HomeMy WebLinkAbout2017-01454 - water softner CITY OF ORONO
* 20 1 7 - 0 1 4 5 4
2750 KELLEY PARKWAY DATE ISSUED: 11/07/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 500 HANLON AVE
PIN : 02-117-23-31-0051
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 014
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: REPLACE WATER SOFTENER
VALUATION OF PLUMBING 3549
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.77
CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00
6030 CULLIGAN WAY TOTAL 53.77
MINNETONKA,MN 55345-
(952)912-7379 Payment(s)
CREDIT CARD 5107 53.77
OWNER
BENNETT,PAUL&MEGAN
500 HANLON AVE
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. 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 governing 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
fiztgo ) / / 7 // 7
Applicant rmitee Signature Date Issued BkejA)gnature Date
11/07/2017 13:52 FAX 9529335049 CULLIGAN MNTKA EI002
�� City of Orono ::,FOR C_ITY USE,QNLY::;;.:
oDate•: ( ._ I .- ._
�� P.O. .Received: 1� =
O. Box 66
�, � 2750 Kelley Parkway _
� Crystal Bay, MN 55323 Permit# F
`s� (952)249-4600—Main .Approved By ,k ,,
\��kEsiiba�. (952)249-4616—Fax ?r., '- _ :1,- ;
`
CITY OF ORONO— PLUMBING PERMIT J)
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:/lwww.dli.mn.aov/COLD/PDF/pe plumbplanrevapp.pdf
GENERAL..INF:OR _.. ... _
::_ _... ..:._: :r:..s.."_ L.4--:^:�'1:::a.:.t..., :.,..: �,r.,}iyiv:F;!r.:i..?,�5:::':'ia�•:.':>:::
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 cards 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 hour notice required)
PERM ec . w pY
Residential 0 Commercial (Approval Required) [Backflow Device:0 AVB ❑ PVB)
❑ New ❑Additional ❑ Repairs XReplace
❑ In Accessory Structure?
*you will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
.. :.. .-... ..._.__..,-G>; in a.. :..;q;::.:._::.:.. <:r-d:.:f+r:nk,^x:_`:
'Joij Site/i 0wnec'anfo�.mtiorl:'�>f ;: _ : _ r ;1: !:
Site Address: .5 00 \-\ar d 0
Owner: Qac. 1��V" — Mailing Address:
City: Zip:
Home Phone: 954 - A 0t9-13 91 Alternate Phone:
,
Co'ntractor;.Information_r ,I
Contractor: Contact Person:
.ULLIGAN WATER CONDITIONING
Address: 6030 CULLIGAN WAY State Bond #:
19111NNE I ONKA, MN 55345
City: (95>_1 933-7200
Zip: Expiration Date:
Phone: Alternate Phone:
fI Insurance — Current:
Page 1
11/07/2017 13:52 FAX 9529335049 CULLIGAN MNTKA a 003
. PL.VMBIN !IXTURES 13Et61G INSTALLED
FIXTURE BSMT 15T 2N° OTHER FIXTURE BSMT 1ST 2ND E Floor Floor OTHER
TYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector -
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
ltat gg+' ', . y.,..': O_. f PEf 1WEEEOALC:UIENVO , 1 ,... .d
�. s
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
3549'. 0() x .0125 $ SO. Ob
(contract price) (minimum $50.00)
2. STATE SURCHARGE
x .0005 $ l .1 1
(contract price)
3. POSTAGE & HANDLING (Only on Mail-in Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ _53 T7
* 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 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.
i l PLIJIul AN:01 PERMIT AFleide TION AGRE,OMENTOMEmIS 'rt,„- n itgi
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: 11-7 - 11
Building Official/ inspector: Date:
Page 2