The URL can be used to link to this page

Home My WebLink About2014-01427 - plumbing CITY OF ORONO * 2 0 1 4 - 0 1 4 2 � ,, � 2750 KELLEY PARKWAY DATE ISSUED: 12/12/2014 ORONO,MN 55356- 952) 249-4600 FAX: (952 249-4616 ADDRESS : 2010 SHORELINE DR PIN : 10-117-23-31-0001 LEGAL DESC : UNPLATTED ]0 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY TOTAL 22.00 MINNETONKA, MN 55345 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER HUDSON-WINER,MICHELLE 2010 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be wmpied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date 12/11/2014 14;a5 FA%_.9529a35049 CLILLIGAN A4NTKA l�j 002 r -, ' FO1Z CITX C15E ONY,Y Q City of Orono D„�xeceived; PermR# �� 0 P.O.Box 66 2750 Kelley Parkway t t Crys[al Bay,MN 55323 Apprnved By, Amo�t$: �� (952)249-4500 CITY OF URONO-PT.�U'MBING P�RMIT (Alt Commercial pern+im must be approved by the Buifding Officiai or Inspec�or) G�rrER.ai.,nvFo�vrariorr 1. 'You may appty for plwmbing permits by mail or in person at the City offices. Applications will bo revicwed aad a pe�rmit will bc issued within two working days. 2. Pcrmit cards wiq be se�by return mail after a review is oompleted. PERMITS A}�.NOT VALID UNTIL YOU REC£TVE A PERMIT. 'VVORK MUST AiOT BEGIN UN7'iL THE PERNXXT LS POSTEA ON THE JO�SI'Y'E. • 3. Plumbing perrnas may be issued ONLY to 3icenscd plumbing contraetors and to property ormers residing in the dwelling. 4. When sc►Y new construction or remodeling is involved,a separatt building permit must be obtained. 5. All work must be done in accordancc witf7 State Code requirements. 6. AA work must be inspectcd and ai�tested b¢fore it is covered. Call(952)249-4600. (Z4-4$hour notice required) T'i'PE OF PEk�MIT Check All That A 1 �Residenrial [,]Commercial(ApprovAl Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure7 � wYou will need Ior6or sAproval and may need CUP.(Pei'OTono City Code,Chapter 78,ArtiCle IV) . rob Site/Owner Information: Site Address: � a�Olb ��"'`� �� Owner: ��c�� W�►�-� Mailing Address: City: Zip: I�ome Phone: `�� ' W`��0'�_�O� Alternate Phone: Contractor Xnformation: Contractor: Contact Person: IWxX CUL�IGAN WATER CaNDIT10N1NG Ad 0 CULI.IGAN WAY State Sond#: M N TQN A, MN 55346 �1�,; (952) 933-7200 Zip: Expiration Date: Phone: _ „ Alternate Phone: Qsd- 9�e�- 7.�1� ❑ Insurance�Current: 1 12/11/2014 14:35 FAg 9529335049 CULLIGAN MNTKA f�OOa ,y�y+ .�,yS �+�� ,,. i I M �) 4sl 7 �}1�� ,��{� � ` �+Y� 1`L'�7��'I,� �'{'�� ,��^1''f:�t ��,'�j.�'q;��.�`';;:�%;��:ti�li"M��It�atYts�h�h�.`'��4�17s� �: 'u'�,��i�yT`�aa, t. .�4+�'i�,� "',t""y�'e.lr;.��.''�� f, FIXTURE BSMT 1 2 OTHER plXTURE �SMT 1 2 OTHER 7yp� FL FL TYPE FL FL Wetet Closet Floor Drsins C,avatory Sewer Ejector $athtub Laundry Tray Shower Washer Kitchen Sink Water Heater pisposal Wster Softener Dishwasher Wct Ber Sillcocks Miscellaneous a e .�PMp J ' � 7.� o iC,� �7y �,.a�1 '" ,/,�r�yy�+ �"�F;�' ''�ry � .� �F�;.,�5�,,'i:yr;�yil�'„' u 6 N Y'er+"1 "`•i�,ayy �1 n¢'�� „�i �; :r; `L 'i�'"�t � 4l i:i".i�"�rv�.e-, ;� a�, '4 ��"�n'��i � wPy� �ll1Nj,;, o�w'�4�JzLi'�Aj k?"^°•Tw(p,bl:C' �r„ � ', �� 'V�V'�7'•r!?.?'•�,i+,�;�: �� W, �P'4•!b r:� 'r!�f".tr,�;� R. ' ��V• VI=A,'� �•o� 1 l�:r ��,,, � �p.y r ..$�n��;,T `l� q -'+7r�i �, C��:n.;��,-1 .. I. , 6 'Y�:i.:".,�y`'.�x ��y,��•':�.i�.� ;i � i �5y�F p 'I !��^�'��{ r(!�'� �p'�� .�' 'jc�a p•�r�'41 �� ''ii'IY�Y"��",.�"r� •�� 1�;1�;; W ��i�. .. r,''�i;l'�'�^9�I"i�;4;t��:�;� d� �'�1°c1'�H'�b�i.;�`.dJ ,��li;:�t ,.r�y��v.��J.+il'Y',��i��F��U�4Y��L+(�'i�d-!;•'47T�+•�ir�"�,f ,i.:� ��i• � �!P',�k+' � � 'Yes,this scction applies 'Y'he replecement of a itesidential fixture or aou iance that meetS sll three of the following requirements: 1_ Docs not reyuire modification to cleetrical or gas servicc. 2. Hes a total co of$500.00 or less;exc udin the cost of the flxR►re or applianae:snd 3. Is lmproved,installed or replaced by the homCowner or liCens�l contractor. • Skip ncxt section,if this applies; Cost of Permit $ 15.00 State S�ch�ge $ 5.09_ Mail-In Fee(Yf Applicablc) $ 2_00 Tatal Perrnit�'ee S (Permit�'ees Continued On Next Page) . 2 12/11/2014 14:35 FA% 9529�a5049 CLTLLIGAN MNTKA �004 ,,�r �+ �� I '�y��r � ,�+ . � +/�/'�'(��,��yy-��e�an.�,'� c�;��, �I '�'i`�7'��1.Za'��. I\i .mi �p�,� C� �� '°ltl��' �� '�,V.Y'�!7�.v`"��Y� lklC.'�i��ti�,�,,�� _,�,�. ti4;� �� a�nV��R,� N7.rtiS,.-"•�, d-:i6`.,, c ,� If above does not appty;follow guidelines below: 1. CON'1'RACT PRIC� *is l25%of Contract pricc with a(MiDimam Fee of$50,00) x.0125 S (contrnct pCiCe) (min�mum 550.00) 2_ 3'I'p'I'E S RCHARGE **Add the State Bldg Code Div_Surcharge(Minimum Fee of 55.00) x.0005 � (con[s�i price) (minimum 5 s.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2•� 4. TOTAI.P�RMTT FEE(Add L.ines 1-3 Above) $_ aa• �v _— ■ + CpN'I'RACI' pRICE or JOB COST means the actual or estimated dollar amount chEtrged for fhe permined work including msterials, labor,profit,and orher fixed costs- It is the amount to be charged to the customer for the work done. If any matcrial, equipment, tabor or installa�tion5 are furnished by the awner,tenant or eny other party,thc reasonable market valuc af sueh items must bo added to the estimated wst or contract price for permit fee p�nposes. In the event that there is a dispute on the amo�u►t of the job cost,the City may request the submission of a signed copy of the actual contract. ■ s�`The STATL'SURCHARGE is.0005 of the contrsat price under 51,000,000 or SS,Oa—whichever is greater. For valuations ovCr S 1,000,000 call the Building X7epartrnent at(952)2a9-4600 for the price_ ,�� ; �,� � �°�;;��. �'�;� ��p�� '"� ��„ �� G��;r`��r�;�,��'..:�w�� ant� �� ,�� ,� �� "'� ��,iY'd,k�� 4.AY.YV��`nr'r�4 r.,n o�; 'The undersigned hereby a.pplies to the City for issuar�ce of a Plumbing Permit, agrees to do all work in striet accordance with the ordinanees of the City and the regula#ions of the State of Minnesota, and certifies that atl statements made on this appIication are complete, true and correct. AppIicanYs Signature: Date: �e�-I�� _ i��,q��,�'�i��, • . 3 DATE TIME✓ CITY OF ORONO ALLED IN / INSPECTION NOTIC,�j SCHEDULED j� -f� >n.'3 C� ' PERMIT NO. o��`D/�a-7 COMPLETED /l_'D� ADDRESS ��J� - OWNE �G � � EPHO E NO.� ' ��r CONTRACTOR �; DESCRIPTION � l� ❑ 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 � ❑ FINAL ❑ WATER HOOK-UP �FOLLOW-UP 4Q! ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a Q`✓ S��4 6� .r�ro v«4d - � J O � G��a F K C'o�n lcf� 0 � W � pe�w,,.'� �� e�e Q � z W � W � j GW ❑WORKSATISFACTORY:PROCEED ��JECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. h-- � White Copyllnspector's File Canary CopylSite Notice