGAN WAY p��IETONKA, MN 55343 State Bond #: (952� 3-7200 City: Zip: Expiration Date: Phone: Alternate Phone: 150� - � � a - 7 3 11 ❑ Insurance—Current: 1 ` � PLt��"C�r,�I�'�`{;3�E5'BEI�iG-�T�TA�',:�� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �� r�� 4�� :x �� ; ��9 � �.� � �, � ��`� ��+� � ��,�'��'��§ �� r� � L� .� - �` � S ji � � .,4yf_• �3�� "�,,`�� ] Yes,this section applies / � The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 ��P��II�',��`�'�i�T�'T�fi�?l�l"�.�`:=J'C�`�S(��$5'0�}t�{� .� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee ot$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, 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 fumished 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. ■ **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict 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 correct. Applicant's Signature: Date: �( - d.3 ' �U � :�� a.°��.`.��, 3