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Home My WebLink About2013-00939 - plumbing CITYOFORONO * Z0 13 - PJ0939 * ' 2750 KELLEY PARKWAY DATE ISSUED: 09/l2/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2995 DEER RUN TR PIN : 04-117-23-23-0030 LEGAL DF.SC : OLD CRYSTAL BAY ROAD ADDN : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE (<$500) I5.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG (<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PAID WITH CC# 0597 OWNER HICKS, STEVEN & TAMARA 2995 DEER RUN TR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT �Che work t�or�vhich this pennit is issued shall be perlormed according to the approved plans and specifications.applicable City approvals,and the State Building Code. "I�his permit is for onl}�the�vork described and docs not grant permission for additional or related work�vhich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whedier or not specitied herein.This permit will expire and become null and void if construction�uthorized is not commenced within 180 days of the date o1�issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible tbr assuring all required inspections are requested in conformance with thc State Building Code �I�his pemiit may bc revoked at any time t�or due cause. /✓VG'�K� � � / / Applicant Permitee Signature Date ]ssued By Sig ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 09/ll/2013 12:23 FAX 9529335049 CULLIGAN MNTKA [�002 FOR C1TY USE ONLY p A�� City of Orono //O¢ `►'0��, P.O,Box 66 Date Received: Permit k ( yl,.�F„ � 2750 Kelley Parkway �', M {lu,_ tt1f Crystal Bay,MN 55323 Approved 8y: Amount$: `��;�'��j (952)249-4600 CTTY OF ORONO—PLUMBING PERMIT (All Commercisl permits must be approved 6y the Building Official or tnspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City o�ces. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be senY by retum mail af�er a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PF,RMIT CARD IS P05TED�N THE.JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors 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. A!I work must be inspected and air tested before it is covered. Call(952)249-4600. {24-48 hour notice required) TYPE OF PERMIT Check Atl That A 1 �f Residential ❑Commercial(Approval Required) ❑New ❑ Additional ❑Repairs �Replace ❑ In Accessory Shucture? *You witl need prior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: SiteAddress: o-l�l`�S �-�' �v-n �rc�i + Owner: ��^ �-e�5c-��oJ MailingAddress: c�ry: z�p: ss3 �y Home Phone: lol�-�{I p 7 U� Alternate Phone: Contractor Information: Contractor; Contact Person: f CUL� . WATER CfJNDITIQIVING State Bond#: G CUL ,.11¢,I,NN(�pj ICA, h1N 55345Lip: Expiration Date: ..��y �... Phone; Alternate Phone: `C5�—`� la-�'13�1 ❑ Insurance-Current: 1 09/1.1/2013 12:23 FAX 9529335049 CULLIGAN MNTKA �003 „ ' PL�IVI�ING.�?I�.T�S BEING�INSTALLED . , FI?CTURE BSMT 1 2 OTHER FIXTURE BSMT l T 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 Softener � Dishwasher Wet Bar Sillcocks Miscellaneous �y. F 1 i._L�a�4 t ��. i�y _ t � i �_ '.n 1 Tj iis)� {� t�:4� U'S f�SY .i: ,�� {�s�� ,� � � �� ERM1'I'�'F��`+�AT��1X'.A"�'I.ON�S�'�� , �� , ^ � ��^ �; �°h��`a?�...�';� ,�'�"-��r,`, ' �A'SED`0��' 20b�'S'�'�A�'��STATUE��'�� ` > ��,�".� �-:�._`, ��.� ��+. ,f i ❑ Yes,this section applies The replacement of a Residential fixture or a liance that mects all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed eontractor, Skip next section,ifthis applies; Cost ofPermit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On l�'ext Page} 2 09/11/2013 12:24 FAX 9529335049 CULLIGAN MNTKA �004 `PE�vII�FEE'.CAI,CTJL'��1TI�I�J S ;=J'OBS:;QV�,$50�:00 , ;: If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee oi$50.00) x .0125$ (contract price) (minimum$50,00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) _ x.00OS � (contract pnce) (minimum$ 5,00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) � 2,00 4. TOTAL PERMiT FEE(Add Lines 1-3 Above} � a a. o� � * CONTRAC"I' PRICE or JOS 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, [abor or installations are furnished by the owner,tenant or any other pazty,the reasonable market value of such items must ba added to the estimated cost or contract price for permit fee purposes. tn the event that thare is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actua[ contract. ■ **The STATE SURCHARGE is .0405 ofthe contract price under$1,OQ0,000 or$5.00—whichever is greater. For valuations over$1,000,000 cal]the Building Department at(952)249-4600 for the price. �;�'f+��Ht' cIi!M}'t4 21'� C 7�v ,�y� � t� ,�' y �d I i!�` n(SI � itV��.t^t�t(t�d;` j�: , . ' 1'il�Y'�.��.� ,. �� 'i P. ,,�t�,.�.F 5��.,��,�s,��_ ��'I.�T�_,� ��`� , P ��,�,�'R`��1uS� . : ��.�a L.�.��,� �G,.Y 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 State of ;vlinnesota, and certifies that all statements made on this application are complete, true and correct. lian 'sSi nature: ��.� � �- App c t g __ Z Date: I � � Reset �orm 3 V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO�4'�m�� COMPLETED /�3"� ADDRESS v��I�'•5� .l7�� /�c{ •� T C . OWNER TELEPHONE NO. CONTRACTOR ��•-c �� Q��✓ -�� ' �; DESCRIPTION ��✓ sa '�'�'�• i"�� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �LFJNAL ❑ SEWER HOOK-UP ❑ COMPLAINT }�❑ DEMO-SITE ❑ SEPTIC MAINT. ,�OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEEf YOU:_YES_NO � COMMENTS:�P rr•�+ �� lc�O��-, �•�� C'a �/ a v � �•�:L , s-r y��.�� J O ^ � ��r 9Q�/'�d L�j�.D O � W � z lt�o� K ('� .�c.DI�L`e- — W � � `� � �'�.�r� J � � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspect"on 24 hours in advance. (952) 249-46�� OwnerlC tractor on site: � Inspector. "— White Copyllnspector's File Canary CopylSite Notiee