Loading...
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 , , F Cl S�ONLY D � 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 ` . I ��� '.�, . �:;" � '��'�T�;�'LT11+�B'Ily�,�'L�'L��`���1'G..A�ST�'�`Y:�D'.,` ��;,.�'� ;,;�. 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 ��� � t � +�,eZ��°� e F f "n;d�ai'r . i � �a ,�c u �:, �,y �,,� �y I�( �'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��� { '�7 ����`M �'l�d"_h dP�� i USti'•�� i � n.�ih. � .,,� ��, �✓,i���7 d ���• 7� .�1� 1 4—•�C A Y' h f,�P' .� , i'4 ,�{�;�yrd� �'; '� 13� N,�. t;� �+f�' a, � W �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 � . i 09/29/2014 13:1a FA% 9529aa5049 CULLIGAN MNTRA 1�004 . � � . 1 ;,���;�.,�����' - „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. �.M � � J � ;Yr,�b� "�`�{ '; "" ; � uki, '�:. 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• - � _► �'.�e1V�9� . ��KC:m 3 � . i i i i l �`✓t/ p TIME � 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: � � � � O �. o� O W � Q � W � W � J W ❑WORK SATISFACTORY:PROCEED P OJ ECT COMPLETE � ❑CORRECT WORK 8 PROCEED UE CERTIFICATE OF OCCUPANCY W 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