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Home My WebLink About2014-00086 - plumbing CITY OF ORONO * 2 0 1 4 - 0 0 PJ 8 6 * f 2750 KELLEY PARKWAY DATE ISSUED: OU28/2014 r ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1261 BRIAR ST PIN : 10-117-23-31-0042 LEGAL DESC : CRYSTAL BAY MINNETONKA : LOT 000 BLOCK 003 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG (<$500) 5.00 CULLIGAN SOFT WATER SERVICE CO. MA[L-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER PRINTUP, GARY& LINDA P.O. BOX 104 CRYSTAL BAY, MN 55323- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned accordin�to [he approved plans and specifica[ions,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant pennission fbr addi[ional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pennit may be revoked at any time for due cause. `�i��.��1. `/� T `— l l Applicant Permitee Signature Date Issue�gnature Date O1/28/2014 12:57 FAX 9529335049 CULLIGAN MNTKA C�002 . ' ��, FOR CTTY USE ONLY ry p� City oT Orona %O�' Q P.O.Box 66 Date Rceeived: Permit tt ( ,;;,�., � 2750 Kelley Parkway +'1 i�"��z n• _ Crystal Bay,MN 55323 Approved Ay: Amount$: ,� ��:��-� �' �� ,w��o/ (952)249-4600 �L� CITY OF ORQNO—PLUMBING PERMIT (Ali Commercial permits must be approved 6y the Building Officia!or Inspecror) 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 retum mail afrer a review is completed. PERMITS ARE NOT VALiD LJNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTF,D ON THE JOB SITE 3. Plumbing permits may be issued ONLY to licensed plumbing contraetors 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, 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. (24-48 hour notice required} TYPB OF PERMIT Check All That A I �Residential ❑Commercial(Approval Required} ❑New ❑Additional ❑Repairs �Replace 7� ❑ In Accessory Structure? xYou will need rlor e roval and may need CUP,(Per Orono Ciry Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: I a b I {��o,,r S�' Owner: �i�Yti C"r,�n�C L•.p Mailing Address: c►ri� z�p: 55 3 ai3 Home Phone: _ 95 a--`i 7 S - J I 7 a Aiternate Phone: Contractor Information; Contractor: Contact Person: CULLIGAN WATER CONt�IT10PV1�}G Addre6�130 CU[ �(�A + y}�p�� State Bond #: N11Nl��TUNKA, MN 55345 . City: (952 933-720�(D Zip: F,xpiration Date; Phone: Alternate Phone: �Sa- 91�,- '31� ❑ Insurance—Current: 1 O1/28/2014 12:58 FAX 9529335049 CULLIGAN MNTKA C�003 I ' '��P�,��vl$.�'Q;,��TLT,�t�S BEINQ,YNSTAT�i,ED ' FIXTURE BSMT 1 2 OTHER FIX'I'URE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Scwer Ejector Bathtub Laundry Tray Shower Washer Kitchan Sink Water Heater Disposal Water Softener Dishwasher Wet Bv, ! Sillcocks Misceilaneous r � � � � �1i1\LVl�� '�+�^�^t7� �+7 �-{ r � � i a ;� ,� ,; L=rrtk.�l1L��Q 1-1�LV�� ' � a��.+`n� J�S.y�, '. �� 'ypr�4>l�q i3ASEp 0�`�?' F��0.�1�STAI� STATU:E ` ,�.��k�rt��r r: }x��:: .�ti,�t��: t�; ;�,,: ❑ Yes,this section applies The replacement of a esidential fiacture or appiiance that meets all threa of the following requirements: 1. Does not require modification to electrical or gas service, 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or Iicensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicablc) $ 2,00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 Ol/28/2014 12:58 FAX 9529335049 CULLIGAN MNTKA [�004 � '_ �, �'�R�i1i�'�'��.CA�:C`LT��'A'I'ION�S =J(0BS OVER`�5Q0:00 ` � x �-,. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of�SO.OU) X.oizs$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div, Surcharge(Minimum Fee of 55.00) x.0005 $ (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines I-3 Above) $ a oZ•U(� • "` CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged to tha customer for the work done. If any material, equipment, fabor or installations are fumished by the owner,fenant or any other party, 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$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 ca11 the Building Department at(952)249-4600 for the price. ;4�� .'!'�_'s" �,i�,.rt -�i i. �:�i' s � .� <� _ �}` " � y-�; i . .� � �, �.t� ';vi�� .Gl��i�'r;�kY��'.rl., '� x.;S;yry�' 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 tha 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 Signatura: � Date; �' - � �Z I��e��r`�� __.. ..�.;.. 3 �� _Df�T� TIME �/ CITY OF ORONO CALLED IN �� INSPECTION NOTI E SCHEDULED "S� /d:OD PERMIT NO.d / �-��i� COMPLEfED ADDRESS l � �� / OWNER TELEPHONE NO. 4SZ �7S Z/7Z CONTRACTOR �: DESCRIPTION �� 5�� ❑ FOOTtNG �-PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: a �„- G�� ,ora��r�� - � � 0 '' �� K ca��l�c - � 0 � W � Q � 2 W � W � � J d � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnedC tractor on site: L i�t �- Inspector. w� White Copyllnspector's File Canary CopylSite Notice