The URL can be used to link to this page

Home My WebLink About2012-00229 - plumbing r . CITY OF ORONO * z 0 1 z — 0 0 2 2 9 * 2750 KELLEY PARKWAY pATE �SSUEn: 03/27/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 140 CRYSTAL CREEK RD PIN : 33-118-23-33-0010 LEGAL DESC : CRYSTAL CREEK : LOT 004 BLOCK 002 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RES[DENT[AL CONSTRUCTION TYPE : FIXTURE NO"I'E: WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 �9s2�912-r�9 TOTaL 22.00 PAID WITH CC# 0597 OWNER BRODEN, DAVID& LAYLON 140 CRYSTAL CREEK RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT "I'hc work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shali be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after�i�ork has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any[im�for due cau . �3 � d7� « � ��7� / Applicant Permitee Signature Date Issu E3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 03/27/2�12 12:00 FAX 9529335049 CULLIGAN MNTKA f�005 F� CI CJSE ONLY O¢��O City of Orono ,/ ��,9 P,O.eox 66 Date Received: J'Permit# ��J ' 2750 Kelley Parkway ` ��It� r� Crystal Hay,MN 55327 Approved By: Amount$:.�a• ��r�f,�o� (952)249-4600 O �� CITY OF ORONO—PLUMBING PERMIT "' (All Commuciel permits must be approved by the Building Official or Inspectar) GENERAL INFORMATIQN 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit wil]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 IS POSTED ON THE JOB S1TE. 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) TYPE OF PERMIT Check All That A 1 � �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need arior aaaroval and may need�.(Per Orono City Code,Chapter 78,Article IV) Job Sita/Owner Information: Site Address: �y� ��4 St0.� C�--� n�'C , Owner: ��c�- �r��.►1 Mailing Address: c�ri: z�p: 5535 � Home Phone: 9S a -4�(e -4.30� Alternate Phone: Contractor Information: Contractor: Contact Person: :��:��LrC�1=rw dvK� �n +,;u�vu!►�u►W�rV� Addres�(�3p State Bond #: MINNE70NKA, MN 553�b City; � (952} 93��nT ,4�p: Bxpiration Date: Phone: Alternate Phone: `�Sd- �I 1 a- �3�1 - ❑ Insurance—Current: 1 03/27/2�12 12:00 FAX 9529335049 CULLIGAN MNTKA C�006 . . . . . .. ..... ... . ........ � ..,��j,.'��i: i T /`ly�. ��yY,,, .�',uI`TI 1jjj " x . ,.,..� . , , ;y�'i$'i,Yt��:^^^t hi-::F 'i� S .'"r�� •�lr ��.'..- { iJ`��,i1F�� t ,1 ,t.� 1 .. ' !( . : ` l�}�^ ��r.c.... ,. . .'. ��.'.i . L'��x��•. n ��Y.';`� .-,�._ N ._.. .., '�. � M.... _., ��;.4 � ,�L.,S.I:v{j FIXTURE BSMT 1 2 OTHER FTXTURE BSMT I 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 Softenor I Dishwasher Wet Bar Sillcocks Miscellaneous ' i y ; �:r,� d��tv`3�' �n.�j' y }� 'F `,�, T�� Sa�; w' i�-' . > w .n, !. I� `1 1 Y �„�£t i i��i,r �E��, � , 1L��'5��47 L ,�.'�,��!� k +,� Y 7fi;1.:y.,�i ., �t,��`�+`.tj '+V�-�`,�,' ��('i� ��fi�w-wu ��,.��ri,�,lF^�F��ye� ;+�}i- 'Tp �r1 rk � i a,�S ��acr , ry'��7�, �y r }-�x ;��Rr`£ 1f.��Y�qr��Yl��jay�� Es.�1�tk. �#k�<I .iJ �,� �.�r ��x Ir'.�;/,:�� J_l��r-_� fiL �, i I��1 lr`k'�'�� t.`7: �� .,�'*��,1 I�+l+,rzCa�,�i�.ti=��t,i�rdy,�i .(,�`',� • [ F'4, r, n -�°• ;i �� ,7r��..._�i��.��'r r. ..a• '{ i F' Yes,this section applies The replacement of a Residential fiacture or a I�n iance that meets all three of the following requirements: 1. Does not require modification to elecErical or gas service. 2. Has a ota os of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applics; Cost of Permit $ 15.�0 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S . (Permit Fees Continued On Next Page) � 2 03/27/2a12 12:00 FAX 9529335049 CULLIGAN MNTKA �007 � ' �a2,�,•�r4Y��„'1—��':';�i{J�:li::l. . 4. :�. .�. ,��.� ,. .�3: �' r�l$''�''7ii,"•�':�r�'r-rt:1 � �' ��.��'�'... �.;..., � d-a'�:'�.=. .��:r,:: r:�:�E��.,..�•�:.�:,"�� -�;:�.I�'.� :w;�� '��; T1��. t ;00�:;� -�,.s�;....�.,a.:,:, If above does not apply;follow gnidelines below: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 550.00) ' x.0125 $ (contractprice) _ (minimum�50.00) , y 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55,00) � � x .0005 � (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S �, o� ��v � ■ * CONTRACT PRICE or 10B COST means the actual or astimated dollar amount charged for the � percnitted 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 pertnit fee purposes. In the event that there is a dispute on the , amount of the job cost, the City may requast 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 Igreater. For valuations over$1,000,000 call the Building Departrnent at(952)249-4600 for the price. �� a t � ;��i ��`�w;;�'�� -� A`"�G p`� ' ;:��?'�r,��'t�`�`.[Q��`xR�L,` '�', � ; � 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. A licant's Si nature: � Date: `a - � PP g -3 � � �� . ,; , ,Q,�.��;� ,, .#��a�.-�� 1 . n 3 ✓� ` '' DAT� TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED --3��-- �� PERMIT NO.aoia- ooda 9 COMPLETED ADDRESS ��C' e2�1�-��`� C� J_C c--�%_- �r OWNER.�--� � Lf_��' TELEPHONE NO. �-�� `�� '�� CONTRACTOR «g�� : DESCRIPTION ��'� �� '�""� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O 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 � J O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED '�ROJECT COMPLETE W O CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on s�e: Inspector. �r % / �-- I� \ � � ,�r White Copyllnspector's File Canary CopylSite Notice