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Home My WebLink About2016-00393 - water softner ,� CITY OF ORONO * 2 0 1 6 — 0 PJ 3 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2016 � ORONO,MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 3580 NORTH SHORE DR PIN : 08-117-23-34-0020 LEGAL DESC : BALDUR PARK : LOT 007 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER NOTE: REPLACE 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 LAWSON,KEVIN 3580 NORTH SHORE DR 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. 1'his permit is for only the work described and dces not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This pertnit 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. 1'he 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. _ /n,�„ l'U� � � C�.i ( �-C-�C QC,�.:� .�.f S� �/ � /`t� /lo Applicant Permitee Signature Date Issued By Signature Date 04/18/2016 10:�2 FA% 9529a35049 CULLIGAN MNTKA f�011 v FOR CyYY USE ONLY O��O City oiOrotio p.o.sox� Dati R��a: `NI qIl b p��j(o-Ut� � '�,�� 27so Keliey ParkWay . a �'i +� Crystel say,MN 55323 Apprcved By, ��amo�n[S: ��' ' `� 1.�� (952)2M19-4600 CITY OF ORONO-PLUMBING PERMYT (Ail Commerti�il permits must be approved by the Building O�dn1 or lnspecmr) GENERA�WF'ORMATION 1. You may appty for plumbing pami�by mail or in person at the Ciry offices. Applications will be reviewcd and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail af�er a review is completed. PERMYTS ARE NOT VAI,Tb CJNTIL YOU RECENE A PERMIT. WORK MUST N07'��CY1V UNTIL THE PE�XT CARD IS POSTEn O1V T��IE JOB SITE. 3. Plumbing permits may be issued ONx.Y to licensed plumbing contractors and to properry owners residing in the dwellins. 4. When any new construction or remodeling is tnvolve�a separate building pernut must be obtained. 5. All work must be dOne in aCCordance with State Code requll'ements. 6. All work must be inspected and air tested before it is cov�red. Call(952)249-4600. (24-48 6oar uotiec required) TYPE OF PERMIT Checic Al1 That A 1 �Residential ❑Commercia](Approval Required) []New ❑Additione� ❑Repairs (�teplace ❑ In Accessory StTucture? ' *You will need orior ao�roval and msy nced CUP_(Per Orono Clty Code,Chapttr 78,Article f V) Job Site/Ovmer Xnformation: � � . � Site Address: �� ('� � , ; � ` f �wner: �, � �QY� Mailing Address: � City: ��A� �� --- � Home Phone: l�t-��tU�J_ $��( Alternate Fhone: _ j „ Contractor Information: 6 r C l�o��,t{�'�yy�, � �. - Contact Person: � � 6030 CLIL,LIG�N VIJaY � � A�ETOIv�� n��,� State Bond#: f (952) 933-720p I eiry: zip: Expiration Date: � Phone: Alt�rnate Phone; ��—�1(p ��l� � ❑ Insurance—Current: � 1 � h _.._ 04/19/2016 10:a2 FAX 9529a35049 CULLIGAN MNTKA f�012 ,1,� I� '9�U' y�y:,� 1� 7"�"ry�1 �...'�T�t �i �'i�, i :.r::•�1�.��.� �'��V� �^�;��,,.,'��:�i;:;lh��i~,��+.:;Y•�'�;!i'fr1:'r. ,.�iL" M7�i�3iy7��V'��lAJ:s�� _ -�I,'��,�;;,r��, ,��;�,,;.,, � �I l 'i. r,�, r, ,� FIXTURE BSMT 1 2 OTHER FIXTUR� BSMT 1 2 OTFIER � TYPE FL FL 1'l'1'E �'L FL Water Cfoset Floor Drains Lavatory Sewer�jector Sathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Dlsposal Water$oftener Dishwasher. wet Bar Sillcocks Miscellaneous 1;'!L •w��,l�r'� r `(�l�r i;�x N r � - i' "Ns�'�. 1�•�.� ��.wdi "R r:-,� � � i '�i'; ��h?j��;,M;�i'' :��'�M1 ��,� �, ��i � 1 r y;.� �'� �'�� yil.�,;�,,��•��,�irti"i ;1:+'�(�� . �,4�yF^ '•i;��sj"�a�7�k�„�if.�. .,u�� ,�'�7�,'''��','�,�, �: ��L`I''�' ,c, ,i�,�iu�r�,"^�h!,;� 9";,'•;.�;� Y.7�, '� f wti' ' � •K ii �.��"1.7.i � ' 1,�.�� . C'��14'.,�� ..L_I �I', X �f;. y�r iC: 'I.'...�� i' . T 'hi' �:'w� ��a��i �f„�v 4�, in�py!5; � �� , M �p�d�� p{y�• 'fN'� ♦,�;�7 p'h�,�'�;,� a'�� , ,'��.;:�Lr' ��ri"r��.��, i�• «+�fr� .,�A � � ti r.4,�;, ''�rl:Giw �,I(1 ilI,•;i;t�;c�s;'�j�, ;:�� ;J ��I��J[��ir��0�1��2'�1�VS'iJ'�'�;.�J'', ?��, n:1�,1. C] Yes,�is section applies 7'he replsccmcnt of a Residential fixture or anpliance that meets aIl thrce of ehe following requirements: 1. Does not require modification to elcca-ical ar gas service. 2. Has a total cast of 5500.00 or less;cxcludine the cost of the fixture or appliancc:and 3. Is improved,installcd or rcpleeed by the homeowner or licensed contractor. Skip next section,iftbis applies; Cost ofPermit $ 15.00 State Surcharge S 5.00 Nlsil-In Fee(If'Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Contfnued On Next Pagc) Z 04/19/2016 10:32 FAX 9529�35049 CULLIGAN MNTKA �013 y+;�!�a 1 � ' H �" �t'ir-�"i, r� n�.f,�'(' �Ch ��J h 4�•rdi�;j�y1��Llll"•1�� .'Cl�jl�?KN�1�If�r?��,��t�Fir'�` �;:� '�'��'�� "�''.� ��1�',�L7}�;,;J ,.D��Q�';�D.7�V;4�:�V',�rwrt�;'� If above does not apply;follow gvidelines below: 1. CONTRACT PRX� "is 1.25%of contract price with a�'Iinimnm Fec oi$50.00) • � 6V � . x.0125� (oonrract rice) (minimum sso.o0) 2. STATE Si1RC�ARGE **Add the 5tate Bldg Codc Div.Surchargc(Minimum Fee ofS5.00)> - �'� I X.000s s � (conuac�price) (mlaimum$ 5.00) � 3. POSTAGE&HANDLING(Only on Mail-In Applications) 5 2.00 '" �� 4. TOTAX.PERMIT FEE(Add Lines 1-3 Above) S � * CONTRACT PRIC� o�10E COST means the aCtual or estimated dollar amount charged for the permitted work including matcrials, labor,profie,and other fixed costs. It is the amount to be eharged to the customer for the work done. If any material, equipment, labo�or installstions are fitmis6ed by the owner,tenant or any o�her party,thc re�sonable markez value of such items must bo added to the estimated cost or contract price for permit fee purposes. In the evcnt that there is a dispute on the amount of the job cost,the City may reyuest the submission of a signed copy of the ach�al contraet. + *'�The 57'A7'E SURCHARG�is.0005 of the contra�l;price under$1,000,400 or 55.00—whichever is greater. Far valuations over�1,000,000 cap the Buildin�Departrnent at(952)249-4600 for t�e price. ;�;r �f��a'� 3!��+�m;`�'T�}1'��.Y��i�►, r ?� �••:;' t'l�!f'L�;` '� '0r�, �,��i"1�,71:'�;��`;'!i�1�±k'P•��i,w:�' +�d��.>;I�.,�i7•��IM1;'�,�IhM� ,Cu -P � 'The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict aceordanee with the ordinances of the City and rhe regulations of the State of Minnesota, and certifies that all statements made on this applicarion are compiete, true and correc� Applicant's Signature: Date: ��f � ! � �.V ;��.�,��.�;W � ��e� 3;,;�,�t�,,. ;xi•:��„�.ym� 3 � � � DATE TI C OF ORONO CALLED IN � INSPECTION N�T� SCHEDULED (Q PERMIT NO. ' r�'�'�� COMPLETED ADDRESS �� D ' S�1UI�P OWNER � �� TELEPHON O. �� '�Z��-'� CONTRACTOR � '�� j DESCRIPTION Ciu`�'C Ci2— � � > � lN ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPR�OF • ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ � ILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL J DEMO- ITE ❑' TIC INSTALL O NE NTRACTOR TO MEET YOU: YES_NO v, MENTS: � a Gf`r �Z''�� /J1/�Y/Gan � � J O � � ° �b f� Cb ��le�c W � Q � 2 W � W _('' � ,fl t/w1'Ti ��/i�el� � J � ❑WORKSATISFACTORY:PROCEED ,�RBpJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: �B_ vlv� Inspector. < White Copyllnspector's File Canary CopylSite Notiee