HomeMy WebLinkAbout2001-P03895 - water softner * . . PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po389s
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: 6�s�2ooi
SITE ADDRESS: 669 Minnetonka Hgld La
LONG LAKE, MN 55356
P ID: 06-117-23-44-0007
DESCRIPTION:
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Pi0]�OSeC�USe: nc�iucii�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 200.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Culligan Soft Water Service Co. QWNER: R A HUMPHREY&C R HUMPHREY
6030 Culligan Way 669 MINNETONKA HGLD LA
Minnetonka,MN 55345 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF NIINNESOTA BUILDING CODE REQUIREMENTS.
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AP I ANT PER IT E S NA URE ISSUE Y SIGNATURE
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Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT i
Box 66 (2750 Kelley Parkway) "
Crystal Bay, MN 55323
GENERAI, INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PEKMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS i
POSTED ON THE JOB SITE.
3. Plumbing pemuu 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 the State Code requirements.
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. �
Instructions Complete all items on this application. Compute the permit fee. Sign and date .
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: �_,New Addition Repair Replace
Residential Commercial
JOB STI'E:_ ... ,GI"/,rriu_���-rjiaiu �=�"�qdr iur s,;� Zip __�� � �
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Owner's Name: ,;�,,-��� {,r��;.; � - �` Telephone Number: "'
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Mailing Addr � City: Zip: �
Contractor's ��ame: Telephone Number:
Mailing Address: City: Zip:
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�6�'1��G r'IXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND 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 Misc (list)
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PERMIT I�'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) -
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ ,
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
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 installation 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.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Jnspectional Services 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
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Applicant'sSignature: J� `�k j` ��;�, Date: `, �
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DATE TIME
CITY OF ORONO CALLED IN ,2//- �/ �G!
INSPECTION N ICE C/ SCHEDULED i 3 c�/ j�,�a
PERMIT NO. �J COMPLETED aC�� -�=�-
ADDRESS --��
OWNER CON .
TELEPHONENO. �-� � �� 7�-l/
� DESCRIPTION F'� �
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO-FINA.^,L_�___� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUJ�QbtiQU RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J j&'�LUMBING FIN 36 FOUNDATION/REMOVAL
� �AN'R�t�CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
i7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContract r on site•
Inspector.��.t�'�it�.�.v�
White Copyllnspector's File Canary Copy/Site Notice