HomeMy WebLinkAbout2002-P05034 - water softner CITY OF ORON PERMIT
� Permit Number:
2750 Kelley Parkway- PO Box 66 P05034
Crystal Bay, Minnesota 55323 Permit Type: Fix�es
(952) 249-4600 Date Issued: 4i12i2oo2
SITE ADDRESS: 605 Park Lane
I.ong Lake,MN 55356
P I D: 06-117-23-41-0049
DESCRiPTION:
Proposed Use: Kesicienriai
Permit Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Water Softner
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit 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: Sean&Lean Daly
6030 Culligan Way 605 Park Lane
Minnetonka,MN 55345 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMEN'TS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP LICANT PERMITEE SIGNATURE ISS[T� BY SIGNATURE �
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
. - � 50 �
-�� 3
CTT'Y OF ORONO Al'PLICATION FOR PLUMBYNG PERMIT
Bog 6b (2750 Kelley Parkway) -
Crystal Bay, MN 55323 ,
�..� ..
GIIVERA�INFORMATYo�r �;.: ; � ,, . _
1, You may apply for pleimbing permiu by mail or in persoa at che Ciry offices.
2, Permit cards will be sent by retiun mail after a review is coiupleted. PBI2MITS ARE NOT VALYI�UNTIL
YOU RECEIVE A pLTtMIT. WO1tK MUST iv�T BEGIN UNTII.7H�PERMIT CARD 1S pOS ET D ON
TH�IOB SIT'k.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelliag.
4. When any new construcdorz or remodeling is uivolved� a separa�e building permit musc be ob�aiaed.
5. All work must be done in accordance wirh thE Stau Code requiremen�s.
6. A,11 work must be inspected and air tested befare it is covered. Call (9S2) 249-4600. 24-haur noace
required.
Instruct�nns Complete all items on this application. Compute the permit fee. Sign and date the
cert�cation. INCOMPLETE APPLICATTC)NS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New _ Addition Repair `�--- 12eplace
Residential Cornmercial
JOB SITE: �Q(� �3..'(-1C `U1 • Zip:
Owner's Name• O_c� ' Telephone Number:
.
Mailing Address: ULLIGAN Wl�T 'Cis�9'.��='i f;��.�i�: Zip: .
Contractar's Name• U LL I��!iV 1r"lr�Y Telephane Number:
Mailing Address• � �_City: Zip:
E � .
PLYMBING FIXTURE SCHEAULE
FIXTiJR� BSMT 1ST 2ND OTH1:R �TXTURE BSMT 1ST 2ND - OTHER
'FYPE FL FL - TY�E FL PL
'QVater Closet Fioor Drains
Lavato Sewer E'ector
Bathtub Laun Trs
Shower Washer "
Kitchen Sink Water Heacer . -
D;� �� Water Softener
Dishwasher wet Baz
Sillcocks Misc(Iist}
, ' .
PE 'Y' CYJL ON
20 2 tate tatute Yes, This Section Applies
The replacement of a �tesidential fixture or ap,pliance that meeu alI three of the following
requirements:
1) Does not require modificauon I.o electrical or gas service.
2) �Ias a cotal cost af$500.Q0 or less; e c ' Q the cost of the fixture or appliance:
and
3) Is improved, installed or replared by the homeowner or licen,ced contractor.
Skip next section; Cost of Permit $ r5.00
� State S1lrcharge $ .SO
Mail Yn Pee $ 1.5�
If above does not apply, follow guidelines below:
1. C�ntract �-i��* is .0125 % of job with a Minimum Fee of ($3S.001
x .0125 $
(coatr,tct price) (minimum$35.00)
2, State urcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $ �
(cona•act price) (miniuium$ .50)
3, P e and Handli (Qnly mail-in applications) $ 1.50
4. TOTAY,PERMIT F�E (Add lines 1.-3 above) $ 1�� � 0
* COIVTR.ACT PRICE or 70B COST means thE:actual or esumaced dollar amount charged for the permitted
work iucludiag materials,labor,profiL,and odier fixed cosu. It is che amounc to be charged to�he customer
for the work done. If any material, equipme�u, labor,or installarion are fumished by the owner,tenanc or
any other garty th�zeasonable cnarket value af such i[ems mnst be added to the estimated cost or conuaci
price for permit fee purposes. in rhe event Lha�c there is a dispute on che amouut of the job cost, the Ciry may
request the submission of a signed copy o4 tbc ac�usl conrract.
** The STATE SURCHARGE is .0005 of the contrac�price under�1,000,000 ar S.SO -whichever is greacer.
For vaIuaiions over$1,000,000 call the Depactmenc of Iaspeetioa Serviees for the price. .
The undersigned hereby applies to the City fi�r issuance of a Plumbing Pennit, agrees to do all
work in strict accordance with the ordinanc�s of the City and ihe regulations of the State of
Mi.nnesota, and certifies that all statements made on this application aze complete, true and
correct.
Applicant's Signature: Date: _����
� �'-�-- fl� (�
DATE TIME
CITY OF ORONO �
INSPECTION N CHEDUL
PERMIT NO � y-co rEo r( U
ADDRESS JL l_
OWNER CONTR.
TELEPH E N0. �1 �a' �{—I 3 "-q �1 L�_
� DESC IPTION ��-1'� — t� i 1'�1
� 01 FO ING ANICAL 18 EXCA�//GRADING/FILIING
Q 02 F MING MECHA FINAL 19 LAKESHORE/WETLANDS
� 03 IN 24 URNER/FIREPLACE 34 TREE REMOVAL
Z04 R HOOK-UP 17 SITE INSPECTION
Q 05 4 ER HOOK-UP 06 PROGRESS
� 0 + -SI SEPTIC MAINT. 21 COMPLAINT
Q 07 MO-FIN}i � 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI '' 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU: YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CEATIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION FiEQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContract o te:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice