HomeMy WebLinkAbout2014-00060 - plumbing ' � CITY OF ORONO
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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.
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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�
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//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
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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)
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❑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:
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O1/21/2014 12:34 FAX 9529335049 CULLIGAN MNTKA C�003
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_ �`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
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� � 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:
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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
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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,�
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�; 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� ��
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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
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Inspector_ ��--
te Copyllnspector's File Canary CopylSite Notice