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HomeMy WebLinkAbout2014-00060 - plumbing ' � CITY OF ORONO * Z 0 1 4 - 0 PJ 0 6 PJ * 2750 KELLEY PARKWAY DATE ISSUED: OU2U2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 220 CYGNET PL PIN : 04-117-23-23-0014 LEGAL DESC : SWAN LAKE ADDN : LOT 005 BLOCK 003 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOT�: WATER SOF"1'GNER 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) CREDTT CARD 8645 22.00 OWNER HAYES, CHRISTOPHER&ANDRE 220 CYGNET PL LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which[his 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 pennission tbr additional or rela[ed 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 wil) expire and become null and void if construction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revoked at any time for due cause. / Z/ / / iZ� i /� Applicant Permitee Signature ate Issue y Signature Date O1/21/2014 12:34 FAX 9529335049 CULLIGAN MNTKA I�002 F R CI Y USE ONLY �p� City of Orono � Z �Tt� '� (J //Q O P,O.eox 66 Date Received: � - Permit N �� �� �;,,, 2950 Kel ley Parkway � �?�,'_ }� Crystal gay,MN 55323 Approved By: Amount�:�- ���.�.cC (952)249-4600 � CITY OF ORONO-PLUMBING PERMIT (Afl Commercial peimi�must be approved by the Building O�cial or Inspector) GENERAL INFORiV1A7'lON 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wil!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 WTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL TI�E PERMTT CARD IS 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 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 OP PERMTT Check All That A 1 �]Residential ❑Commerciai(Approval Required) /\� ❑New ❑Additional ❑Repairs �Replaca i � ❑ I�Accessory 5tructure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: SiteAddress: o�av C.uG v�e,1 ��aC� Owner: C�r i S l��ye5 Mailing Address: c�ry: z,p: _ss35l� Home Phone: `�Sa- �}Oy ~�ja'��, Alternate Phone: Contractor Information: Contractor: Contact Person; CULLIGAN �IATER CQ�lDITIO�ING Ad��O ��L�iCaM�V 'v'VAY State Bond#: MIIVNE70iVK�, MN 55345 � City: (95�) 9�3-�200 Zip: Expiration Date: d_ Phone: Alternate Phone: �5 a -9 I o�- ��1� ❑ Insurance-Current: l O1/21/2014 12:34 FAX 9529335049 CULLIGAN MNTKA C�003 . � • _ �`Px.,�J11�I$��ri"�I�,'I'C.]RES.'BE',3�IG T�tST�1LLrBD FIXTURE BSM1' I 2 OTHER FIXTL'RE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory 5ewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater llisposal Water Softener Dishwasher Wei Bar � Sillcocks Miscellaneous � �� ', ,�, ��. > " P�}�N1�T�� 7'+ �-1 �y ' ,�• � �..'L;I..A�.���A��iV'��� `� y r ' r �,��,; - � BASED�QFF. .2�0� S� E '' ' � � A"I.' �.�,�TUE.���` �' ,� , ��.,�:� ❑ Yes,this section applies The replacement of a Residential fixture or�a pliance that meets a11 three of the following requirernents: 1. Does not require modification to electrica]or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. is improved,instatled or replaced by the homeowner or licensed contractor, Skip ne�ct section,if this applies; Cost of Permit $ 15,00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ Z.pp Total Permit Fee $ (Permit Fees Continued On Next Page) 2 O1/21/2014 12:34 FAX 9529335049 CULLIGAN MNTKA C�004 � . . "'" ' ;'�ER1vIITFE�;GA�CLTL��lT10NS �� -4p� TIME `� CITY OF ORONO CALLED IN `-s� J� • INSPECTION NOTI E SCHEDULED � 3 -1�f' �� PERMIT NO. '�� D COMPLEfED ADDRESS � OWNER �'� Z TELEPHONE NO. ��� ��T �ZZ�i CONTRACTOR C�4a-"� � DESCRIPTION � � �0'�ti � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI�LING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � , W � ^ Q � � 2 � � W � J d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ' White Copyllnspector's File � Canary CopylSite Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�Dly'GY�L� COMPLETED .�/�,�3_�� ADDRESS ��a� ����� p� OWNER TELEPHONE NO. CONTRACTOR �4/lT c r`t S's�- 4fa�e_✓ S 2�v,� � �; DESCRIPTION ��'�-✓ sa�-.��e✓' //'�S�CI � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETIANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMM ENTS: Pi�,�.M•L Li e L�� �44�� /ad� �� a /1s ll �r 4 7-/�?i� ����LGi�.-t � J O � � - � ►ir e 0 � Q wD P � Co .vc n/e�e �' . � �G��/� `'� ��,�� W � � � GW ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING pERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOUflS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins �on 24 hours in advance. (952) 249-460� nerl ontractor on site: rT r/'a � Inspector_ ��-- te Copyllnspector's File Canary CopylSite Notice