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HomeMy WebLinkAbout2013-01277 - water softener Im CITY OF ORONO * Z PJ 1 3 - 0 1 2 7 7 2750 KELLEY PARKWAY DATE ISSUED: 12/10/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 2585 OLD BEACH RD PIN 21-117-23-22-0020 LEGAL DESC THE MARSH AT LAFAYETTE LOT 007 BLOCK 001 PERMIT TYPE PLUMBING(<$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURE NOTE: WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA,MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 0597 22.00 OWNER FREIVALDS,JOHN&LINDA 2585 OLD BEACH RD 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. L 24/13 Applicant Permitee Signature Date Issued By Signature Date 12/09/2013 15:14 FAX 9529335049 CULLIGAN MNTKA R002 FO CITY USE ONLY " U�� City of Orono 0¢ h0 P.O.Box 66 Date Receive �� Permit# I 4 2750 Kelley Parkway I, t t rf Crystal Bay,MN 55323 Approved By: Amount 5: _ (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION I. 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) TYPE OF PERMIT Check All That Apply) Residential ❑Commercial(Approval Required) New ❑Additional ❑RepairsReplace ❑ In Accessory Structure? *You will need Rrior anyroval and may need BJP.(Per Orono City Code,Chapter 78,Article iV) Job Site/Owner Information: nn Q Site Address: a5S5 Owner: 7-0\ Vrt:"j.\&5 Mailing Address: City: Zip: 5539 1 Home Phone: bl A-334 - 1a b I Alternate Phone: Contractor Information: CUC1QKVAft ATFR noNnlTIGNI tri Contact Person: 6030 CULLIGAN WAY A98UNETON_KA, MN 55145 State Bond#: (952) 933-7200 City: Zip: Expiration Date: Phone: Alternate Phone: q5 a -91 d - 13 3 ❑ Insurance—Current: 1 12/09/2013 15:14 FAX 9529335049 CULLIGAN NNM IM 003 FIXTURE BSMT 1 2ND OTHER FIXTURE BSMT IST 2 NDOTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous Yes,this section applies The replacement of a Residential fixture or jMliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service, 2. 'Has aLo.W cost of$500.00 or less;excludins 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 12/09/2013 15:14 FAX 9529335049 CULLIGAN KNTKA lit004 If above does not apply;follow guidelines below: 1. C NTRA RICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (convect price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55.00) x.0005 $ (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 00 ■ * 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 to 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: U Date: WNW 3 2 ✓/ ��a D TIME CITY OF ORONO CALLEDIN I 01- )q_3 INSPECTION NOTICHEDULED - PERMIT NO. ��co L D ADDRESS OWNER PHONE NO-6473 CONTRACTOR DESCRIPTION W [I FOOTING ❑ PLUMBING FINAL &4EXCA GMN❑ POURED WALL ❑ MECHANICAL RI LAKESHDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. El FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL &,2nNTRACTOR TO MEET YOU:)CYES_NO «� COMMENTS: j. F�rav�i�Q / coir G4/J 7G3r' 4JG7'�C•r � : S�11e� G�✓4�H O W Gar re G-1 —I C4 f! rar rC 11_1540dv... ac Q W W at J d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE U W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Q!tORRECT 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. (952) 249-4600 Ownsctor on site: i Inspector: White C"ynnspecWs File Canary CopyfSne Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMfT NO.a)D/3_,6/7_7 7 COMPLETED ADDRESS 26-1967 AM Arm-Ai OWNER TELEPHONE NO. CONTRACTORki DESCRIPTION W ❑ FOOTING PLUMBING FINALWffar f&&W❑ EXCAV/GRADING/FIWNG C ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: j o Civ ro�i fel cc W cc Q W W j Uj ElWORK SATISFACTORY:PROCEED PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY �j 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 advarfcs. (952) 249-4600 OwnedContractor on site: Inspector. �i M. — White Copynnspectoes File Canary CopyWo Notice