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Home My WebLink About2011-00640 - plumbing � � CITY OF ORONO PERMIT NO.: 2011-00640 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 669 SANDSTONE CIR PIN : 33-118-23-11-0038 LEGAL DESC : STONEBAY : LOT 035 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE 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 O.T. Development,LLC LLC,O.T.DEVELOPMENT, 2670 KELLEY PKWY ORONO,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 approvais,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype 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. ��.c�1�� 7//� l//! � / i /3i / Applicant Permitee gnature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 07/12/2011 13:50 FAX 9529335049 CULLIGAN MNTKA 1�002 w , ' v FO �'�'U9E ONLY 4�� City of Orono 7��,�/ � . /,� � 0 P.O,Box 66 Dece Recoived: �z� Petmit� �//— 0�`7� 2750 Keliey Parkway �///(��/A i � Crystal Bay,MN 55323 Approved By, Amo�mt S:� �,� ' '�� (951)249-4600 •,�arr�pi CITY OF ORONO—PLUMBING PERNIIT (Ap Commercial permits must be approv�by the Building OfFcial or Inspector) GENERAL INFORMATTON 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wiU�be reviewed and a permit will be issued within two working days. 2, Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTYL TFIE PERMIT CARD IS POSTED ON TFIE JOB SITE. 3. Plumbing permits may be issued ONLY w licensed plumbing coniractors and to property owners residing in the dwelling. 4. When any new construction oc remodeling is involved,a separate building permit must be obtained. 5. Alt work must be done in accordance with State Code requirements. 6. All work must be inspected end air tested before it is covcred. Call(952)249-4600. (2A-48 hoar noNce required) TYPE OF PERMIT Check All That A l �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aooroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Infarmation: Site Address: (�� Sav��S to n t C►�� I e Owner: 6�f C"H K�An 4 Mailing Address: city: zip: 5535(� Home Phone: �I a -��9 -ad� Altemate Phone: Contractor Information: Co��tpr�,A • Contact Person: 6030 CULLIGAN VVqy N�NG AddressMlNN 5 State Bond#: � (952) 9�3-720Q Ci�y: � Zip: Expiration Date: Phone: Alternate Phone: 95a- 9 t a - l3 I 7 ❑ Insurance—Current: 1 07/12/2011 13:51 FA% 9529335049 CULLIGAN MNTRA l�003 ��<; :�� '�; . �-.�I�� •�.'T�.'�'',r,:�'L'�.�`T.U.A:L�'��1�r�3�1�T�F�T?' � . . FIXTiJRB BSMT 1 2 OTHER FIXTURE BSMT I 2 OTHER TYPE FL FL TYPE 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 ti'' ' �,k ,�; �� — ;�! ��. � ��t • y trus� ,� �. .� :;:e ��:.k4.�,�:�y�, p : -'.t ,.5�.•w9 'j•��i�i.�' !a . �»' r�� Yes,this section applies , The replacement of a Residential fixture or aogliance that meets ali threc of the following requiremcnts: l. Does not require modification to electrical or gas service. 2. Has a total co of$500.00 or less; xc ud' the cost of the fixture or appliance:and . 3. Is improved,installed or replaced by tho homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S (Permit Fees Continued On Ne�ct Page) 2 07/12/2011 13:51 FA% 9529335049 CULLIGAN MNTRA C�004 � : ;.:`;`. �,:: :;�.:.�,E�1�'.,��.E�.0 _,,=TS�71�'� '`:JO�S�.(�'�.'�R:;�'S�'AA:��=�.,:;��:-r � If above does not apply;follow guidelines below: I. CONTRAGT PRiCE *is 1,25%of contract price with a(Minimum F�oi 550.00) x.0125$ (con0'ect price) (minimum 550.00) 2. ST��'E SURCHARGE **Add the State Bldg Code Div.Sutcharge(Minimum Fa of SS.00) x,0005 � ' (oontract price) (minimum S 5,00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT F'EE(Add Linas 1-3 Above) $_ o�e� •�� ■ '� CONfRAG"T PRICE or JOB COST means the actuat or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chargad to the customer for the work done. If any material, equipment, labor or installations are fumished by the owner,tenant or any other party,the reasonable market value of such items must be added to the . estimated coat or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job eost,the City may request the submission of a signed copy of the actual eontract. • **The STA7'E SURCHARGE is.0005 of the contract price umder$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Deparbnent at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Plumbing Pettnit, agrees to do afl 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 appliaation are complete, true and correct. Applicant's Signature: U Date: �' �c� ' �( ' ,�� ,a.� :J � 3 C� DATE TIME CITY OF ORONO CALLED IN � INSPECTION OTICE SCHEDULED � � PERMIT NO. �o l l—00(0`�O COMPLETED ADDRESS �� OWNER /�"'-�`� /��''�-�' TELEPHONE f�. ��Z�9�`�� CONTRACTOR � DESCRIPTION � �� ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CAL.LTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. 1 / White Copyllnspector's Ffle Canary CopylSite Notice