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Home My WebLink About2011-01546 - plumbing ' � CITY OF ORONO PERMIT NO.: 2011-01546 2750 KELLEY PARKWAY ` ORONO, MN 55356- �ATE ISSUED: 12/13/20ll _ (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON t/4/2012 ADDRESS : 715 FERNDALE RD N PIN : 36-118-23-11-0017 LEGAL DESC : REG. LAND SURVEY NO. 1031 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WA"I'ER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERV[CE CO. STATE SURCHARGE PLBG (<$500) 5.00 6030 CULLIGAN WAY M[NNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PAID WITH CC# 0597 OWNER LYMAN, RICHARD 715 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT 1�he work for which this permit is issued shall be performed according to , � the approved plans and specifications,applicable City approvals,and the State E3wlding Code. This permit is for only the work described and does ( ,-,; � � � 4'` not grant permission for additional or related work which requires separate (�� } • permits. All provisions of laws and ordinances governing this type of work �� shall be compied with whether or not specitied herein.This permit will " expire and become null and void if construction authorized is not i " commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsibie for assuring all required inspections are � requested in conformance with the State Building Code.This permit may bc revoked at any time for due cause. '�� / / � / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �. , CITY OF ORONO PERMIT NO.: 2011-01546 2750 KELLEY PARKWAY ` ORONO, MN 55356- DATE ISSUED: 12/13/2011 _ (952) 249-4600 FAX: (952) 249-4616 ADDRESS . 745 FERNDALE RD N ` ' �' I "�- r ,_-�, ;-�.l,:. � ,. �� J � �-- PIN : 36-118-23-12-0007 '�, 1!�� - �;' �, / � -_f��-- 1 --� LEGAL DESC : JANET ACRES : LOT 001 BLOCK OOl PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NO"IE: WATER SOFTENER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 6030 CULLIGAN WAY MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (952)912-7379 TOTAL 22.00 PAID WITH CC# 0597 OWNER FREY, KAREN 745 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance wi[h the State Building Code.This permit may be revoked at any time for due caus . � / /�, // ! / i � Applicant ermitee Sign e Date Issued y Signature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 12/13/2011 13:55 FAX 9529335049 CULLIGAN MNTKA �002 FOR CITY USE.ONLY '"�"°0�� City of Orono Date Received: Pertnit# ¢ '�� P.O.Box 66 d��+.. �\ 2750 Kelley Parkway p�" r Crystal•Hay,`MN 55323 Approved By: Amount$:. ��' ,.�+o�� (952)249-4600 � � z�,,.� CITY OF ORONO-PLUMBING PERMIT • (All Commercial permiu must be apptoved by the Building Official or Inspector) GENERAL INFORMATION l. You may apply for plumbing permits by mail or in person at the City offices. Applications will 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 VAL1D UNTIL,YOU RECEIVE A PERMIT. WORK MT1ST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON TAE 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 requiraments. 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 J� ❑ In Accessory Structure? *You will need prior aaaroval and may need�.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 715 � �eY'� �a� �� . Owner: �"� �-�►�� `+ r��`�'l Mailing Address: city: Zip: SS 3�f � Home Phone: 95 a ` y�b- U4�� Alternate Phone; Contractor Information: Contractor: Contact Person: �� GULLI�C�AN W�L��pN �AY State Bond#: NI NN�E NKA� �i�,(g52j 933-720Q Z�p: Expiration Date: �: Phone: Alternate Phone: �S a - �(a-73�� „ ❑ Insurance-Current:- 1 12/13/2011 13:55 FAX 9519335049 CULLIGAN MNTKA C�003 . � _ •a'• �t :;J;�'1;',�i'i('.^:i�;', ��N�'',��":i::.i"i��i '+1��'.i.i .. .c*�.r�;y�<'��qq y�y y. �.'Yri� � r `''uu`: �� -:.x•. __;'�F'•�E;j'.�:;,;N:S�f�;��',�k}r' %��.;Lk�l�7..i`;. .. B�}��..`k�ri��,�� e ,.�. �wr;'.., FIXTURE BSMT 1 2 OTHER FIXTURE HSMT I 2 OTHER T,YPE FL FL TYPE FL FL . Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher Kitchen Sink Water Heater Disposal Water Softener � Dishwasher Wet Bar Sillcocks Miscellaneous �', i E 2+i ,a �x''. �� } �P`{,�,,,,�{� r, � '��„ n ri6iih � �I�y�',�° P �x , �ij��,'a�E ��"'�'a��ir rh� �wtx��"��g''�� j E,, ,.t�.� � "' ` � � r i � i 4•, '��J e'ky g��ry�„��r r, l '�fi�y"" � �ft ,��{ �.� 1 �"�2�''jl 'u, i�� i-'r�1 { at.�' 7'�t.�,� G,-c'�',('��k l7'�'��p��-t�� i i i F��y��jEry�r„��a x i:+�i s ��i�`t�"� �• � � ,l..x( �t y-� ��„+, i �- '9 .��.,. � . �,:,,�_ , ��..� .4?-� �., � ,��;�ASE�7 O�'i� ..'�,f`�.Q�`°�� .� ''�.:�...r- � G��.>��:�� :,. Yes,this section applies The replacement of a�Zesidential fixture or aapliance that meets all three of the following requirements; ]. Does not require modification to etectrical 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,installed or replaced by the horneowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge � 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) . 2 12/13/2011 13:55 FAX 9529335049 CULLIGAN MNTKA f�004 , . . -. . -� . ;d�R�.� «e�' :r..;t� , .,�. ._ ..+� —:• �'ts�9i�.: ,�J�, �� .'=h��1ii:,:;' p�.i;�..��r,t}� ��^ .y � { � `K"%,!.:9 J-�ii�'-. '-+'t �R ,�Ilr� '�`tY - L� �.. 9 � �`.��.��t � '„ :'� � J;; f 1 K f�' ! ;eiil�l.Y/iJ,` N�:.�i ��. ��t9 V�'�.ir' .� .�;��.�:. r"N'.�a ;' r �' : � . '� ... " ' �.�;til.?s s��:;,.. C'l.; :, . .. , ,, . :, Y , :��...: - . :. 5 . ?-f•}T�f.. �.. .... .„ ..:�� ' ...:,...:,....� •'-„�. . - � , �. �. ,. + ,.. •: :: ' . ..�........ �" -;. ' . .:��.. �:,. f.. . :.a t :...'. If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00) • x.0125$ � (contrect price) (minimum 550,00) 2. STATE SURCHARGE **Add the State Bldg Code Div. 5urcharge(Minimum Fee ofSS.00) x.0005 $ (contrac[pnce) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TUTAL PERMIT FEE(Add Lines 1-3 Above) S �.o�•�� ■ + CON'1'R.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includi�g 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 furnished by the owner,tenant or any other party,the reasonable mazket value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contract. � **The STATE SURCHARGE is .0005 of the contract price under$],000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for tha price. �,. �� ,,� '� '� � ;�_.:�. �... 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 Minnesota, and certifies that a11 statements made on this appfication are complete, true and correct. Applicant's Signature: Date: I a' �3 ' � � � ,,.� � � .�_ ;., "F�`eset,�ornri' � 3 o ' ro�" �o�, Z��> O �Y'OYlO �a '')i � �� G � t,�k��p¢4, 2 7�0 Kell ey Parkway P.O. Box 66 Crystal Bav, MN ��323 (9�2) 249-460� Fax: (952) 249-4616 F.AX TRANSMISSION COVER SHEET Date: �— � � �� T�: �GG� F�:: �',5� ., 33 �o �� Re: � �(� //- �� Sender: � j��1/LL �-�L�� YOU SHO ULD RECEIVE � PAGE(S), INCL UDING THIS COVER SHEET. IF YO U DO NOT RECEIVE ALL THE P�1 GES, PLEASE CALL (95?) ?49-4600. �1..�. a. s-e s�-�_ G--�r"� L_�-c c�- � ��s- �a.�. �� . �� D �- 7� �Jy�c.- c� � 7 �S �� Q� . /� ' �� / � d�o �-s ✓�� c� / - � �� --�� -c - �� CITY OF ORONO PERMIT NO.: 2011-01546 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/13/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON l/4/2012 ADDRESS : 715 FERNDALE RD N PIN : 36-118-23-11-0017 LEGAL DESC : REG. LAND SURVEY NO. 1031 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: VVATER 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 (952)912-7379 TOTAL 22.00 PA[D WITH CC# 0597 OWNER LYMAN, RICHARD 715 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[e 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 I 80 days of the date of issuance,or if construction 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 E3uilding Code.This permit may be revoked at any time Yor due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE. Confiirmation Report — Memory Send Time : Jan-04-2012 10:39am Tel line : +9522494616 Name : CITY OF ORONO Job number . 024 Date . Jan-04 10:38am To . 9529335049 Document paBes . 002 Start time . Jan-04 10:38am End time . Jan-04 10:39am PaBes sent . 002 Status . OK Job number : 024 *** SEND SUCCESSFUL *** 04`'�`�'o CL�-� Of OY'O Yl O � <..,��xea.�-`'' 2750 KeZley Park-�,vay � P.O. Box 66 CrystaJ Bm�, rIN SS323 �9S2J 249-4600 . � � Fax: (9S2) 249-46I6 F.�X TT2ANSMISSION COVER SHEET Dase= �— `-�� — � � . To: ��+�[/c�vL!�S�?�� . F'Qic_ �-So� — %•��'-� ��G� � - Re_ --�U //- G�/�S_�� . Sender: � � /�L 07/L�L '�� YO U SHO ULD RECEIVE G� PA GE(SJ, INCL UDING THI"S COT�ER SHEET. IF YO U I�O NOT 12ECEIT�E ALL THE PAGES, PLE'.4SE CALL (9S2j 249-4600. T�Gl[_S� S�� G.._B)/Y'�� .� :�� c�Efl L� �!S �—v4—r� ��--�o �c� � /��- U �Z�u� �-�� -�-��,�- o�- .� u��-� � � � 7 �=s �� . o0 �� . � � � ��--eo��..e._s ,� �� `� ` �.� � - ��. � � �� D T TIME ✓ CITY OF ORONO CALIED IN r INSPECTION NOTICE SCHEDULED �/`7'.�� PERMIT NO. ��—Ofs�co PLETED ADDRESS �� / , OWNER PHONE NO. CONTRACTOR �: DESCRIPTION � 4i ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED [�RROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: r �Inspector. ` l White Copyllnspector's File Canary CopylSite Notice