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Home My WebLink About2015-00591 - plumbing � r � CITY OF ORONO * Z 0 1 5 - 0 0 5 9 1 * 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3309 CRYSTAL BAY RD PIN : 17-117-23-41-0016 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 001 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 MINNETONKA, MN 55345- TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER SCHMID,DAVID 3309 CRYSTAL BAY 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 specifica[ions,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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion 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 cause. � �� ,� � � l�� /5 Applicant Permitee Signature Date Issue y Signature Date 05/1a�2015 12:24 FAX 9529aa5049 CULLIGAN hiNTKA C�002 � � ` � FOR CITY 1USE ON�.Y , ' 0 City of Orono �� P.O.Box 66 Date Rccei��ed: °crmit#{ �d . � } 2750 Kelley Paii;wxy °r+r.� `�"Z��'L � Gyscal Bay,MN 553.3 Approved By= Amounl�: `� ' ��;� e'J (952)245�600 _ i ��'�f ��,�r� C�TY O�'ORONO--PLC�"1�'IEING�ERNf�T (All Gommcrcial permiu must be approvcd by the Bullding Official or inspector) GENERAL ZNFORMATI�N 1, You may apply for plumbing permits by mail or in person at the City ofl5ces. Applications will be reviewed and a permit will be issucd within two working days. �. Pcrmit cards will bc sent by retum mail after a review is compleied. PERMITS ARE NOT VALT�UNTIL YOU 1ZECEIVE A PERMIT. WORK:YIiJS'�"tiOT BECIN CJNTIL TkIF P�R'vIIT CARD x5�'OSTED ON TFiE JO�ST7'E. 3. Plumbing pennits may be issued OTTi,Y to licensed plumbing contractors and to property owners residing in the dwclling. 4. When any new constructlon or remodeling is involved, a scpeTNLe building pertnit must be obtained. �. A31 work must be donc in accordance with Statc Code requiremenrs. 6. All work must be inspected and sir tested before it is covercd. Call (952)249-4600. (24-48 6our notice required) TYPE aF PExMYT Chec�C All That A 1 �Residential ❑ Commercial(Approval Kequired) �New ❑Additional ❑Repairs ❑E�eplace ❑ In Accessory Structure? *You will nccd nrior auaro'val and may need CUP.(Per Oiono City Code, GhapLer 78,Articic fV) 7ob Site/Owner Information: Site Address: _ -3J� �� tiS�O'� ��'`J � Owner:�,�G. C` � ► b p� �� Mailing Address: c;�: zip: ss39 � I-�ome Phone: �f`f J - �a g -� 6�,3 Alternate Phone: Contractor Information; Contractor: Contact Person: ��W11�,TER CCJfVD11�lON1�iG gtate Sond �r: so�o G�t �l��E�p�BKR, 6VIN 55345 . ""', �952� r",,,s�-�'�_ 7�p: ExpirationDate: �hone: Alternate nhone: _��o�- �!a • �311 ❑ Insurance—Current: 1 05/13�2015 1,2:24 Fal 9529�35049 CULLIGAN MNTKA C�00� . � � , ,.,,,��:�,,, � , �, E T,�;�E'D,. �� ,; � •�,� � 4 P�'lJ'�1�51��-F1.'�TT�R�S"'� �TG��NS �IXTUK� H5M7 1 2 OTH�R F[XTURE BSMT 1 2 OTHER TYPE FL FL TYP� FL FL W ater Closet Floor Drains � Lxvatqry Sewer EjeCtor � BaChtub Laundry Tray Showcr W asher K,itchen 5lflk Watcr Heater �isposal Watcr 5ofrener � bishw�sher Wct Bar 5illcocks Miscellaneous .� � .�� ..M1.,�,...,,,�i�Yf`m„•.7��,. �.; �il��. �7y�;�:. "L��J,i. �}., I, ', ,�/p'��.�7)N"'�j y��,7 .nr.�.�1�,7� �,.:r„'a-�51��,a,�Lif,�;l'1:; (ii1(��;y'/�� ri"y � � r�III� l'�., I� � r I��Zl.1��.L7EE c�L.��Y`1��1.r1`l�S� r n� �' f.i. i i y 6 t i � '` r ',�i-. .�: ^�''1 �' Y � i i rl �'r � � �r'° b`� �� ,.' ' �. ,,`BA;�ED O�'F _.2�b�s ��f�xE STAT�.:� � � a ��;^,� � � ��,,�. , , ,,�_. � ❑ YcS,ihis section applies 7'he r�plscement of s Residential fixture or a ]iance that mects all three of the following rcqqil'ements� 1. Does not require modi�ication lo electrical or gas service. 2. �Sas a total cost o�$�00.00 or less;excludin�the cost of the�xture or appliance:and 3. Is improved,installcd or replaccd by the homeowner or licensed eontr�actor. Skip next soction,ifthis applies; Cost of Permit $ 1_� $tatc Surcharge $ 5.00 Mail-In Fee(IfApplicable) $ 2,QQ Total�'ermit Fee � (permit Fees Continued On Nex�t Page) 2 05/13/2015 12:25 F�X 95293�5049 CULLIGAN MNTKA �004 , , � . ;�,.d�'I��P��if�{�. ��7 ��L�I'i�v�i�v li�+rw�C�l'.V�nY'k��'�JJ�„1 J ! i � i / �,i�'' ( 1 ;i�.• ,5 `,1��8'.5��'�Q�+��.��:Q� r If above does not apply;fofIow guidclines below: ` ' 1. CONTR.4C7"1'RICE *is 1.25%of contrftCt price�vlth a(Minimum Fec of$50.00) x.0125� (CUn[Tac�pric�) (minimum$50.D0) 2, STATE SCJRCAARGE ** Add thc State Bldg Code Div.Surcharge(NZiniroum Fec oT55.00) x.0005 $ (con�ract pricc) (minimum 5 5.00) 3. P05TAGE&HANDLING(Qnly on Mail-In ApplicaYions) $ 2.00 ct. TOTA►1�PERMTT FEE(Add Lincs 1-3 Abave) $_ � �' �p ■ �` CONTRACT PRICE or JOB COST means the actual or estimatcd dollar amount charged for thc permitted work including materials, labor,profli,a��d other fixed cosu. Jt is the amounc to be charged tp the customer for�he work done. If any material, equipment, Iabor or instAflations 3re fumished by the owner,tenant or any other party, thc reasonable market value of such items must he added to the estimated cost oC Contract pi'lce for pe�mit fcc purposes. In the evenS that therc is a dispute on the amount of the job cost,the Giiy may requ�st the submission of a signed copy of the aetival contraet. ■ **The S7'ATE SURCHARGE is.0005 of the contract prico under$1,000,000 or$5.00—whichever is greater. �or valuptions ovcr$1,000,000 call thc Building Dcpar[ment at(9�2)249-4600 for tlte price. ,. m1�"�5e� ' �., ��,"�'.:�i'�- ;..'.. . � I;q��,'r-..R''.i�w '�.,r;' ,��l,��,y�',; �i�;(i-.�};a�;'r,'r,�., ,_-A,� � ' ''°{' '4 i'.4 1.;'', ,a�a:, �, ��,�r_,o�;.,�a;��,,7��,��,�� 1�1,��`E�IT'AEp�7�AT.T(�1�T��'�ME°� r`" � ��, �� .�— ,. „a .:��..�� 'l�i, i The undersigried hereby applies to the City for issuance of a Plumbing PernZit, agrees To do all wozk in strict aceordance with the ordinances of ti�e City and the regulations of the State of . Minnesota, and cenifies that a[I statements marle on this application are complete, true and correct. A.pplicant's SignAture: Date: �- �� ^� ��..,��.��i�E�y,��g•,�;��,�,��r•;.��i ,.kles;e�;r�orr�t;• ��,r,�r+l�..;;,,,i„�,.;,s�,,��;r.a 7.:� , 3 I� � �' /� � L� TE� TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED — —L 3: �O PERMIT NO. �0�S-�� COMPLETED ADDRESS ��g � OWNER �ELEPHONE l � y-� 3 CONTRACTOR � DESCRIPTION�� l� ❑ FOOTING � � ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL / ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 3 PROCEED I UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h in advan ( 2) 249-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's Flle Canary CopylSite Notice