HomeMy WebLinkAbout2014-01110 - water softner t � CITY OF ORONO
2750 KELLEY PARKWAY * Z 0 1 4 - 0 1 1 1 0 *
DATE ISSUED: 09/29/2014
ORONO,MN 55356-
952) 249-4600 FAX: (952) 249-4616
ADDRESS : 960 PARTENWOOD RD
PIN : 08-117-23-21-0017
LEGAL DESC : PARTENWOOD 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTNER
NOTE: WATER SOFTENER
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
Equity Inc.
5900 GREEN OAK DRIVE#100
MINNETONKA, MN 55343-
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 sepazate
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.
�WI�K� � / /
Applicant Permitee Signature Date Issue y Signature Date
09/29/2014 13:13 FAX 9529335049 CULLIGAN MNTAA f�002
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� City of Orono � �„ /
�� �� P.O.Boa 6b Date Receiv�d4 Parmi�# �L �� �
��., � z750 Keilcy Patkway
Crystal E¢y,MTd 55323 Approvcd By; AmounL �
������ (952)249�4600
CI'TY O�QRO�VO—PLU�N18X1VG PERMYT
(AI1 Commerci�l permim mus[hC appfOvnd by the BuildlDg OIT'icial ortnspe�tOf)
Cx�NERAL�'�RiVIf�.'Z'XON'
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 af3er a review is completed_ AEIZMITS ARE NOT
Vq�,�[JNTIL YQU RECEIVE A P��MIT, WORYC}VfUST NOT B� JN UNTIL THE
PE1t1v1rT CARD IS POSTED ON TH�,.IpB SITE
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in lhc dwelling.
4. When any new construction or rcmadeling is involved,a separate building permit must be
obtaincd_
5_ All work must be done in accordance with State Code requircmcnts.
6. All work must be inspec[ed and air tested before it is covered. Cell(952)249-460D.
(24-48 hoar notice required)
TYPE OF P��1ViIT
Check All That A 1 )
��esidcntial ❑Commercial(Approval Required)
�1 New ❑Additional ❑Repairs ❑lieplace
I�
❑ In Accessory Structwe?
*You will need rior a roWAl and may need CUP.(Per Qrono City Code,Chapter 78,Article IV)' .
J'ob Site/Owner Znformation:
Site Address: �6(� �ttr-�Prz W OqdJ
pwner: ahe DDOt� h��.�� Maiting Address'
City; Z�p.
Home Phone; Altemate Phone: b! '�189` 6 �.3
ContTSCtor Yn�orii]&tion:
Contractor: Contact person:
Ac4�k�,�raa+N V1►ATER CON0171QNINGStaCe Bond#:
so3o �UL��GAN WAY
C�ty_ MINNE70NKA, MN p�345 Expiration Date:
Phone: Alternate Phone: 15a _�1��
❑ Insuran�ce—Current:
. �
09/29/2014 19:13 FAX 9529aa5049 CULLIGAN MNTKA f�003
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FIXTURE BSMT 1 2 OT[��R FIX1'CJk2E BSMT 1 2 OTHLR
'�� FL FL TYPE �'L FL
WAter Closet Floor 17rains
�v�OrY Sewer Ejector
���b Laundry Tray
Shower Washer
� Kitchen Sink Watcr Heater
Disppsal Water Softener
Dishwasher Wet$ar I
Si]1coGks Miscel laneous
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�'A" �y ,{ .�°'�`*y'S.T ��b �ir4'�Ijj�}�,j�l'��k�; �i � ��'� � n r ° � ''�f�4��'�'�'�'.r�!'��'%.�A�Y4�F'�ry,7"Y�Iy'.�Y''�1 JW� ,7;'!Ik�i���
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�dh %�" `�r��.���t1��'+,4r� �;r,'i�rm'M:� � ��I� � �' � ?��, 'i re��W��; i�xi� ��'�'U �i+�+";';f�''� �'� r,
� �a.,i�i � �.V�M.�SG,:1'�� ���' '�fi�G.����"��iC�,.Y��M��`n,},!� d`IY��I`�,J�F7��11I ,�'V��'t,�.�.I�
A4L b�A� ��fili f9rN�.6.
� Yes,this section applics
The repl8eemcnt of a esidential f XTurc or liance that meets all�ree of thc following requirements:
1, oes not reqpire modification to elec�icsl or gas servieb.
Z. Has a total cost of$500.00 or less;excl., udine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeawner ot 1'leensed contractor.
Skip next secYion,if this applies; Cost of permit $ I S,QO
State Surcharge $�pp
Mail-In Fee(If Applicablc) $ 2.00
Totnf�'ermit Fee $
(Permit�'ccs Continued On Next Page)
2
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09/29/2014 13:1a FA% 9529aa5049 CULLIGAN MNTRA 1�004
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;,���;�.,�����' - „s,w�;.pE�'i,'���A��CI:TI:3i�T�'�1'�T(S�''�T�a'-JOB��Q,���$���00'�`p0`.;���s':'.��r,:�;�''�;��'.�'- �
If above does not apply;follow guidelines bElow:
]. CON'I'RA .T PRICE *is I.25%vf contract price with a(Miniunum Fee of$50.00)
x.0125$
t�n�pri�) (minimum 55D,00)
2. STA1'L�SURCFIAl2GE *Y Add 8te Sta�Bldg Code Div.Surcharge(Minimum Fee of S5.00)
x.0005 �
(conlract price) (minimum S 5.00)
3. POSTAG�&HANpLING(Only on Mail-In App)ications) $ 2_00
4. TqTAL PERMYT FEE(Add Lines 1-3 Above) g �a, ��
' ` CONTRAGT PRiCE or JOB CpST means the actual or estima�ed dollar amount charged for the
permittcd work including materials,la6or,profit,and other fixed costs. it is the amounc to be charged
to the customcr for the'Work done. If sny niaterial, equipment, labor or installations are fumished by
the owner,�enant or any ol'her party,�he roasonable mArket value of such items must be edded tp thc
estimaCed cost or eontract priee for permit fee p�uposes, In the event that there is a disputt on the
amount of the job cost,the City may request[he submission of a signcd copy of the actual contact
■ •r The STATE SURCw1ARGE is_Ob05 of the contract pricc under$1,000,000 or$5.00—whicl�ever is
grcatcr. fior velu�tions over$1,000,000 calI ihe Building Deparhnent at(952)249-4600 for the price.
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The undersigned hereby applies to the City for issuance of a Plvmbing Permit, agrees to do a11
work in striet aecordanee with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are eomplete, true and
correct.
Applicant's Signature; �.J Date• - �
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�'.�e1V�9� . ��KC:m
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CITY OF ORONO CALLED IN
INSPECTION T CE SCHEDULED ��_
PERMIT NO. � COMPLEfED
ADDRESS �-
OWNER TELEPHONE NO. � �"
CONTRACTOR �i�����h �
� DESCRIPTION 0.- �
�
� ❑ FOOTING LUMBING FINAL p EXCAV/GRADING/FILLING
Q ❑ POURED WALL M CHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED P OJ ECT COMPLETE
� ❑CORRECT WORK 8 PROCEED UE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑INSPECTIONREWIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hou in advance ) 249-46��
Owner/Contractor on site:
Inspector: '
White Copyllnspector's File Canary CopylSfte Notice