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Home My WebLink About2015-01436 - plumbing Y CITY OF ORONO * Z 0 1 5 - 0 1 4 3 6 * < 2750 KELLEY PARKWAY DATE ISSUED: 1U09/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 258 CYGNET PL PIN : 04-117-23-23-0019 LEGAL DESC : SWAN LAKE ADDN : LOT O10 BLOCK 003 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 STATE SURCHARGE PLBG (<$500) 1.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULL[GAN WAY MINNETONKA, MN 55345- TOTAL 18.00 (952)912-7379 Payment(s) CREDIT CARD 8645 18.00 OWIYER HUBBARD,ANNIE 258 CYGNET PL LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The 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[he work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall 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 construetion 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. �� i , � � C�� I c� �`l-�� Applicant Permitee Signature Date [ssued By.'ignature . Date 11/0,6/2015 11:28 FA� .9529�a5049 CULLIGAN MNTKA �002 � + � , ' F012 CI'T5'USE ONLY �, .. City of Qrono' � � -+�� 2�"•�(�j-. �;;j y��jl.,�� Datc Roceived: �� I `, Petmit# $ � � P,O.Box 66 - O° ��; 2750 Kelley Parkwsy \ I� vl�� ,, ��fi;�' �� Crysta]9ay,M7�s5323 Approved 9y: �Amount 5:_ � i,•. '��\�,�� (952)249-a�oa , � , � ' CITY O�4RON0�PLLT�BYNG PERIVIIT (All Commorcisl permi�s must bc approved by[he Buildmg Off cial or InspeG[Dr) GEN�R-AL INFORMATION 1. You may apply for plumbin�permits by mail or in person at the City offsces. Applie�tions will bc reviewed and 3 pern7it will be issued within two working days. 2, permit cdrds will be sent by return mail after a review is completed. P�ItMITS ARE NOT 'VALID[JNTTL YOU RECEY'VE A PERMTT. WORK NIC�ST NOT B�GIN UNTYL THE P�RNIIT C,4RC1 TS POSTEA N TFIE JOB SITE. 3. Plumbing permits may be issued ONL�'to licensed plumbing conuactors and to property owners residin�in the dwelling. q. When any new construction or remodcling is involved,a separate building permit must ba obtained. 5. All work musT be done in acco�dance with 5tate Code re9ui[ements. 6. All work must be inspected and air tested before it is covered. Call(9�?)249-4600. (2�A$6our notice required) TYpE OF PERMIT Check All Tk�at A ] ) �lZesidential ❑Commercial(Approval ltequired) �New ❑Additional []Repairs ❑Replace ❑ In Accessory Strucnire? '�You will need urior anproval and may nctd CU�.(Per Orono Ciry Gode,Chapter 78,ArticIe IV) 7ob Site/Owner Information: Site Address: � -� 1�+� Owner: �� (�wbbA� MailingAddress: 5535� c��y: zip� - — TTome Phone: 9S�. x�D - ��sq Alternate Phone: Contractor Information: Contractor: Contact Person: t�CX A��! 603 �� G��DlTIONING State�ond�: d1�l�l;v��'ONi�A, iVEN �3�5 City: ( . ` 0 �p. �xpiration pate: Phone: Alternate Phone: � - 9� -�� ❑ Insurance-Current: 1 11/0$/2015 11:28 FAX 9529aa5049 CULLIGAN MNTK� f�00a - , R . � ' � � - �,:`;;.,.,,,.,- ;,.,�,.�y,,:�:�,,„`'�' ��LT�IBINCr�'Y`kTU�R=E5'BET�+TCr..��ISTAT;��D'::: -`"''''„• ';,,+;,.,.,,: _ ��a �-ti�. � FIXTLRE BSMT 1' � OTHER FIXTURE �SMT 1, '/2 . OTHER �ypE FL FL TYPE FL FL Water Closet Flo or Drains Lavazory Scwcr�jector Bathtub Laundry Tray Shower W asher Kitchen Sink WSIeY E�eateT Disposal Water Softener I Dishwasher Wet Sar 5illcocks Miseellaneous .1 „F'rlp(lyr,.��::;��h:-r,>.,a;;��;,u,r,.,�r.�;� ;„�a�,7y �j, y�y v('� 7�'7� [1 /:;: 4;1��'.�:hC;l�a;:i)•...�,A.,��?ak,� .;d��f �I,�(r,�.��:SAM�.�� i �I:'� ,� 4� �P',C��iI'." Jl.:i `,<'��.-�-�,�l�l1i1 Q��Q� ,^ r�7 ^ � �q � ��..,,�.';:�a,,��:;y� , �.. � . B'A�S�I� a�'�' 2db2.SZ'.4,�T'E.STA'TUE.��'s , �,' '= , , �� y�es,this scction app�ies The replacemcni of a ftesidential fixture or apAliance that mects�11 thPee of the following requirements: 1. Does not require modlficaiion to electriCal or gas service. ?. Has a rotal cost of�500.DD or lcss;excl in ti�e cost of the fcxture or applianee:and 3. Is improved,installed or rcplaeed by the homeowner or licensed contraetor. Skip next soct�ion,if this applies; Cost of Permit $ 15,Q0 State Surchargt �_ 5.00 Mail-In Fee(If Applicable) � 2.00 ToYal PCrmlt�'ee $ (Permit FCes Continued On Next Page) 2 11/06/2015 11:28 FAX fl529335049 CULLIGAN hiNTKA f�004 . � � • � � .�. � x -,,��w FEE';C ��;GY�'L`r�A`;T:TO'N S',�a:��7�5;(�'�ER'$5'q(� 00+' ' ' '"� .�.,,t�°: ,t,, .J.::PEL�1�T z� + � , , � If above does r�at apply;follow guidelines below: + - 1. CONTRACT PRXC� �`is 1.25%of contracC price with a(Minimum Fee of�50.00) x.0125 $ (conQact price) (minimum$SO,DO) 2. STATE SURCTi�AitGE **Add the Statc Bldg Code Div. Surcharge(Minimum Fcc of 55.00) x.ODOS � (con[rac�price) (minimum S s.00) 3- POSTAGE&HANDLP.vG(Only on Mail-in Appliaations) $ 2.00 4. TOTAL P�}�MIT F'EE(Add Lines 1-3 Above) $ ��• U v ■ "` CONTRACT PRICE or JO� COST means the actual or estimated dollar Amount charged for the permitted work including materials, Iabor, profit,and other fixed costs. It is the amount to be char�ed to r.he customcr for the wark donc. if any material, equipment, labor o�installations are furnished by the owncr,tenant or any other party, the reasonable market value of Such items must be added to rhe � estimated cost or contract price for permiC fee purposes. In ihe event that there is a disputc on the amount of the job Cost,the City may request the submission of a signcd eopy af the actual Gontract. ■ �*Thc STATE SL'RCHARGE is .0005 of the eontract price under�1,000,OD0 or$5.00—whichever is greater. For valuations over�1,�00,000 cs11 the Suilding Department at(952)249-4640 for thc price. '�r ,+i. n.rr!;,;1 1).,f,�f��i' ;R'„ _ C.. ��;. .i'��'r' ,,y vl r' �)q�",�"tl,;�!�(c�Gjlii�;;,�x1h 4,—av�n:�,�}��jin ��.�:,��a ti . � ,��o k� rPL�xN'G.PE�MTT'��,'�,"TC:��Tx�'li�r��'C��E�T' ��. �'�r��.,.�F,,�,.s„r..:�,�,� d�„�,o , ��,��;��,i �,.��a,. ,�:-a:� The undersigned hercby applies to the City for issuance of a Plumbing permit, agrees to do all work in strict accordance with the ordinances of the C�ty and the re�ulations of the State of Minnesota, and certifies that a]! statements made on this applieation are complete, true and correct. �y r AppIicant's Signat�re: UC Dat�: l� �� :.� st' �re��t��'te ..ir ,,F�eS��FO`t�1Y��, 3 �:'�{ � �/ DATE TIME CITY OF ORONO ALLED IN —�,� INSPECTION NOTICE �' SCHEDULED //�>�, —F-�+�. PERMIT NO. �vi� � Dl�F.3�� COMPLETED ADDRESS �S`�! `l� �`�a,,�,�' � ;�'� ,�� ! OWNE�,/-�,�!�i� �-e�'�ze''��' TELEPHONE `�''-�� 3 7�2 v, CONTRACTOR r�� a� ��' �'�- `t�^� �' � DESCRiPTION '' � "- '', �� -- - ~ ' , 4� ❑ FOOTING ❑ MO-FINAL � ❑ SEPTIC FINAL � ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ F�SrBCJIL'T-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v DEMO/-�ITE ❑� PTIC INSTALL 2 OrMNEgEEDNTRACTOR TO MEET YOU: YES_NO � COMMENTS: W a � J O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED JECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSU CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's Fil Canary CopylSfte Notice DATE TIME C(1Y OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERM�T'NO. 0�61� -D/5'36 COMPLETED '/6 - ? ADDRESS a 'S � G'v4 n�� P/. OMINER TELEPHONE NO. CONRiACTOR � � DESCRIPTION Gvw t'�-v 6 c�I��z e.- ��s�-`�Ll ly ❑ FOOTfNG ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINGlFILLING �O ❑ FOUNDATION WATERPHOOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ MSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � � ❑ WATER HOOK-UP �aLLOW-UP �Y ❑ AS BUILT-SURVEY ❑ SEWER HO�K-UP ❑ FOUNDATIOWREMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? O�INNE�TO MEET YOU:_Y�_NO � coMM�r� � j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 � Expiration, no record of a Final inspection. 0 W Q � � W W � � W ❑WORK SATISFACTORY:Pi10CEED O PROJECT COMPLETE � ❑COpqECT WORK R PROCEED ❑ISSUE CER7IFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERINO pEqMANENT p(XIRRECTUNSAFEOONDITIONWfTHIN H�� ❑prypTOTAKEN INSPECTOR WILL RE�URN ❑STOP OROER POSTED.CJ1LL INSPECfOR ❑CITATION ISSUED O INSPEC710N REOUIRED.CI1LL TO ARRAN(iE ACCESS. c.N�or u�e next�nsPe�ebn Za na,rs h a�ranoe- (952) 249-4600 on site: � WMN OoplrMsp�cta"+FlM C�re�ry Copy1811�NMk�