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Home My WebLink About2013-00108 - water softner CITY OF ORONO �! I I I'II !� I'! * 20 1 3 - 00 1 08 * 2750 KELLEY PARKWAY DATE ISSUED: 02/19/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 450 OLD LONG LAKE RD PIN : 36-118-23-34-0014 LEGAL DESC : SUMMIT STATION : 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 6030 CULLIGAN WAY MINNETONKA, N 55345 MAIL-IN FEE 2.00 M (952)912-7379 MISC FEE 0.00 TOTAL 22.00 PAID WITH CC# 0597 OWNER POLICINSKI,CHRISTOPHER&ANNE 450 OLD LONG LAKE 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 use. (nut? « it dr/ I Atitit_ OZ-/ /9 i, 3 Applicant Permitee Signature Date Issu:i a y ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 02/18 '2013 14:12 FAX 9529335049 CULLIGAN MNTRA 002 R CiITY j'USE ONLY City Orono (.,,0�0 66 Date Recei //{/ Permit# OZO/3--"0/ (1/4:44 2750 (elley Parkway it ky Crysta Bay.MN 55523 Approved By: Amount S: (952) 49.4600 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 permit will be issued within two working days. 2. Permit cards s'i1l be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTG YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing perrpits may be issued ONLY to licensed plumbing contractors and to property owners residing in theldwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. Alhwork'mustbe done in accordanEeAvith State`6 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) yResidential ❑Commercial(Approval Required) New 0 Additional 0 Repairs 0 Replace 0 In Accessory Structure? *You will aced prior aunroval and may need UP.(Per Orono City Code,Chapter 78,Article IV) Job Site/pw lei Information: r7 Site Addtts3" '`4s0 �� Lon.9 L R, lr (( Owner: aar►rf . C.04i e t v►S k' _ Mailing Address: in City: t h: riy:i Zip: 5,531 I Home Phcn e r fA( -R4 9 " Alternate Phone: Ac Y t o f Contractor Information: Contract r: ING• Contact Person: CULLIGAN Address.6030 CULLIGAN WAY State Bond#: NNE (952) 933-7200 ;CAD' dip: Expiration Date: A ti s Phone 4 � � Alternate Phone: 9SQ. -91 e.-7317 h.. ? Insurance—Current: 1 02/18/2013 14:13 FAX 9529335049 CULLIGAN MNTKA IJ003 "datR;;SaL:. -e� .b;yM 1 19: 0t104-n G0e0WI.aw)•.:fid'+%'9rs FIXTURE BS lST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE L FL TYPE FL FL Water Closet Floor Drains Lavatory r Sewer Ejector Bathtub I Laundry Tray Shower I Washer Kitchen Sink Water Heater Disposiil ..__ _ _ _ Water Softener r, Dishwasher Wet Bar Sillcocks Miscellaneous L r � fAti 7.'.�ry'.7 it'''4►ih�': iT �. t ilii' f t �"�1i...�� C .: )t �Z T a rc .r,T,i,r,.�rarit `go - 1� ,r'•3, ,t- {t.' y "s�� ,��d<<�., �. N NA t� rily+ ks 'ii�if��J �l[�'��t�x��1Y.��:,..�.�.�.,.�",'.rw`.iwr,.f+./n)Rv,,.l'ri�.I.u:L„�mt� �� " h� t�ti�.,�a;�. Yes,-this section applies The reptaccni m-o'Fa Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has al otalcost 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) i; , ;gip; 2 02/1:12013 14:13 FAX 9529335049 CULLIGAN MNTKA lj004 • i J.,i''.x 'p ',R• � o � r`� roc r,�q' '°` �? v � i If above does not apply;fol ow guidelines below: 1. 'CO PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum 350.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S5.00) x.0005 $ (contract price) (minimum S 5.00) 3. POS AGE I HANDLING(Only on Mail-In Applications) $ 2.00 • 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ c3 a , 6 0 • * COIN ACF 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. ■ **1l'he ESTATE 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. •,4,.fI�.Dti 4A-!I4Al.,,.4:`k4I'2.�. C'F��. 'rti .. .�y.;s, S E, 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: a pg ' 13 ,3 il?7, DATE TIME CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED PERMIT NO.„2343-wild-14' COMPLETED //1 - $-/f` ADDRESS ..S.---05. 6/® I,-t.7 Zak._ /e OWNER TELEPHONE NO. CONTRACTOR // .t. SI`A.kee— gw DESCRIPTION k/4 V f ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING U. Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION IT ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS F. 4EINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. XOLLOW-UP IL - ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ✓ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL LC Z OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMENTS: cc Lu kern st `latae r f4'/ 41,9 4 Gal !t A r cr % /`444 /-2 /e eeL-/c1.� it o qi�r D pre) ✓I tl e p IQ cc Z !Afar k. (bile f -.2-- tAa CC Pew i 4 :12 W 0 WORK SATISFACTORY:PROCEED b4110JECT COMPLETE CCW 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all for the next inspection 24 hours in aadv$nce.;(9522) 249-4600 Owners • :ctor on site: /94/ `/tel/C 1/7 5k, Inspector. 9, It.-- White Copyllnspector's File Canary CopylSite Notice