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Home My WebLink About2011-01464 - plumbing . � CITY OF ORONO PERMIT NO.: 2011-01464 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 1U22/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2868 CASCO POINT RD PIN : 20-117-23-31-0067 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: REPLACE WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 6030 CULL[GAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 �9s2>912-�3�9 TOTaL 22.00 PAID WITH CC# 0597 OWNER LINDGREN, EVERETT 2868 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cau e. ��i��..�.� �� a� � i (� ��- i i � � � Applicant Permitee Signature Date Issue �By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 11/21/2�J11 16:23 FAX 9529335049 CULLIGAN MNTKA C�002 FO I7'Y 1JSE ONLY ,�""""-"°�, City of Orono �/ !/ %�'�� P.O.Box b6 Date Received: 7/ Permit� �D//— �7 �' i��,�T, �\ 2750 Kelley Parkway �4a� �S'� r �'J� Crystai Hay,MN 55323 Approved By: Amount$: `� `�� Z'� t�"��?�,��C'�� (952)249-4600 \` � CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must 6e approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pertnits 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 VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 1S POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properry owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building pem►it must be obtained. 5. All work must be done in accordanea 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) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) �f New ❑Additional ❑Repairs ❑ Replace /� ❑ In Accessory Structure? *You will need prior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article 1V) Job Site/Owner Information: Site Address: aB�g �� r� KQ Owner: �f�� Qu��''`1�✓ Mailing Address: c��y: zip: �53q I Home Phone: `163-�`1b3-59� _U_ Altemate Phone: Contractor Information: �'UT�f��rj�p Contact Person: �� so3o cU�,�rGA�NDITION�NG p��-�� W State Bond#: �. , (952) 933-7200 �345 City: Zip: Expiration Date: Phone: Alternate Phone; 95�-9�a- �3�� ❑ Insurance-Current: 1 ll/21/�011 16:23 FAX 9529335049 CULLIGAN MNTKA C�003 ; :;.: �. , .. . , ,.. ... :..::� ��i�;nJ��ilx�s B�n�G:T�rs��r::L��; ;7. FIXTURE BSMT ] 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL 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 t��t�1f,y,j�S.{+�''S'r *�i'�x 1 ji{trE^Li(�s� �� ..0 ��,l.y.A✓L V ' �l.a�� +'h ' i af rvx % ' t 'tr i +� ct li v3 zF� i .fi ^ tl �t �.'. �� ,i� t ii �� n i�i � 5 rr�M'"�,�+1 k�YL y i �,��57� K�r m'��..�`�jl�r�lkV"1�.��_�' i �,, .F�" ' 3 '7Cn�!.��,hr t /�ci �(°�I4p4v4 �l �k -iM3� �� 'f,�cs�� N h. ,ai�l� ��5', . !'.ri:�r:�':� i'i,�.��.J�+�.�." ^ '.:'ti,� .r�� i",[1x ��V�,rla��'(�-�" ,..cc ,,.�a ?L-i,l=� "�, ,,,��n7v` , '4< �':�+ ❑ Yes,this section applies The replacement of a Residential fixture or apnliance that meets all 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;excluding the cost of the fixture or appliance: and 3. Is improved,insta[led or replaced by thc homeowner or licensed contractor. Skip next Section,if this appiies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(lf Applicable) $ 2.00 Total Permit Fee S (Permit Fees Continued On Next Page) 2 ll/2.1/2�d111 16:24 FAX 9529335049 CULLIGAN MNTKA C�004 • _... . .. . .�=: .:,..... _ ,,.P��.�,��;`c�cc�;a�co�r s ��:-:roB�avER:��:oa:on,.;; ';;?= ; , . . Tf above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00) x.0125 $ (contract priee) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div, 5urcharge(Minimum Fee of 55.00) x.0005 $ (contract price) (minimum S 5.00) 3. POSTAGE&HANDGING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � 010� . 0� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,a�d other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are fumished by the owner,tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for per►nit fee purposes. In the event that there is a dispute on the amount of the job cost, the Ciiy may request the submission of a signed copy of the actual contract. • **The STATE SURCHARGE is .Q005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. y u J . b' . . �... �. .,l' (�"1. A t� yn 4� u:i i. 1 � �,, � �a.'; i. 1, ti;i:' �S r �'k: �'� r�i�t� � �� ' ;�;1 i ��i� 4.l 'u�"'�a� � i '° -�n� ;,}'i� y .n �d �,•�ts�?j'..a�'.'it��.�j'r � �. �`.� +, 4'�J ',,, �� .,�.: � :�, .s ,� ,s� ,��..ti� ,i;,... 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 5tate of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's 5ignature: Date: �� ' �f� - �� dh P Rese�t Fi�irm"' 3 C, —` O ;�� ATE TIME V CITY OF ORONO C LLED IN /� �� INSPECTION N TICE / CHEDULED / •� PERMIT NO. �L — dl co LETED ADDRESS J�G�-� OWNER F�LEP ON NO. S��6D CONTRACTOR �u — �� >; DESCRIPTION �(�"JL � � � ❑ FOOTING ❑ PLUMBING FINAI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 �Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice