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Home My WebLink About2014-00476 (plumbing) . CITY OF ORONO * z 0 1 4 - 0 0 4 7 6 * 275Q KELLEY PARKWAY DATE ISSUED: OS/19/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3500 BAYSIDE RD PIN : OS-117-23-13-0015 LEGAL DESC : AUDITOR'S SUBD. NO. 203 : LOT 024 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NO"[�E: W�"fI;R SOFTF,NF,R 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 MINNETONKA, MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER BANGERT, MR. & MRS. 3500 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work Cor 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 not grant permission tbr additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hercin.'I'his 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 aiter work has commenced. (he applicant is responsible for assuring all required inspec[ions are requested in contbrmance with the State Building Code.This permit may be revoked at any time for due cause. �3��fl�-i�� /9 � /'S� Applicant Permitee Sign re Date Issued y Signature Uate � 05/19/2014 14: 13 9529127394 CULLIGAN HR PAGE 02/04 F CTT U5E pNLY <ss�p�� CityofOrono /r�a Q�� P.0 Rox 66 Darc Rece � cnnil�� :n , 2750 Kclfey Parkway �� '��t�;� tJ Crystal Bay,MN$$323 Approvcd By; Amount� ��j� ��.�.L�'� (95z)Za9.466tl ��"-`� ,��.,.�,�, •.,��_,� C�TY O�'OR�NQ—PLUMBING PERMIT (All Commerc;al permiu must bc epproved by ehc Ruilding O�cial ar[nspccmr) GENERAL IN�'ORMATION l. You mt�y apply for plumbing permi#s by mail or in pers�n at Chc City officcs. �lpplications will be rcviewed and a permit will be issued within t��vo working days. 2. Ae�rmit cards wil]be sent.by retur�mai!after a rcvicw is cotttpleted, P�RMIT$A.RE NbT V�1„TD UTiT[L YOU REC�IVE A P�R'VfIT. �[�pRK MUST NOT B�GIN UNTYI,THE PERMIT CAR�IS PpS7'ED ON T'X•IE JOS SY'X'�, 3. plumbing permit�r�ay be is�ued ONLY to liccnsed plumbing contract�rs and to property oruners residing in chc dwelling. 4. WhCn any new Construc[ion or rempdeling is involved,a sepaa'at'c building pCrmii musi be obtained. 5, All work must b�done in aCoordQ�ncc with State Code requiremCnts, 6. AIl work must be inspected and air tested before it is coverad. Ca11{952)249-4600. (24-45 hour notice requG�red) r�E or P�xn�rzr Check All That�4 ly �RCsidential ❑Cornmercia](Approval Required) �New �Additional ❑Rep�irs ❑Replace ❑ In ACC@SSOYy St�'UCiUYC? *You well nqed prior apnl'oval and may need�UP,(PCr Orono City Code,Chtspter 78, A,t-licle iV} Job Site/pwner Information: Site Address: ��r,r-�Op &��j R� _ , Owner: �V�a ��r��' Mailing Address: __ _ � City: �i�; �535� Horx�e Ph�ne: q5a-�5�, - 333� Aiternate �hone: ContraCtor information: Caratractor: Contact Person: � Ct,►��t�r`��:1111AT�A! CC�}1�fDITIONINC3 Stace Bond�: soso G�� ,NN�TO�JKA, MN 5�345�ip: ��paxatian Datc: (952) Phone: /1lternate Phane; - g� .�,�� ❑ In surance—Current; I e5/19/2014 14: 13 9529127394 CULLIGAN HR PAGE 03/04 , ; . , , 1�I;�t�I�TB1N'C��'T�'MJ�'��E��7'�INS�',1��;�;�.1� rIXTURE BSM� I 2 QTl-CER FIXTURE BSMT t' 2 OTHF,R 7'YPE FL Fl. TYPB �L FL WRter Closet Floor p�rsins Lavatory SCwer�jeCtor Bathtub Lal.mdry Tray Shqwei Washer };itchen Sir1k Water Hcater Uisposal Water Softtner Dishwttsher Wct Bar � Sillcvcks Misccllaneous 1�2�n'�r��I�i��a�i��! �1i��I 1�II A� Mr�f,l 1 i �i !�i g� ,. `I'��l � ��',.� �,,� � ��R:;�cr��G�At:,�' ,, r ,, ,,'�� c�� v i ,i; I I Y .rI�! y � 1 I i i t i i �� !1 a,�y i �+7� c�l. � 1,�� 1 x ,a �h, �l i `4�i�a !,d ��,1{�"� ��i�l�vr�'`i�i;�:,� 'td� �'i 'i� i� ��,;'.[��1"i1.,1�'`{ j��y �` }(.�y� �ry ry�'� "t�'y �� i f�,i r�,—"illi `"'y��r�; �f i F�. ,I � �J��I'��V.✓J��O�l't 1.�" �7��':L��U� � � �t .i;��j�il 1;,,�'1� i I� t��l.l��l y `� �r� ��rl��;,.�. � Yes,tE,is secl'ion applits 7'he repiacemcnt of a Resid,gr�i;iR!fxture or appliancc that mects all thrcc of 2he following requirements� t. Does eot require mndi,ficption to eleCtrical oC gAs serviCC. 2. I-Ias a totn cost of$500.00 or]ess;e c udin the cost of the fixture�r appfiancc:and 3, Is improvcd,instal[ed or rcplaced by the laomeawner or]icenscd�ontractor. Skip nexz section,,ifthis applies; Cost of Permit $ 15.00 State Surcharge g 5 00 Ma.il-In Fee(IrAppliaable) $� 2.Oq Total Permit�'ee $ (Pcrmit Fccs ContSnued On Next Page) 2 05/19/2014 14:13 9529127394 CULLIGAN HR PAGE 04/04 f � ' � r ,�;;PER�nI'�� C.�L�UI..A:7'I�S1� � , , --JO�.S C�''4'E�t��40';UD ITnbovc does noc appfy;Follow guidelines bclow; I. CON ,RAC'�p CE * is ].25°'0 of cor�tract price with a(M;ninn�um�'ee of$5�.00) x .p125$ (cantract pnca) (minimum$SO,DO) 2, STATE SURCtiARC� *"Add th�State Bldg Code Div.5urcharge{M;nim��m Fee oT$5.00} x .Q005 $ (contrsct pricc) (minimum R s.00} � 3. PQSTf1G�&i-iAND�,ING(Only on Mai!-ln Applications} $ 2 p� 4. TOTA�,PERIVII7"FEE(Add Lincs 1-3 Abovc) � �� V� ' �` CON"CRACT PRrCE or JOB COST mcans the actual or estimated dollar s�m�unt charged for the permitt�d work inCl�idin�mateTiAls, labor, profit,�nd athcr fixed costs. It is the amount to be charged to thC cvstome�r for the work done, 1f any material, equipmCnt, f8b�e ot'instaJiations are furnishcd k�y i'h�owner,tenant or any other party,the repsonable mArket v�lue of suckl items must be added �p the esti�ltated cost or contract price for permit fec purposes. In zhc event that there is a tlispqtc on ihe amount of th�job cost, Che City may rec�ucst ihe Submission of a signed copy of the petual eonh�Act. " ** The STA'1'E SLJf�CHARGE is.0005 of thC contract price under$1,QOO,D04 or$5.00�-whichever is grea.ter, For valuations over$1,400.04p calf the Buifding Depar('rnent st(9S2}249-4600 for thc pricc. ��1�'`F��1 �I(�}��f}�;II �ii4"�IN�M � � ' y�� ,rr M � 'n . .. , „ , �� , �� • �'��TIi� ; ' � p� �,�- " r 1V,:�'_1�41��'� ��'r�p�r . ��i�ill'��f'ti�f�� ;ii�.�H �:71. The undersigned hereby applies to the City fvr issu.ance of a Plumbing Perrn;it, agreeS to do al1 work in s�ri�t qecordance with the ordinances of the Ciry and the regulations of the 5tate of Minnesota, and certi�es that ail statemer�ts mad� on this application are �omplete, true and c�rrect. Applicant's Signature; �� ^ f I�ate: n��,�� ni :;;<<,�i:, i 3 � � / ' — � �� DATE TIME � CITY OF ORONO CALLED IN � 7_�____ INSPECTION N TIC ,/ /�SCHEDULED — PERMIT NO. ��f��rC PLETED ADDRE 0�-- OWNE HONE NO. �5.�-�75 ��`� CONTRACTOR � DESCRIPTION w `/��C�-' � � O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI j ❑ LAKESHORENVETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUM8ING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � J d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ Call for the next inspection 24 hours in advance. (g52 249 � OwnerfContractor on site: Inspector. White Copyllnspector's File anary CopylSite Notiee