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Home My WebLink About2008-P12210 - water softner PERMIT CIT� OF ORONO 2•�50 Kelley Parkway- PO Box 66 Permit Number: p12210 Crystai Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 6/27/2008 SITE ADDRESS: 500 Oxford Rd Unit# Long Lake,MN 55356 PID: OS-117-23-41-0015 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Softner DETAILS: Approved per resolution#: Separate pernvts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 15.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Culligan Soft Water Service Co. OWNER: Albin&Susan Nelson 6030 Culligan Way 500 Oxford Rd Minnetonka,MN 55345 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. r t_j'r..atil � �� APPLICANT PERMITEE SIGNATURE I ED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1 ' " FOR CITY USE ONLY ` �`� City of Orono g'�`r � P.O.Box 66 Date Received: Permit# O�µ � 2750 Kelley Parkway r a � �',n:''.. �� Crystal Bay,MN 55323 Approved By: Amou�t$: ��'a� ��;�� (952)249-4600 � � �� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION l. 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 A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs �eplace t ❑ In Accessory Structure? *You will need arior apnroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site l Owner`Information: Site Address:.,,,��' ,� �J�C �f.J�, �� Q m� �S.l.�� Owner�, � � ��,��1 Mailing Address: City: Zip: �� S "t- �� 3 � .� �`i� Home Phone: Alternate Phone: Contractor Information: ' Contractor: Contact Person: �Cxr'�� s �Y�� Addres�ULU�AN WAT�A cnNn1710N�Bond#: � 8030 CULLIGAN WAY City: N9�NNETONKA, Hat�: 55345 Expiration Date: t952} �33-7?0� /? Phone: Alternate Phone: �-t.S�� ? �� ❑ Insurance—Current: , 1 PLUMBING FIXTURES BE1NG INSTALLED '' ' �st .: FIXTURE BSMT 1 2"D OTHER FIXTURE BSMT 1 2 OTI-IER T'ypE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener i � Dishwasher Wet Bar Sillcocks Miscellaneous � �� PERM[T FEE CALCULATION(S) �� BASED OFF — 2002 STATE STATUE �� 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;excludinQ 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25°/a of contract price with a(Minimum Fee of$35.00) x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � • (�(� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollas 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 wark done. If any material, equipment, labor or installations are fumished 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$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. ,��h��.,,,,'," ��;� � Y' ING:PERMIT APPLICATION AGREEMENT ��`�.,,:�:��,�,�, 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. ApplicanYs Signat e: � Date: � -� � � rl � Reset Form 3 �� V �t/ DATE / TIME CITY OF ORONO CALLED IN ��(� (�� INSPECTION NOTI SCHEDULED �1 �1 � PERMIT NO. COMPLETED ADDRESS ��%G C�� X��rC� /�,� OWNER CONTR. ' S TELEPHONE NO. 1 �I�� I(.�Y�'� � � � � DESCRIPTION �1 �� 11r'S �, � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/G ADINGlFILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED !7 ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIREd.CALLT�Q ARRANGE ACCESS. i Ca11 for the next ins ction 24 hours in advance. (952� 249-4600 OwnerlContr n sit : Inspector_ White Copyllnspector's File Canary CopylSite Notice