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Home My WebLink About2014-00291 - plumbing CITY OF ORONO * 2 0 1 4 — 0 0 2 9 1 * 2750 KELLEY PARKWAY nATE issuEn: 04/08/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2598 CASCO POINT RD PIN : 20-117-23-21-0035 LEGAL DESC : NAVARRE WOODS : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTiON TYPE : FIXTURE NOTE: WATER SOFTGNI�R APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCIIARGE PLBG (<$500) 5.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-1N FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER FITZGERALD, PATRICK & PAMELA 2598 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�he work Cor which this permit is issued shall be performed according to die approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of ]80 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � ^ � �� 8 Applicant Permitee Signature Date ' Issue By Signature Date 04/07/2014 14:15 FAX 9529335049 CULLIGAN MNTKA C�005 Ci Y SE ONLY ^ �'p�\ City of Orono '7 �� , O\. P O.Box 66 Date Receiv . / Permii# ��-' � �� ,;,;,,, � 2750 Kelley Parkway ��,� �}�' '' �1 CrystAl Bay,MN 55323 Approved By: Amount$, �O�• ��,�� (952)249-4600 �-._� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by tha Building Ofticial or Inspector) GENERAL INFpRMATION 1, You may apply for plumbing permits by mail or in person at the City offices. Applications witl 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 RECEIVB A PERMIT, WORK MUST NOT BEGIN UNTIL THE PERMIT CARb IS POSTED ON'CHE 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, All work must be done in accordance with State Code requirements. 6, A11 work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercie](Approval Required) ��N��' ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? �`You will need rior a roval and may need CUP.(Per Orono Ciry Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: a 5�$ CaS cp � R Owner: Q� ��-�Zq�� Mai]ingAddress: �'ty� Z�p: S53 9 I Home Phone: _ 95 a - S$ 3— l U 4 � Alternate Phone: Contractor Information: Contractor: Contact Person: ��y CULLICAN WATER CONDITIONING �— Addr�3G CULL.IGAN WAv State Bond #; MlNNETOI�KA, 11�N 55345 � City: (952} 933-7200 Zip: Expiration Date: Phone: Alternate Phone: �5�- `j 1�-� I 7 � ❑ Insurance–Current: I . 04/07/2014 14: 16 FAX 9529335049 CULLIGAN MNTKA �006 � " ;PLi�3 �.. L� IN.: � , TLIRES-°BEIl�I�r.I�iS`'t',�L�E FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE t'L 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 �`'" � �'E�'h�T��'�E " ��, s � '�fiJIIA;TTt7Iv`(S) �f , °4 , ,� � `` '�AS�ia��F=20t�� `TAfiE S�'.AT(.1� ;��,'' u tx� '�` ❑ Yes,this section applies The replacement of a Residential fixture or a liance that meets sil three 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. [s improved, installed or replaced by the 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 Tota!Permit Fee $ (Permit Fees Continued On Next Page) 2 0,4/�7/2014 14:16 FAX 9529335049 CULLIGAN MNTKA C�007 � �.� �";? , � , � � . _`1'E�v1I'�'FEE CAI;CULA.�'Z+C�N'S"':','J'�BS,bV�R$�40:p(�', , `�`: If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is].25%of contract price with a(Minimum Fee of$Sp.00) x.0125$ (contract price) (minimum$50.00) Z. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55.60) x.0005 $ (contract price) (minimum$ 5A0) 3. POSTAGE&HANDLIIYG(Only on Mail-In Applications} $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ �� ,p� ■ * CONTRACT PRICE or JOB COST means the actual or estimatcd dollar amount charged for the permitted work includ•ing matcrials, labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, Iabor or instaliations are furnished by the owner, tanant 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 requcst the submission of a signed copy of the actual contract. ■ **The STATE SUl2CHARGB is.0005 of the conlract price under$1,000,000 or$5.00—whichaver is greater. For valuations over$1,Q00,000 call the Building Department at(952)249-4600 for the price. ,�. '��N°, � ,'� ,�� ' � .� ` � _ :��,� {� � 'x.�r 7 ,A�.��.�:�_T�" �& �,u �� "�' �' u.,,=:Aat�i',�s�4u�un.,!S-��'�.C;i,a 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 regnlations of the State of Minnesota, and certifies that all statements made on this apptication are complete, true and correct. � Applicant's Signature: g ' Date:�- � - ( ��_. r4�� +' �� r1� �r �: ��;. _��,�,; 3 � DATE TIME v CITY OF ORONO CALLED IN /7�� INSPECTION NOTIC SCHEDULED � PERMIT NO. � 29� COMPLETED ADDRESS �`J �S �C'�f,D�'t� �� ,C�rY OWNER ��►2'�!� ��LEPHONE NO. �� JIOCt, CONTRACTOR �{.�{��/'� �, . � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP T ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a �ii- G.�n �/`GS.�••�sZ'�C] � � 0 � 6�r k ti�earS C'Ov✓i d/�-� � 0 � W � Q � 0 e/n� .� �'irl�lr�� 2 W � W � J O W� ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE C RTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUEO ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� Ownerl ntractor on site: ��r�G� �, Inspector. �1 l VV�� White Copyllnspector's Ffle Canary CopylSite Notice