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Home My WebLink About2014-00318 - water softner CITY OF ORONO IIA * 2750 KELLEY PARKWAY * 2T 1 4 - 0 0 3 1 8 DATE ISSUED: 04/15/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 790 OLD CRYSTAL BAY RD S PIN : 04-117-23-43-0007 LEGAL DESC : AUDITOR'S SUBD.NO.229 : LOT 026 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY TOTAL 22.00 MINNETONKA, MN 55345 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER BAKER,KAREN 790 OLD CRYSTAL BAY RD S WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By i4S Date 04/15/2014 12:10 FAX 9529335049 CULLIGAN MNTKA 0 005 FOR CITY USE ONLY p City of Orono 0 P-0,Box 66 Date Received: Permit# I O 2750 Kelley Parkway >4:'r kCrystal Bay,MN 55323 Approved By: Amount$: 06•o (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the 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 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. (2448 hour notice required) TYPE OF PERMIT ' (Check All That Apply) Residential El Commercial(Approval Required) El New ❑Additional 0 Repairs AReplace D In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 110 U & G ,4 J 136,/ R Owner: Kalem ko, Mailing Address: City: Zip: 553 9 I Home Phone: 9.3a Alternate Phone: Contractor Information: �► VIIA I EH CONDITIONING Contact Person: ILLk 0 CULLIGAN WAY INNETONKA, MN 55345 Address: (952) 933-7200 State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: �S 1 I ' -7317 ❑ Insurance—Current: 04/15/2014 12:10 FAX 9529335049 CULLIGAN MNTKA a006 FIXTURE BSMT 1ST 2T'1p OTHER FIXTURE BSMT 15T 2"'D OTHER 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 Pririg zti.t.K'jA.1.�s+�i�!'f�r...rB.�.�:i"w?!. ..krK#4te 'Viet 4,M1701030:442104$ a i2 �. .4It n, i : 0 Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total 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,if this 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 04/15/2014 12:10 FAX 9529335049 CULLIGAN MNTRA lJ007 I - , -• . ..• .... ., . _., . ._ ..+C1O4 ,, ..ItfrJ{S . T�D0S;QVgR: 'Udjq: ... . , If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1,25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) 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) $ oda , (oO • * 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. • **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. 7 t z ALITE.watar gi 4 "'7 yr•INc niu;+:p g f ri.0 h"� K t. r '411 4w,� ar 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. 64 g 1 0. Applicant's Signature: -A.Aa7 Date: ti -15- 14 I 3 k- -3 5 -- TE TIME I CITY OF ORONO CALLED IN 4-1-g 4 StINSPECTION NOTIC SCHEDULED 5-442.„41. PERMIT NO. e--2V -Gil lS�aOMPLETED ___ ____‘d_r ADDRESS T1 w OWNER _ . At ', - - '.1 -- E EPHONE NO467- .2527/540_ CONTRACTOR a( /I/ DESCRIPTION 9 .:0_, IQ ❑ FOOTING CI PLUMBING FINAL ElEXCAV/GRADING/FIWNG Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL Q ID TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Lai ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES__a.NO y COMMENTS: ac W 4. CC A #, 14/ /1 ' # 61 cc u. pfd"K cb coria. W / cc Q fere tit "'",e4/c..12 W ac IQ0 WORK SATISFACTORY:PROCEED QJECT COMPLETE W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 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 OwnedContractor ogsite: Inspector.aDr— - White Copy/Inspector's File Canary Copy/Site Notice