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Home My WebLink About2013-00818 - plumbing 1 ' CITY OF ORONO * z 0 1 3 - 0 0 8 1 8 * 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2700 SIXTH AVE N PIN : 28-118-23-42-0002 LEGAL DESC : FAZENDIN FOREST : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WA"I"ER SOF�I�,NER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PAID WITH CC# 0597 OWNER STF,PHENSON HOLDINGS LONG LAKE, MN 55356-0177 AGREEMENT AND SWORN STATEMENT Che work for which this permit is issued shall be perfonned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinanccs governing this type o1'work shall be compied with whether or�not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��c-�-�-�� / �_/� �% l �� /3 Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER TI-IAN DESCRIBED ABOVE. 08/19/2013 14:18 FAX 9529335049 CULLIGAN MNTKA �005 �R CI Y USE ONLY /� /,y4�� City of Orono � J3 /� �� /O A Q� P.O.Box 66 Date Recaive • Permit� �(//3 , + oyX;�� 1 2750 Kelley Parkway dp� ( n tH �_ � Crystaf Bay,MN 55323 Approved By: Amount$: �� (952)249-4600 ��o�' CITY OF ORONO—PLUMBING PERMIT (AU Commercial permits must be approved by the Buflding O�cia]or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications witl be reviewed and a perrr�it will be issued within two working days. 2. Permit cards witl be sent by return mail after a review is comp}eted, PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGTN 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. Cail(952)249-4600. (24-48 hour notice required) TYPE OF PERMTT Check All That A 1 �Residential ❑Commercial(Approval Required) �NeW ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need Arior aunroval and may need CUP.(Per Orono City Coda,Chapter 78,Artide IV) Job Site/Owner information: Site Address: a�OV b�~ � '`� Owner: Ma{� ��r��-�q Mailing Address: �;ty: zip: ss s b Home Phone: (�1 a - S��a- y 9 a 5 Alternate Phone: Contractor Information: ��tr,�N ;n�,n-r�R CONDITIONING Contact Person: 6p3C1 CULLIGAN WAY Addre{�4n}gyETONFCA. MN 55345 State Bond#: (952) 933-7200 '�ty; Zip: Expiration Date: Phone: Alternate Phone: _95�-9�3�1 ❑ Insurance—Current: 1 08/19/2013 �4:18 FAX 9529335049 CULLIGAN MNTKA l�006 .,;.:�,;,.. :4'��:��... -��, .�.�.ir'.,..i•i.. >.� ...�.:�:�...:.':'� .:• .�. i..��..:- ....w.' , .... ,:::s:P�[�`T�G�'�' +... ��.:� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TypE FL FL TYPE FL Fi. Water Closet Fioor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener ' Dishwasher W�B�' Sillcocks Miscellaneous ^,j'k;ifn,iac• .��"i%' $rf'�'•�..�„'�.�r4fa �� ,� `� .i;�� 7.V'F�� i•'pe;1"��'��y'e�'�S��It'A-�h�l4�a r+i, :e�:�l��.'S:,,..a �77'�1,..< n;i'x :zi;f!,'�;� ,.j��w,si 5r:j.C:;ry ,.I. •:�' +c: rl;.;y,, 1 .i. ry�. ''�,a•,,,.,y.,K,;.,'k;.r.a:�7wr'�{ �:�;;: L.H r,:4 p��i� .i . ' �'{ � '�.,.., �r �a;Y:�?i, f;y�. 1'� h< .G.�t�� ;t..,�'Y�� r'�.'ri•!Ip�.�+,.'t:;%1,a� L,t�.'�,Fq7 ' - "rt: �,i.,u al;ra �,..�' �a.;�.19. �"�✓� �',g)'w;� Uoi .fi ��!'� �..t i;,/� ` "��' 1.r.;.:.. i'4;+:�'{;�i. �,{,,� .�'.• .Y�. '4�M.L�(�$7j tb{ li�'M}I vl;.. f�:kr 1 �f ��y� h* .�I 1 ,i.(. :�:1��.i•SI•.�,��f:s:l.��?�:µti� �aif'i4.� l..V�li:�::;+`j't�VMi�j�4Ci�"�;i.��i y.i:�.l;�s:i'�y�.�t �j�"�� t��'A.;�ii�,':::';'. ❑ Yes,this section appiies The replacement of a Re idential fixture or appli�that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cos of$500.00 or less;excludin¢the cost of the fixture or appliance:and 3. Is improved,installed or rcplaced by the homeowner or licensed contractor. I Skip next section,if•this applies; Cost of Permit $ 15.00 , State Succharge $ 5•OQ Mail-In Fee(If Applicable) 5 2.00 Total Permit Fee $ i(Permit Fees Continued On Next Page} , 2 08/19/2013 14:19 FAX 9529335049 CULLIGAN MNTKA �J007 r':2" �f'.; "�y�{;..y�' �yy��7{�,}F�.,k {��(�.�,��y� \yy �T1 ^/�� ✓�O.V� .'S�.."6, ,:^�:^:��L••]3/�� -Y+��" :�i`s.!'•"�^'.�j'�tiW;��i!�:��, �� ,�. ,+$':' If above does not apply;follow guidelines below: 1. CONTRACT PRICE �`is 1.25%of contract price with a(Minimum Fee of SS0.00) x,0125$ (contract pnce) (minimum 550.00) 2. STATE SURCHARGE **Add the State Btdg Code Div,Surcharge(Minimum Fee oi$5.00) x.00QS $ t��p��) (minimumS 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ aa •� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including matcriafs,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment, labor or installations are fumished by the owner,tenant or any other parly,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$5.00--whichever is greater. For valuations over$1,000,000 Cail the Building Department at(952)249-4600 for the price. s?�N��y � ,h "�� "f,�",.. _ �t e dF ::r.R;.^� kfl� The undersigned hereby appiies 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. 's Si nature: U� Date: • � ' � Applicant g �; ..,m.s��;: ;.i��,�::: 3 (/� � AT�`�� TIME L� �� CITY OF ORONO CALLED W � / INSPECTION NOTICE SCHEDULED � __� PERMIT NO. ��?/,�! _I,��/� conn LET,�D ADDRESS �7�� ' � �'� �, OWNER TELEPHO NO. �� a��a� CONTRACTOR %� �; DESCRIPTION G� �"/� ��- 7 (�'�I O, � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = MO-FI L ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL LUMBMG I ❑ SEP IQ`FINAL ❑ FOUNDATION/REMOVAL � OWNER/ RACTOR TO MEET Y : t YES_NO v, OMMENTS: � W � � � O a � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. " White Copyllnspec pylSite Notice