HomeMy WebLinkAbout2004-P08333 - water softner CI�'�Y OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: p08333
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: i2i29i2ooa
SITE ADDRESS: 3635 North Shore Dr
Wayzata,MN 55391
PID: 08-117-23-34-0008
DESCRI PTION:
Proposed Use: Kesicienhal
Perxnit Class: Plumbing
Pemvt Sub-type(s): Water Softner
Permit Type: Fixtures
DETAILS:
Approved per resolurion#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Culligan Soft Water Service Co. OWNER: Z&M Liberman
6030 Culligan Way 3635 North Shore Dr
Minnetonka,MN 55345 Wayzata MN 55391
TI-�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�
�t Ci��r�-�-r�-
APPLICANT PERM[TEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
CIT'Y OF O�tONO Al'PLICATION FOR PLUM$1�TG PERi�IIT
Box 66 (2750 Kelley Parkway)
Cr�stal Say, Mi�1 5�323
('TE�F.I2AT,�'FORMATT01�[
1. You may apply for pinmbing perm.iu by mail or in person at the Ciry offices.
2, Permit cards wiil be sent by return mail after a review is completed. P�121'v1ITS ARE NOT VALTI�UNTIL
YOU RECEIVE A p�RV1IT. W012K_MUST NOT BEGIN liNTIL T F_PERMIT CARD IS 1'OSTED ON
'T�B STTF--
3. Plumbing permiu may be issued ONLY to licensed plumbing couuactors and to property owners residing
in the dwelling.
4, When aay new construcdon or remodeling is mvolved, a separate building permit mus[be obtained.
5. All work must be done in accordance wirh[he: State Code requirements.
6. All work must be inspec�ed and air tested trefare it is covered. Call (952) 249-460Q. 24-haur notice
required.
Instructinns Complete all iiems on this application. Compute the permit fee. Sign and date the
certification. INCO�IPLETE APPLICATYt1NS WIY.�. NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Piease check one: Ne�v _ Addition Repair 12eplace
Residential Commercial
rOB SITE: I�'�' Z�P� f �
Owner's Name: � TeIephone Number:
Mailing Address: City: Zip:
Contractar'sName_ ° � `� L�Ti�N�NC�elephoneNumber:
Mailing Address: �� City: Zip:
,
�952�9T33-I2�(j�„T� SCT�'FDIJLE .
PLYi.v]B11�G FI� .i �Kr.
FIXTUR� BSMT 1ST 2Np OTHI=R FT�YTURE BSMT 1ST 2ND OTFIER
TypE FL FL TY�� FL PL
'Water Closet Fioor Drains
Lavatorv Sewer Ejectar
Bathtub Laundrv Tra
Shower W asher "
K.itchen Sink Water Heacer .
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (Iist}
PERMIT E CALCUT,ATTON S � .
20 2 State Statute Yes, This Section Applies
The replacement of a �2esidential f xture or annliance that meeu all three of the following
requirements:
1) Does not require modificauon 1.o electrical or bas service.
2) Has a total cost af$500.00 ar less; excludinQ the cost o�the f�ture or appliance:
and
3) Is improved, installed or replared by the homeowner or licenced contractor.
Skip next secuon; Cost of Permit $ T5.00
State Surcharge $ .50
Mail Tn Fee $ 1.50
�f above does not appiy, follow guidelines below:
1. C�ntract Price* is .0125 J of job with a Minirnum Fee of ($35_00)
x .0125 $
(contr,tct price) (minimum$35.00)
2. State �urcharge. '�* Add the Staie $uilding Code Division a ('iVlinimum �'ee of $ .50)
x .�405 $ �
(convact price) (minimum$ .50)
3. Posta�e and Handling (Qnly mail-in applicarions) $ 1.50
4. TOTAL, PER�'IIT F�E (Add lines 1-3 above) $ ��. � 1 __
* CONTRACT PRIC�or JOB COST means thf:actual or esamated dollar amovnt chazged for the permitted
work includir�materials, labor,profit, and odier fixed costs. It is rhe amoun�to be charged to the customer
for the work done. If any material, equipmera, labor, or installation are furnished by the owner, tenant or
any other party th� reasonable market value cf such i[ems musc be added to the estimated cost or contraec
price for permit fee purposes. [n th�event Eha�there is a dispute on the amourt�of the job cost, Lhe Ciry may
requesc the submission of a signed copy of thc accual eontract.
** The STATE SURCHAF�G�is .0005 of the con�ract price under S1,000,000 or S.50 -whichever is greater.
For valuations ovcr�1,Ob0,000 call the Depa:-rmenc of Inspection Services for the price.
The undersigned hereby applies to the City f��r issuance of a Plumbing Permit, a.grees to do all
work in strict accordance with the ordinana;s of the City and the regulations of the State of
Minnesota, and certifies that all stacements made on this application are eomplete, true and
correct.
Applicant's Signature�iln,�l.�,��.�� Date: �s-�—�_��--1 -
� DATE TIME J
CITY OF ORONO CALLED IN �S
INSPECTION N TIC SCHEDULED � //•'U44�'I
PERMIT NO. �OS� COMPLETED
ADDRESS���O��� N6�'-��d�� O( •
OWNER �n�G Ca�tc Farlxr�( CONTR. C_��i'�
TELEPHONE NO. L2l o� — �,� �o�o��
� DESCRIPTION W�'�SG��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL
J 10 BING FINAL 36 FOUNDATION/REMOVAL
OWN RI ONTRACTOR TO MEET YOU: YES_NO
v�, MENTS:
�
a � ` � � �
�
J
0
a
�
0
�
W
�
Q
�
2
W
�
W
�
�
d
W� KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-46��
OwnerlContra s te:
Inspector.
White Copyllnspector's File Canary CopylSlte Notice