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Home My WebLink About2013-00817 - plumbing ' CITY OF ORONO * 2 0 1 3 — 0 0 S 1 7 * 2750 KELLEY PARKWAY paTE [Ss��n: 08/19/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2184 SHADYWOOD RD PIN : 17-117-23-42-0008 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT Ol6 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NO"I'E: WA"TER SOF"TENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG (<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PA1D WITH CC# 0597 OWNER JOHNSEN& JULIE ANDREWS,ANDREWS 2184 SHADYWOOD RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. "Chis permit is for only the work described and does not grant permission for additional or related work wl�ich requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become mill and void ifconstruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � �� / � ./� � /�i ,�' Ap ip canC Permitee Signa Date Issue y Signature � Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 08/19/2013 14:17 FAX 9529335049 ____ CULLIGAN MNTKA f�002 �R ITY USE ONLY Ci of Orono �{ /��,��``� ty Date Receivcd/ Permit#�� / �' `�` \ P.O,Hox 66 - !�d` �\ 2750 kelley Parkway r„ Amount$:� ��l�, �'f �� Crystal Bay,MN 55323 Approved By: \\��/ (952)249-4600 � CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Of�icial or Inspector) GENERAL INFORMATION 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 after a review is completed. PERMITS ARE NOT VAI,ID UNTIL YOU RECEtVE A PERMIT. WORK MUST NO'P BECIN 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. Ail work must be done in accordance with State Code requirements, 6. Al!work must be inspected and air tested before it is covered. Call(952)249-4b00, (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) �NeW ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: _ a��' S��t�4 W ooc� � Owner: ��c.� �t^��-r Mailing Address: Z�p: ss 3 � 1 c�ri: - Home Phone: b1a- a39" aS b� Alternate Phone: Contractor Information: Contractor: Contact Person: CULLIGAIV WATER CONDITIONING Addre�A30 CULLIUAN WAY State Bond#: MINNETONKA, 11�N 55345 City: �°��) �33-7240 Zlp; Expiration Date: Phone: Alternate Phone: 95 a- 9 I a, •73 {1 ❑ Insurance-Current: 1 08/19/2013 14:18 FAX 9529335049 CULLIGAN MNTBA 1�003 _. � � �....�..: .,.. , .,...:: ... ... . .. . : �� •..:,..,;r�::.:. . ;r;' ;r...- ,'r;, ,. � ';. - .: ,.. W;.�T. _ ,. . . ..:�. ,� . . ....... . .:. . : ��'.C�� , . . 'BE FD(TURE BSMT 1 2 OTHER FiXTURE BSMT 1 2 OTHER Typg FI. FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener � Dishwasher W�B� 5�� Miscellaneous ��`r�,� .�•� ^�r.:n* ;iy _ ,.a;. , '.� :r:.,'i' :..�:•`,'ti«i'rr;��'1, i.� _F�:i'."uty.?'�. '1�?r`a�..`:'a::?+:i. 'in5'+at� �'� ,i`i;.p,.,^?C•,, ,.,.Li,4;,.•.7s,; .5�:,'�, �j • i��.ft .•f. a ,� i. d'� 4� } :, c�i..� -iv ' .. �.,:;�i.�,j,��=•; �.i.Pr� ��;�„1ri, .i.'i{�;��:n�4. � � .!faF�iCYn}�fA..�... l.�....`„t S.. I {,�o.. � �ii �,,r �,'u.�. �:c�.r`Y J.i�S'�, Y" ,i�f+P''""`',�'�i:�;,4"i�i"a`�'i P.��:r�1r�yd++II��:'��i°�,.'J�;:. `a•i`n.Ki'��f':i�.1�. .^yYa.:4:+.,4. ' S 4'� d�'•c.� ��d i: a ��/ ,y ,t t�»• ,s'' s � .��., !�.:.,:9{�. ��II;N`7h}`f L y� •�� :I::l�: �Y:,� 't{ � .Y. �.� ,� :��'�� hfc^l�P�'x�.,.F4s�.�:i:..v .�f.w'4��"��i1��=•,'a5 ;,t�iy,l7qSt��]i� ��I��rr..::,—.��,F.•d:: !iti;fyh^:�R��c. •F`.�� ]7. .��'[.;e� t��... '1i:�.i: I�: r ...,�n«:r, �...�.: , .;t.' ... •:.. ,. ..��.. , ._.:•:'. ❑ Yes,this section applies The replacement of a Residential fixture or apaliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total co of$500.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,instalted or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $_ 15.Q0 State Surcharge $ 5.60 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee � (Permit Fees Contioued On Next Page) 2 08/19;2013 14:18 FAX 9529335049 CULLIGAN MNTKA [�004 , 11 .....k.,...:�_w•. ,.:_ •;�y.,�:•,�• ''+� .. ��., .,..:.....+� ,..r,rr'- �i�,., nSi��:�.' R ' �� ^!' t� �::.';....�:�-:.�:.::..........�" ".. � ' _ .�... �y � . . � . ..� . "v" . ,.. .. �� . ... ..'\��.`1:� �• 4! If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimnm Fee of 550.00) x,0125$ {wntract prica) (minimum ESO.OU) 2, STATE SURCHARGE '`*Add the State Bldg Code Div.Surcharge(Minimum Fee of SS.00) x.0005 $ (conuacc price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,00 4. TOTAI,PERMIT F'EE(Add Lines 1-3 Above) $ �'�U ■ * CONTRACT PRICE or JOB COST means the actual or estimated doUar amount cfiarged for the permitted work including materiafs,labor,proflt,and other t"ixed costs. it is the amount to be charged to the customer for the work done. If any material,equipment, labor or installations are furnished by the owner,tenant or any other parry,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,OQ0 or$5,00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. ��;µ:, �., c. � `6 '� .e(r.� � �.:a.1 The undersigned hereby applies 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 appiication are complete, true and correct. Applicant's Signature: �J Date: �' 1� - �� t; �� :<?��, .f., ".I.�i�!�4;: 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �d3 ' �Q �� COMPLETED oZ"'��'� ADDRESS a?��.5� Srr��.�/oc� /C�� OWNER TELEPHONE NO. CONTRACTOR �'� /��•-� �� rcc� � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �AL ❑ WATER HOOK-UP �Q�LOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � �/W� /Io��e✓ 7'4.�e� � C-t �� *'K�L /KS�t�t�o �. � t � �tS l�11t� /Ib�1�1� - W � Q W ��C',��5� c�/[ roHU G�`,r,7,�%�' W .r�-�+��i�� l��na G i�t L.,P�<a.., o r � � � ,,�,�f�C ��e��o�� _ a W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK a PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED �.tpISeG6filON REQUIRED.CALL TO ARRANGE ACCESS. ,/ Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector:�� ' Whits CopyAnspecto�'a Flle Canary CopylSfte Notke 1 - � /` TE TIM�/ CITY OF ORONO �' CALLED IN '7 — .V INSPECTION N CHEDULED - - �»� PERMIT NO. �. nnP��r � ADDRESS � OWNER � •TEL P E O -3 �� CONTRACTOR G�%'W�- � DESCRIPTION �v ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v • - FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � � - Wa C/► r CJ4�Q /,�✓�OD l�7�� . � J O , � �r K C'o i,,,ple� � 0 � W � Q � 2 � �g�� -�-�/¢�_ W � J W ❑WORKSATISFACTORY:PROCEED FiOJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. or the next inspection 24 hoors in advance. (952� 249-4600 nerlC ctoron site: /�'( °�� Inspector. � /� t White Copyllnspector's File Canary CopylSfte Notice