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Home My WebLink About2012-00228 - plumbing - � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 2 z 8 * DATE ISSUED: 03/27/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 75 CRYSTAL CREEK RD PIN . 33-118-23-33-0003 LEGAL DESC : CRYSTAL CREEK : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATGR SOPTGNGR APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULL[GAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG (<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MA[L-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PA[D WITH CC# 0597 OWNER LARSON, ERIC& PAMELA 75 CRYSTAL CREEK RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed 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 for additional or related work which requires scparate permits. All provisions of laws and ordinances govcrning this type of«ork shall be compied with whether or not speciticd herein.'l his permit will expire and become null and void if consVuction 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 t��r assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. rv�_�,�� , �� , �� ,a�z, � Applicant Permitee Signature Date Issu E3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 03/27/Z012 11:59 FAX 9529335049 CULLIGAN MNTKA 1�002 O C1T USE ONLY O�p�,\ City of Orono �� / perm;c#��/ � 4J�� `�' � P.O.Box 66 Date Receive , r 2750 Kelley Parkway i��;�� Crystal Hay,MN 55323 Approved By: Amount 5:.�� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT " (All Commerciel permits must be approved by the Building Ofliciel or Inspector) 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 issucd within two working days, . 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT ' VALTD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owncrs residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. S. 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) TYPE OF PERMIT �Check All That A 1 � �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need arior a�aroval and may need�.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �5 C��S'�� C,�n�� Owner: PQ� ��S 0 � Mailing Address: City: Zip: 553 S(� Home Phone: 95 a ' `�7 3- ��3� Alternate Phone: Contractor Information: Contractor: Contact Person: t� CULLlGAN WATER CONDITfONING Addr��0 CUL�IGAN WAY State Bond #: MINNETO , , �Ci�,: ` (�J52) 933-7200 .Zip: Expiration Date; • Phone: Alternate Phone: �5 a -`�1 a- ?3 �� . ❑ Insurance—Current: 1 03/27/2012 11:59 FAX 9529335049 CULLIGAN MNTKA 1�003 F r'�L � �� :4„�y ' iA 1�j'�� 4J: �1.� �L'111��Z�L�)��$��'� ;:i;:.;�;;'•""�T' 'y�,�',',;i�t� V-�' }.� �dh,. ,[�.yh,. � :�L" ) r •L« .,�.i sN�..:,o. ,t.. FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER T.YPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewar Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sil Icocks Misceilaneous ri} +� si ��''-ra � cw �kjx t � `r �a y{y'E'� ',�`'�.g�,fi�,+�� r�kPY�NI�y+.l�S�btr�.�'� rv,, a}P,�"!1-)p;2h't� l'`'{� ��a � 1 a �' { i t (�T�� }�-� ttl i E�n"i 7iVi� ru,� .�.• j � . � �1� ti � � �s 3 ,5 x� �y� . � � . ��r��y.Tr4��,��, �.�,� ,t�r5�.��,, rar w��i��''4 r ` i i.,�.C r ,t`�t � f . !s :I "# i ,�,..5..i; xF. Z`�,, ti ''� � �. �!'tir�r 'r S41,ry��a�r, j t [ � �r )k 7 n M1�7�i'it( sr. 3 D Y t + � y }. S � < T :, �.�r.r��.��:�; �"r,��,�r ;,�4�� 1�; ��02�ST�`I�'�;I'A?�� ,.,'��., �.t�-��.��;_��:.,� ,�n Yes,this section applies The replacement of a Residential fixture or appliance that meets all three ofthe following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;axcludina the cost of the fixture or appliance:and 3_ ls improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Tota!Permit Fee $ (Permit Fees Continued On Next Page) - 2 03/27/2012 11:59 FAX 9529335049 CULLIGAN MNTKA C�004 . .ii�::�d�ta"?��:t��-�rZ�' .t;r. ..y. �ti�-�. .�I��rbx.� ,4.: . i'L9n:HP.kv �i.�'�0�.i';�� :i^;. .#, �t;•_C .1.1L: "tl ';�.';`�l�� "o' ��-�:i-. �i.. �.i'�y.'[1 I !i!�ii_f:.�rtft `,�{�`;,µ�f.�i .,�;:i4'�k�:,.4;�.k. i..;�y�,r,,�, ..��' iJ� ".`SkL!_ ,�,��';�� '-"'!.`��D;i7`.' �i,' _:c�r.rR .i.�' :.�r:�?�:. �r� ,� '�.�� ,t r�v;u!. If 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 $ (conaact prica) (minimum$50,00) 2. STATE S�(JRCHARGE *'"Add the State Bldg Code Div.Surcharge(Minimurn Fee of SS.00) x.0005 $ (conttac�price) (minimum T 5 00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 5 ��. 0 V ■ * 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 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 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. , � .� „ P �^.r 1 s �M � :'i E i. `�'+,1 i 5 u�' � �� 7 .�1}.f,L�.lfj"�. 1 �.�1�t �,e.h � 1 4 j,� ' The undersigned hereby applies to the City for issuance of a Alumbing Permit� agrees to do all - work in strict accvrdance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct, ' . � Date: 3`c�-7- j � . Appl�cant s Signature� s, �-'� �a `�,P'S @�.�'��'I'�1, 3 �J`�` DATE TIME � CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED PERMIT NO. a0/a—Q�O��COMPLETED ADDRESS �s OWNER � ELEPHONE N0. �73 D -�l`� Z-- CONTRACTOR �: DESCRIPTION � `��'�� O � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: � Inspector. White Copyllnspector's File Canary Copy/Site Notice � � � DATE ,, / TIME ✓ CITY OF ORONO CALLED IN y INSPECTION NOTICE Q' SCHEDULED .,�1�� PERMIT NO -�� u COMPLETED ADDRES �-- OWNER a�✓� HONE NO��73 —��2— CONTRACTOR >: DESCRIPTION ' \ v � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � A � 1--� ► � � .� % rS �`/� � � � O � � _ . �=-; Q �, � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 2Q9-46QQ Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice