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Home My WebLink About2014-01015 - water softner � ' CITY OF ORONO * z 0 1 4 - 0 1 0 1 5 * 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2014 ORONO,MN 55356- (952) 249-4600 FAX: 952)249-4616 ADDRESS : 1376 PARK DR PIN : 07-117-23-41-0096 LEGAL DESC : -SA�A-HILZ 1�VIS , _----------------------- --- �Y___----- -- : LOT MB BLOCK 013 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER NOTE: 1 WATER SOF'TNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA,MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWPTER LARSON&TERESA,DAYTON 1376 PARK DR MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � � C� � ,cc� , Applicant Permitee Signature Date ssued Signature Date L � City of Urono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.011743 Sep 10. 2014 CULLIGAN SOFT WATER Previous Balance: .00 Permits p2014-01015 1376 PARK DR 15.OU 101-32530 Mechanical/Septic/Other Permits P2014-01015 137 PARK DR 5.OG 101-20802 Due to govts-State Permits Mail In Fees 2.00 101-34440 Bltlg Permits-mail in fees Tatal: 22.00 Credit Card Check No: 359 22.OU Payar: CIILLIGAN SOFr WATER lotal Applied: 22.00 Change Tendered: .UO 09/10/2014 08:53AM 09/09/2014 14:12 FAX 95293�5049 CULLIGAN MNTSA �002 FOR C1TY TJSE ONI.Y ' �d�� City of Orono �� Q P.O,BoX 66 Dnte Reccived: Petmit# � 4„�,�,.� � 2750 Kefley Parkway � t r +�) Crystaf Bay,MN 55323 Appmved By: Amount$; .�i,��'',.�ye�� (9i2)Z49-4600 �� CIT'Y O�'URONO—PLUIVIBTNG�ERMYT (AI)COinmerCial permi[s must be npproved by the Build'mg�cial or Inspccior) GENE�2.AS,TN�ORMAT`ION 1. You may apply for plumbing permits by mail or in person at tlte City offices. A,pplications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by rctum mail after a review is completed. P�RMITS ARE NOT VALID UN'J�.YOU RECEiVE A PERMTT_ WORK M[JST NOT BEGIN IJN7'YT�TNE PERMIT CAYt�IS�OSTED ON THE JOB SITE. � _ 3. Plumbing permits may be issued ON�.'Y to licensed plumbing contractors and to property owners residing in the dwelling, �}. Whcn any new conStCUCtion or remodeling is involve�a separate building permit must be obtained. S. Al!work must be done in atcordancc with State Code requirements. 6. All work must bc inspected and air tested before it is covered. Call(952)249-4G00. (24-48 hour notlee required) TYPE OF PERNJTT Check AlI That A I �Residential 0 Commercial(Approval Kequired) �New ❑Additionai ❑Repairs �12e�lace ❑ In Acccssory Structure? *You wi11 nced nrfor aoaroval and may need CUP.(Per Orono City Code,Chapter'78,Article iV) . Jvb Site/Owner Information: Site Address: ��76 rG�k �� Owner: ��uv� �,q�rSov-� Mailin�Address: ciry: � zip: _ ..Ss 3 6� . Home phone: �S � -�l l��5 Alternate phone; Contractor Information: Contractor: � lNG Contact Person: CV1.I.IGAN Addre 6030 CULLIGARI WAY State �ond#: tV��NN ET �g�� 433-�s f10 City: Zip: Expiration Date: T'hone: Alternate Phone: RSa- � ��`7�I �] ❑ Insurance—Cw�rent: ] 09/09/2014 14:12 FAX 9529a35049 CULLIGAN �NTKA I�OOa � � �:;�,� _�� ,�:;��' °��- :;PI:'�I�i(�;FI�'�f3��S";��'G'.1�ST�,'�Ep'�,� .,;;�;:�.;:�, ;;� ,�;,,;;;� F]XTURE BSMT ) 2 OTHER FIXTURE BSMT l 2 OTIi�R TYPE FL FL 1YPE FL �'1, Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink WaterHeater Disposal Wat¢r So$ener � Dishwasher Wct Bar 5illcocks Miscollancous ;�� ,5 ��.,f�Y{��t��v„"�,�4�;° "'!i7,S �,�,{ �'�';I }�� ' ,�.' N i'a' ` �}�. t t ,r�� + �ir �,`� '�"�,-�°'��,I+�MkWg' . �� ,��,4m�,.,r.��R:r� �L4'1,�ir�'�iw�"�` _, d��/y ' � n,. ��y Nnr1;,�.`,i�y9 �t Av i(� s"'f p �ka� �hn R R�M1�� M�yI yr�,i�,�11 a�, •��d .'�j�.,�ti:u ��.�,r'I: �7� f,�1•�� i�1 • n,�i �,�( C�.r�k i � ,. ��a �;,��:�„�1��'•7'�t3.�';:�%,,,t,+_�„t?��W,4 ��.�;i+��„�y�, r� �i�!� �n:.qNd��d�l}��,,� �{!1 I'J,�rt�lL'?F��lG�'�1d1►+'M, '1'.,7�"'l"'�%�� i,�.n,'1S 'R �I�'f ' �4��'d�!�+T 1y}�! l�i , Hl�.f��l in 4�� ❑ Yes,this section appli�s The replacement of a Residcntial fi re or A liance that meets all three of the following requircments� 1. Daes not require modification to electrieal or gas serv;ce. 2. Has a Cotal cast of$500.00 or less;excl in the eost of the fixture or appliance:and 3. Is improved,installed or replaccd by the homeowner or liaensed contractor. Skip next seCtlon,if this applies; Cost of Permit $^ 1�_.00 State Surch2rge $ 5_00 - Mail-In�'ee(If Applicablc) $ 2.00 , Total Permit�'ee $ (Pernnit Fees Continoed pn Next Page) 2 � 09/09/2014 14:12 FAX 95293a5049 CtiLLIGAN MNTKA f�004 � , . , :,�f. ,;,�.�„ ��;,;:" •;'PE�:��,�£'��'iI:'�, = ��AT��1'�T';S� t'-�O��S�'•O��$S�Dd:mO"'�,;�"' ��,�:,, , ;,,, If above does not apply;follow guidelines below: l. CONTRACT P1tIC� *is 1.25%of contract price with a(Minfmum Fee of$50.00) x.p]25 S (contrnct pncc) (minimurrl 550.00) 2. TA'I'E SURCAAIiC�; '"*Add the 5tatc Bldg Code Div.Surcharge(M;bimum Fee of SS.00) x.0005 $ (ContrnC�prite) (minimum S 5,00) 3. POSTAGE&HANDLING(Only on Mail-�n Applica[ions) $ 2.00 4. TOTAY,pERMIT FEE(Add Lines 1-3 Above) $ p�,�.tl V � * C4NTRACI' PWCB or JOB COST means the actual or estimatcd dollar �ount chaaged for ihe permitted work including ma#eri�ls, lebor,profit,and other fixed costs. 1t is the amount to bc charged to Yhc customer for the wozk done. If any materisl, 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 emount of the job cost,the City may request[he submission of a signed copy of the actuEli contrac� ■ **The STATE 5[JRCHAIZGE is.00OS of thc contract price under 51,000,000 or$5.00—whichever is grtatcr_ For valuations over$1,000,0�0 call tht Building Department at(952)249�4600 for the price. ,i�f' � :� 1'. .F..1 ;�,n G M �. .'" .�•k .r�nyi .�� ,'.�d.��r. ]II"G� 1�` .�1. �t� The undersigned hereby applies to the City for issuance of a Plumbing Permit, Agrees to do ail work in strict accordanec with the ordinanees af the City and the regulations of the State of Minnesot� and cer�ifies that al] statements made on this application are compiete, true and correct Applicant's Signature: �� Date: 1' �' � ,} ' r� � ��.n�z•�. i 3 I I i �� C�' � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � a?�� PERMR NO. �� COMPLEfED ADDRESS 1��LG�! �.�� OWNER �a��LEPHONE NO.�ya-��a—�� CONTRACTOR ` � DESCRIPTION ! - � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING p MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �INAL O SEWER HOOK-UP O COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PIUMBING RI ❑ SEPTIC FINAL ❑ WUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � l�/s�c.✓ 5�-�nP ✓ %H.�a�ll - � o , � Ci'�� D ,tPrav��-� ` 0 � W � �o f (,L �j t�v(�`G)%t'- r Q _ � � 2 � ,oe/!�t�� i�l.Ct�� o� j � ❑VNORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISS RTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION iSSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. or the next inspection 24 hours in advance. (952) 249-46�� r on site: �y � Inspector: r"' White CopYllnspector's File Canary CopylSfte Notice