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Home My WebLink About2011-01093 - plumbing � � CITY OF ORONO PERMIT NO.: 2011-01093 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/20/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2055 SALEM CT PIN . : 27-118-23-34-0008 LEGAL DESC : DICKEY LAKE ADDN : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WATER SOFTENER 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 SODERSTROM ET AL,JEFFREY E 2055 SALEM CT LONG LAKE,MN 55356- 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 after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due caus L Y vLGLC.C-eQJ ( l � l /� �f� OCCJ� `/ Applicant Permitee Signature Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 09/20/2011 14:09 FA% 9529335049 CULLIGAN �NTRA f�002 � � � ��crry vs�ox�.Y O� �Q City of Orono �dOl6/ P.O.Box 66 Date Received: Pertnit# `/�� 2750 Kelley Parkway � �� j� Crystol Bey.MN 55323 Approved 9y, Amount S: �•� '�''�E5� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercia!permits muet be approved by the Building Officisl or inapecwr) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wili be reviewed and a pertnit will be issued within two working days, 2. Permit cards will be sent by retum mail after a review is completed. PERNIITS ARE NOT . VALID UNTIL YOU RECEIVE A PERMTT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD YS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to pmperty owners residing in the dwelling. 4. When any�ew 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. Call(952)249-4600. (Z4-48 hour notice requlred) TYPE OF PERMTT Check All That A 1 �Residenti�l ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You wi11 oeed orior snnroval and may need G'�,�.(Per Orono City Code,Chapter 78,Article IV) 7ob Site/Owner Information: Site Address: ��5.5 sc�`aw� Cl�vaf 1 Owner; Y'r10�(4 SO��S�fow� Mailing Address: city: zip: 55351� Home Phone: 95� - 41 L•4Sa9� Alternate Phone: Contractor Information: Contractor: Contact Person: � CULLlC�AN WATER CONDITIONING Ad�j C�J� State Bond#: M�NNETONKA, MN 55345 � City: (Q52) �pp_ Zip: Expiration Date: Phone: Alternate Phone: 9 s a-9!'oZ- ?317 ❑ Insurance—Current: 1 09/20/2011 14:09 FAX 9529335049 CULLIGAN MNTRA I�003 �M+ I � . - .•PL��TG:�:;�. � _` �S�'$�11�C'ar��ST1k�i��D � • . . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL 7'YPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �� ; ,p '�." ��'r� , . it� '��y�� 1.: • .e. E '� '��1�"^F� '�1`l. 5' �' t: i 7"7:. A 7� a '�x�J1 �: � �r y". n��'i'r�� y � � Yes,this section applies The replacement of a Residential fixture or ag I�that meets all three of the following requiremcnts: l. Does not require modificetion to electrical or gas service. 2, Has a ta c of$500.00 or less; cl ' the cost of the fixture or applience:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. � Skip next section,if this applies; Cost af Permit S 15.00 State Surcharge $ 5.00 Mail-In Fce(If Applicable) $ 2.00 Totel Permit Fee S (Permit Fees Continaed On Next Page) 2 09/20/2011 14:10 FA% 9529335049 CULLIGAN �1VTRA f�004 . . r • �. r. �. ;�: ..,'.p �•'P�:��T.�`. ��1�$S• ��IZ,�'SU�:� .;:.:� ;� If above does not apply;follow guidelines below: l. CONTRAG'T PRiCE * is 1,25%of contract pticc with a(Minimum Fee oi 550.00) x.O125$ (canuact price) (minimum�50.00) 2. STATE SURCBARGE **Add the 5tate Bidg Code Div.Surohatge(Minimum Fee of SS.00) x.0005 $ (convacc pnce) (minimum S s.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S c�a�•�v ■ �' C01V7'RACT PRICE or JOB COST means the actual or estimated dollar amount charged fot the permitted work includin�materials, tabor,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 ovmer,tenant or arry other paRy,the reagonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In tha event thet thore is a dispute on tha amount of the job cost,the City mey request the submission of a signed copy of the actual contract. • **The STATE SURCHARGE is.0005 of the contcact price under S1,000,000 or 55.00—whichever is greater. For valuations over$1,000,000 call the Building Depariment at(952)249-4600 for tbe price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in sfict accordance with tha ordinanees 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. Applicant's Signature: Date: 9 ' � - �� . � � 3 � DAT TIME � CITY OF ORONO CALLED IN lb � INSPECTION NOTICE //�_ 2 SCHEDULED ��-1 -// `� PERMIT N0.��`DL �/LCJ COMPLETED ADDRESS �SJ� ��C��n'l � OWNER ��LI ��OS�I"O7P�L�EPHONE NO.gSZ �7� Z-�l/ CONTRACTOR «�S''t4-n� � DESCRIPTION �tl� C�1�.1 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL tNSPECTOR `� CITATION ISSUED D INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site: Inspector. �,, � /`"� White Copyllnspector's File Canary CopylSite Notice