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Home My WebLink About2015-01385 - water softner ffn CITY OF ORONO * 2 0 1 5 - 0 1 3 8 5 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2015 ORONO,MN 55356- 952 249-4600 FAX: (952)249-4616 ADDRESS 3750 NORTHERN AVE PIN 17-117-23-34-0087 LEGAL DESC REG. LAND SURVEY NO.0763 LOT 1 BLOCK 1 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER SOFTENER NOTE: 1 WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 1.00 6030 CULLIGAN WAY MAIL-IN FEE 2.00 MINNETONKA,MN 55345- TOTAL 18.00 (952)912-7379 Payment(s) CREDIT CARD 8645 18.00 OWNER Atlas Homes 14450 117TH AVE N MAPLE GROVE,MN 55369- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By S ature Date 10/27/2015414:15 FAX 9529335049 CULLIGAN MNTAA 07]001 D bt=.,ttt=,,r wcxt4ar. pa.i ne cxnc! shr"P 140.0 6030 Culligan Way, Minnetonka, Minnesota 55345 Telephone (952) 933-77-00 Fax (952) 933-5049 Q 1 www.culliganwater.com Attention: . r ' Date: Company Name: ��`Iy �'�'�d City &State: Fax Number: 1�5 �y - `� ( � # Pages Sent: (not including cover sheet) From: �j Message: I"�20 T�Q 190 Q 1 .33 U�� 10/,27/201.5 14:15 FAX 9529335049 CULLIGAN MNTKA X1002 City of FOR MY USL ONLY ' P.O.Box 66 Date Received; Perot g O 2750 Kelley Parkway F L� Crystal Hay,MN 55323 Approved By; Amount$: � c!` (952)249-4600 CITY OF ORONO—PLUMING PERNIIT (All Commercial permits must be approved by tho Building Official or Inspector) GENERAL INFORMATION 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 VALM UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT 3EGIN 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) TYPE OF PERMIT Check All That A 1 �Residenflal ❑Commercial(Approval Required) )(New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approyal and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 3-7,50 ►V df��>rn Owner: Mailing Address: City: Zip: Home Phone: 1-1 -9 6 3-- 7 313 Alternate Phone: Contractor Information: GONDIT4 NTNG Contact Person: 1 rRI Addr 6030 01,11.!-YGAAY 55345 Nf=TON '�'MN�" State Bond#: (952) 9 3- City: Zip: Expiration Date: Phone: Alternate Phone: I l a�-7�3 ❑ Insurance—Current: 1 10%27/2015 14:15 FAX. 9529335049 CULLIGAN MNM 0 003 A '.4y;�k� fr.•i,;r'npu.iNl.rl',,;u°.tr .AFr—L-30 .6 'I SiTp� ,� L7,t�I�i ',T, c y�l� „�:��Ir+�,�{ �7'' FIXTURE BSMT I 2 OTHER FIXTURE BSMT In 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Hcater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous .4�1'.};,r,1,,� 'q°' 'I`,^;;.� t i�'ah- t S 1 tr" 1 , a t�:r r 'c;i•far 'i 7;41'�tr~�'�.• 'C;";�I; , 1,' " •4�. i. �Iir.d'L r.5 l i ' Lf 1 ''," 'L t t,rr' rtii° ,inl'r,Z,r i��,r:,`r '•n�:'i; l'„' ��i.J,,IJS'"LS�jO00Git7L °,i7^J.t11;•,V�:i:•�',�. ^l�nl�+,l,l..,,,°;:,ate,.',"..r S�� ❑ Yes,this section applies The replacement of a Residential fb=c or appliance that meets all three of the following requirements: 1. Does r require modification to electrical or gas service. 2. Has a t tam. 1 cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,ifthis applies; Cost of Permit $ 15-00 State Surcharge 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 10/27/2,015 14:15 FAX 9529335049 CULLIGAN 0ITKA la004 if above does not apply,follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of S50.00) x.012$$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55.00) _X.000$ $ (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S aa-0 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 hems 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 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 correct Applicant's Signature: Date: 01-2-L5 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. /90167131 s COMPLETED L�-lam ADDRESS 37,52; n�a tie• /��.r OWNER _ TELEPHONE NO. CONTRACTOR DESCRIPTION I ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI SITE INSPECTION ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP �E.O.L_OW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNEWCONTRACTOR TO MEET YOU:_YM_NO COMMENTS: j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 o Expiration, no record of a Final inspection. 0 W OC Q 12 W W W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE cc ❑CORRECT WORK R PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. cam kw"next kwwwum 24 hexa in&&wwe. (952) 249-4600 Ownerr,ommcW on site: Inspector WMto CopyAnspeewes FNM Crmry CopylSib NoNw �C11C/� DA G TIME V CITY OF ORONO CALLED IN INSPECTION NO�I� ��3k5-SCHEDULED I�- 0`• Jy PERMfr NO. pAA''JJ J COMPLETED ADDRESS 3�-5 OWNER TELEPHONE NO X01 ZN 5- 77 CONTRACTOR 5&A 3Z DESCRIPTION l~ti ❑ FOOTING k[1D O-FINAL ❑ SEPTIC FINAL ❑ POURED WALL UMBING RI ❑ EXCAWGRADING/FILLING ❑ FOUNDATION WATERPROOFUMBING FINAL ❑ TREE REMOVAL RADON SLAB CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNEWFIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_No i COMMENTS: j 0 0 W cc Q W W cc W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W cc ❑CORRECT WORK 8 PROCEED C3 UE CERTIFICATE OF OCCUPANCY 0 IJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 hours In advance. 52 9-4600 Owner/Contractor on site: Inspector: White Copytlnspectues File Canary Copylli to Notice