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Home My WebLink About2010-00253 - plumbing � ' � CITY OF ORONO PERMIT NO.: 2oiaoo2s3 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 04/22/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3186 NORTH SHORE DR PIN : 09-117-23-32-0010 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER NOTE: WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 0.50 6030 CULLIGAN WAY MINNETONKA,MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 17.50 PAID WITH CC# 0597 OWNER NEDDERMEYER,GLEN 709 MINNETONKA HIGHLAND LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein This permit will expire and become null and void if wnsVuction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoke at any time for due cause. .`�'yL�'.(�� 7`� �' /C� � /C� Applicant Perm�tee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. 04/22/2010 09:44 FA% 9529335049 CULLIGAN �NTRA f�002 ; � RECEIVED FOR• USE ONY.Y. � Crty of Orono APR 2 2 2010 D��;��:��p�,;t# �lG`�- O� '�O P.O.Bax 66 ' .. . • . 2750 Kelley PazkwaY ° � cry�aay.�(�t(OF ORONO: �'Approved By; Ainount$: � �:� �p� � (952)249-4600 . � CITY OF ORONO-PLUMBING PERNIIT (All Commercial permits must be approved by tha Building Officiel or Iaspector) :�GENE�I.:INFFQItMATI0.3�i�:. . ' .. �� . � �� ;,.: -°.- , 1. Yon may apply for plumbing pennits 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 cards will be sent by return mail after a review is completed. PERMI'I'S ARE NOT VALID UNTII.YOU RECENE A PERNIIT. WORK MiIST NOT BEGIN UNTIL THE PERMIT CARD IS PO5TED 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 constntction or remodeling is involved,a separate building peRnit must be obtained. ' 5. All woric must be doae 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 hour notice required) a. �t'::� � - �n�..• .�. .r.. •i�,,,�„�}n�•�r.... .�,�. �., ;�.� �t• .r�,r!-,{•�. !ir 7;F r.t: •.i�,�:�;� ;,r.�. .i,-'•,�,. :1'i�: i�j o'r.'{4'.'Y".e-'..��;�fi�SM�'(.N=�'•'••�y�'' i � :�:('�.��:'.�''•k p '.J•. '�I� r�i •r{ rt� �i� 4�'� � �j: y, . �t�.�t.:"- :d,'.:.: �l�i:'div ':Y?I:��.: .ir'�'::l;.�y4.y5�a.a.� �ial:".',.r�.:';t`t.�.:-'a... �.e�':G,y�.7ij1!':�,'1.1^Ji��'i��rllb� t��'�i�ti�e';iT.i7�l;�•!',:!;. =.hJ�.ti.i I,d�U.��:�t..,{.;;.. 7�:; �iei. �'��'��ri .lj,t �' 7i�i.' �,l �('.ru, 4....�.i•..f•�;1...�� a� ..a�..•.•:�i;�_'+t.t:ri`d 'a�ii.•u'' „�� j�,. �p�;.� I�).:� di ; .';x • �'��(�'^;i". .Si, i7:,r v..5^ �i'. •�. �r � ;:4:. �;,��. '.-.�r.; -;G}iso��l'1:�'�1'l�;a�'�►, �L ;�.r::,,�,:�;�:� :��:: �;:�:;�,:�,�:�.� ��t:r`,yi:�L�•'�ti'�:��i� `..t t;dVi:� �`I; '.f',yi:.:i '�r' �'�' �Residential ❑Commercial(Approval Required) � � �New �Additional ❑Repairs ❑Replace ❑ In Aecessory Structure7 � "`You wi►�need orior aouroval and may need C�U .(Per Orono City Code,Chapter 78,Article N) '4�TQ;b i.�;�l��"d �� ,.y,.�y��(�,y.�• � �:;..��y;.:...;:��;:�.:r�s,:.;,,:,�.; 7 I :}� j��'�^'YGr;� .�4�/:t!+i�'yy,l�:rlilrn�::;fr,��^�,f+ti: •'��1: Site Address: .3 1$� N 0��I'� ��'�� ri �r-�� . Owner: � ��.� �One--S ` MailingAddress: Ciry: Zip: � 3 9 f , Home Phone: �5 � - `��`� " �b7� Alternate Phone: .. �: . ..��. :�.;; �' ��s,-�� ;� ., i.':1..�:.. � .;�;Ql'1'ff�S�OI;;TTI�011�13�1Qri,�, �.,,'t? .?�� ,r - �O�\11^(\�� Contractor: Contact Person: �� ' CULLICAlV ilUliTER CONDITiONi�VG � Addr�930 CU� 1 �AN �y�qy Staxe Bond#: � ' MINNETONKA, MN 55345 � City: (952) 933•7200 . Zip: Expiration Date: Phone: Alternate Phone: �S�- `��c� - �•3 �� ❑ ' Insur�nce�Current: ,, I 04/22/2010 09:45 FA% 9529335049 ' CULLIGAN MNTRA �j003 . . � . . ' v , � x ,,.,,�. ��„�„- I'��'15 :�Sa1�i!��y��'Y��X� 4�,�� j 1� �}'��p:YC ..e�hK4:i�,� Fp�TURg BSMT 1 Z OTHER FDCTURE BSMT 1 2 OT�IER ,I.ypg FI, FL TypE FL FL Water Closet FloorDrains ��o,.�, . , , Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink ' W��H�� Disposal Water Softener I � Dishwasher Wet Bar Sillcocks Miscellaneous � � � � � � , �] Yes,this section applies �� The replacement of a Residential fixture or a�nliance that meets al.l t6ree of the following requirements: 1. Does not require modification to eleetrical or gas service. 2. Has a total cost of$500.00 or less;excludin¢the cost of the fixture or appliance:and 3. Is improved,instailed or replaced by the homeowner or licensed contractor. 5kip next sectioa,ifthis applies; Cost ofPermit $ 15.00 � State Surcharg'e $ •5� • - Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee S (Permit Fees Con6nued On Next Page) 2 i: 04/22/2010 09:45 FA% 9529335049 ' '. CULI:IGAN MNTRA f�J004 , , • : k�� +��!�'� ��!�',r /'��j �. ^� �i � !. g_ .•� i�;'Y,r��;:r`�,:�.'i��;��r. it'j��vJ1��aGi�L�'q,� l.i7��' ��',��'.�h� �'Y-%k1i!�t7:if� � �� .�•�/•r/'3:�.�hF6.�6�•J�L*��'�rK,i. ��?f If above does not apply;follow guidelines below:; 1: CONTRAC'�PRICE * is 1.25%o�contract price with a(Minimum Fee of$35.00) x.0125$ '(aontrect price) (minimum$35.00) 2. r'I'ATE SURCHARGE *'Add the.State Bldg Code'Div.Surcharge(Minimum Fce of 5.50) � � x.0.005 $ ', (coatract price) (minimum$ .50) 3. POSTAGE&HANDLING{Only on 1VIai1-In Applications) $ �-5�0 a�l�D 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �7�5� ■ �` CONTRA.CT PRICE or 708 COST means the actual or estimated dollar ataount charged for the persnitted work including materials,labor,profit,and other fixed costs. It is the amount to be char$ed to the customer for the work doae. If auy matetial,equipment, fabor or installatioas 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 conlxact priee for permit f�e pwposes. 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 contracK. ■ ** The STATE SURCHARGE is .0005 of the conlract price under$1,000,000 or$.50-whichever is greater.�For valuations over$1,000,000 call the Building Deparhnent at(9S2)249-4600 for the price. , i � ' , The undersigned hereby applies to'the Ciby for issvance 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 Mi.nnesota, and certifies that all statements made on tk►is application are complete, true 'and correct. � 1�.� 15�� Date: �' '�:- I(� Applicant s Signature: � , � I� � � , I' i+ ' . i . �' 3