Loading...
HomeMy WebLinkAbout2016-01178 (plumbing) CITY OF ORONO * z 0 1 6 - 0 1 1 7 8 * 2750 KELLEY PARKWAY DATE ISSUED: 09/23/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3850 BAYSIDE RD PIN : OS-117-23-23-0038 LEGAL DESC : BAYSIDE LANDING 2ND ADDN : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER NOTE: WATER SOFTENER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345- TOTAL 52.25 (952)912-7379 Payment(s) CREDIT CARD 5107 52.25 OWNER THALHUBER, DAVID&XOCHILL 3850 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AIVD 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 E3uilding 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 governing this type of work shall be compied with whether or noi specified herein.This pemiit will expire and become null and void if construction authorized is not commenced within I80 days of the date 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 Building Code.This permit may be revoked at any time for due cause. • � -� �d- �.1� 527 � �- � Applicant Permitee Signature Date Issued By � nature Date •09/c^2/2016 08:10 FAX 9529a35049 CtiLLIGAN MNTKA f�002 .��� City of�rono ��;�� I,.; :,.�.,r FOR CITY'USE ONLY,:,,",'i::�r:, �;���,j;r,,.�i,. '�, ,,:�r.�:„„,..,:;, . ,..,�.. . � 2760 Kelle�Parkwa ,,,,,,ate„IReCetV,ed;....4 �,. �.�, .,,�.'..�."�^� . �:�':.I'.'','�",;;f�'''c:;''r � Crystal 6ay MN 55 23 Pe��'lit#�',�i�,l ��!�:'�s►."'�:Ecik!��i;i�',!� ;;'Mi�,; '; .,�...,,,.,," „ ,.,,, ,., '�, y ._� :;i,l ��.�, r..,,r'i: cir. �i'., :,,c,; '"'r � 952 249�600--M in ��!� �r;��, .,�. �"��,'W � , ,.,. �.:,. ,,�!'r',''i;,l'�:"I:1,,.�'„?::�.,..�.r�:;��, � , � � � — T �.r., By.;,i;l:'�Sr',d..,' .., .�I,:�„�.,r, �,.;�„1I:�'�.,, �.,�;'.I sH 952 249-4616 Fax .,, �. ..'�.,,. ` 4� ApP,..�,„�.�,�. , ,�,., .,,,�,��,.,� xs o v ( ) ,,. .oved .,��,,,� µ,.,i. ,,,, „ ;� d�,,!' 'I��,r�,�;.,c ".�hi";. rri;�i ��.,n'i�i'�I �'i�, :�'ril, '�u:l,�:a .�. �,:"i,,,;„f`'!:!�'"'�";�!ilr,:,l��!;`'''i;,,;i,.�„�,..i';"�;.k�W ,.;'y,� „; �. .;;;, Amo'u'nt'$.� � ,��,.�,r. 4.,, ,�,.�.,;�,:�;'�w�:��;,'' CITY O� ORd►NO — PLUMBfNG PERMIT (All Commercial Permits Must be Approved by the State Prior to Ciiy Approval) htt ://www.dli.mn. av/CCLD/PpF/ e lumb lanreva . df ;r ,�, ��,�.,���,�� ��,�,tl�,�� asr;i �rr „�a,rllr�, .°i: Ilil' ;dl.l"•"i,Y �Idhtl ;IIGL �;��,�,�I����, 6�i'a'.� i+ ''i ,I' ., "If���.��..�- � ,��,� �,,.��do��������,��„��,.,.,���,,.����. „��,.� �� . �.,J "II;". 'ICIC'1,11�.1i;!,^,,;IIVI; ".,a.., � .,, .. . .,„•� �..�� ;' .., ".I' ,�.. � ,,...,.,!::,��.,, , .,.�,....,,..���,��,�,�, . GENEE�AL I FORMAT(ON. . „ ,�,��,�I.,..�..,. ,,,,. „,...„,�,, ;;�: ��.,.,., ,a�,:���� �,., , .. N .,,� . ,:,,�,,,,,,p„ � ,�.,.�,.,,,..,,�, ,,.�„.,.,,..,.��.,. ,.,�,,,,.,,,,,,..,,.,,.,..,..,„ .� ,.;..,, L , ,,. ,,.. ;;I�,�,� ,,,,,, �I„��.�.. i I� il.l .1.,....�.1,,��..�,„„���,..�.,�,,.wu..,�.„�..�.�,.�..,,�.������,„�.v�, I;I����'�hl,,.,,�,.�„��,L..g,.�.�;��.,��,��, , . , � ��.,.„���„����,. e.., i , u i i�•�� .���.," , I I I ,,,I. I� 1. You may apply far plumbing permits by mail or in person at the City ofFces. App[ications 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 VALfb UN�"1L YOU RECEfVE A P�RMfT. WORK MUST NOT BEGtN UNT1L THE PERMIT CARD IS POSTED QN 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 separata 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�600. (24-48 hour notice required) .�,,,,..,,„,,,,I,,w,., .,,,„, ,,..,,,.�,,,,u,,,,, ,,,,,,,,,,,.,,,,„.,...,,..,.,,.. . ,.�,l�i,..G,..��.�,�,�„�,�.,G,���,,,,,,,,, ,,,,,�,.,,��,.��4,��.�r������,�„o�i,,.�, . �cs ,� �i,,, � ,.a ,,„,,,� , �,.,..,,� . „�...,,,„„��.,.„��„ �,,...,,,,�.,,,,.,,...�„�„.,.,,.,,,.,„,,....,.,.,�.., ,,,,,,,,,,,,,,,.,,. .,�,Iele.wp�r���L��•��.,�„��ri�a.l�,�,�1.��.1�,i�.nlel.�;l��iu�a�r�i,��i,r,�.i�.�„���i.�����,�,���,�i„�� . � �� ��.� . . I . �",� ,I�,� I I.. „� ,,,,I.i ��,.���;��':61YICrI,I,iirL,�����l��;i"I���I�lii:�i;ii;w�l;,���li�'i�'i��'il:l�.Y�'�Yi:«�G�i.11�dl6li`��I:�;n;��l,��'ll ,,,,.,�,„��u,��,�„���,,,,�,,,,,„�,,,,��,,,�.�,,,,,,,,,,,,,,TYPE�;OF::PER�I�T CheckAl�That.,A I w,� ���.�� �,wl,��.���,„�,��.,� .�;�. :u��,���,�,,,,, �,,,.,.,,I„��.,,,,,,��...�,,,.,,.�,,,,,�,� � � � pP Y),,� !,.�.,:,,� i i� „ ��.�I,� �.i�. ��I..� p iif��, .��w�. . I,i�„��I�II;li1�.��.,�,�i.��,.�.1�,�, h,�.�„ „,�.n�„ ,�,,.,,n,�..,�,.,�,v�..,�,..,� ,.,�� .. ...,,�.,.,. .,..., . ,P�r ,��„ �.,,�.�,�..,�,,,,,, � ����,.�., .�r�� ,. �F�esidential ❑ Commerciaf (Approval Required) (Back�low laevice:�AVB �]PVB] �lew 0 Additional [� Repairs 0 Replace ❑ In Accessory Structure? '1�ou will_need prier aQproval and may need CUP. (Per prono City Code, Chapter 78, ArEicIE 11n ..�i4.�'.I.i. � . iyl�I:' .I�:�I11..'��I'�i�::.il'�':�i..:::�i .�n�:�i. iin�r �Ill�llil'lll��'ill4�l�ii�iil!��Illill���� � ii 'i�ii..i...�i�iv�i.J`iiinlillll{ I I I�li.i.�i�n�'.i. � I I ;:Job„' . ., , nformatiorr� �.......I , .. ..,,, ,-�Qwner,.�...,., , �.,.,. . �"?���!:�I„�.,.�,,,�.�,„.,,,:.�:.,,,,�„�, ;..,.. � 5ite, � � ,,: Site Address: ��50 Q�� �� � _ __ __ Owner:�,�a ,,,�1� �,���w..�.v Mailing Address: City: Zip: SS 3 5� Home Phone: ��,�=a�g - 939 S Alternate Phone: :Cont'ra'c't'or�ifnfo'rmafion'��; �,�,�;'�iil:'.,;�,,;,. ,���:�;�����:� �,:,�,:�;��,,��: i,.i ,i, ii„c.,i.� �ii��:. �';'I';;;;., tf f' Con a ..� ... ..... . . . ..„ ......,, ,,.,,�:,,..;,.,�,., ,,, ,. cto . _ .��Li AN WAT� , GUrvhiT�c�NrN�ontact Pers�n: d1►ti, `�. 603d CULLIGAN WAY Address: INN�T N M State Bond #: . (9:i2) 9�3-7200 City: Zip: Expiration Date_ Phane: Alternate Phone; _ R5a �� I ��� _ ❑ Insurance -- Current: Page 1 '09/2'2/2016 08:10 FAX 952�Jaa5049 CULLIGAN A�NTRA �00� .„.,,..,,,...,,.��..,.;,,...,.,,„,.�., ,,,..,�, ... , , .. ��, . ,,,, ., . ,,,. ,,,,�,� .,, .:,,,. . , ,„ ,. .�i„, ,,;n,��: ��n,�i .�.um���.� o,n,,�„��� ,.��.�, . � ,��,��� � � �I� ��� ��,. �� ��.+,��i ..�� n,��,n. � . � , .. . � J .��� �Iui�l;i�n�l�llui�'ii�'�ii�:�lu�i�l�ai6",lii"n�l;�';"�IG�:��,1�,,��. ....:I������,,.✓.,,,.��.���.,,����... uu �n�i����fdo�oh�ma�u�lw��6,����,����m,nin�� � i��I� . �� �� ��. .��� . � ..... . .. �� �� ����� � i� �, �o{I�III��,.�'�:;�,nl�"1',I���. i � w ii i'Inl�il{i!:��il"am��oli�ii�Nil ;�,��, .,,a�� :���:a,,,, .�„„,.�,.�.,,�,.,,,�,�,u,,..,,,,,,„N,,s�.,�P'LU .,B�Lf� ����F,I . „„ ,F�ES,,,, EI,N.G,.1N�T���EG�„�,;,,,u�,�,�.�,..,,,..,��.���.���,,�.;�.,�,:����,.,,��:,�:���:��„��x:�,,;L�,.�„„ri.,�,�„��„�,��,w', r� ri ' �„��,�„�u„�.,,,„��„�,.I�6„.............i�. ,„�� ,... , ,.�I����,� .,,��;.,�, ,.,�,,. ......... .. .. ... . .. +al ��, � �,.. FIXTURE BSMT 1sT 2"0 07HER FIXTURE BSMT 15T 2"° OTHER TYPE Floor Floor TYPE Floor Floor Water Cioset Floor Prains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water SoftenEr Dishwasher �Net Bar Sillco�ks Miscellanevus ,.�,m��„���guvrai 6 T'' .'Ii!i .,,..�.�.n„�,,,,,�.,,.,,.v �. . � �u ,iy , i ,�yr.G 1 1iiu;���;!:I d'i�f': I ���mn;��..��qeµnau,t7.eid'.�el iiu.. ,.I fY�I�i'ii;"'1 li�'n"�� ��'�agIm��.i nn�ia��, ml„�,iu�y ,��.��8i 16�i� n i�s�m � ,�j � e m n'ii�VR���Ih���"i�l�u�;6�i�inin 6{r�,' I , ,i�� i�l�.��� I �i�.„",'17ri1�,� ����h�eu���,�.,�mS�r.�4P. ,G yei�nlf,�� �I"�nn�h�����11rf1C���'p���np�� rh�a���f� �� �'w�M�ti:�,.�a�,��.�aw,r���P���:t� . �ti�Iw�.��..���ai�i�� 4�r{qx,l � � .....4.:::,,,�,;, „� �, ..., ,.I.�,. ���11�1 �t,Jl � � f �� �y . �i � � � � � iMi 1' �.m � „�."w��h,��,�"�,��,6�����„71"':�CS���IT;��",.���.11�L„ � , .....,.:;k,...L'L�R4�.1.,;I.!!�;p.�6�����i��n,�.,..��m�,.iR�11.��u.or.,.,�„��1Y,�M;.�,6,d.�,l�,,.,,.,.'fl.1.91.",YY!�.^aQ^9. � ��u � IJ � 1. CONTRAC7 PRICE * is 1.25% of contra�t price with a (Minimum Fee of$50.00) x .D125 $ (contr�ct price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE � HANbLING (Only on Mail�ln Applications) $ 2.00 4. TOTAL PERMIT F�� (Add Lines 1-3 Above) $ � • a � * CQNTRACT PRICE or JOB COST means the �ctual or �stimated dollar amount charged for the permitted work including m�terials, labor, profit, and other fixed costs. lt is the amount to be charged to the customer for the work done, ff any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added ta the estimated cost or contract price for permit fee purposes. In,the event that there is a dispute on the amount of the job cast, the City may raquest the submission of � signed copy of the actual contract. ���u,i.,i��� i�6�P�ne'wn� � „�rnso"�"f�,,,,;,i��,�.�,.1�'n'$i"IRi�'�I��, it��„���.�n���i '�w�aI�/v�1. .ip �I� � �.,i6 '� „1�i�i �./�� i�„�� i. j °i�`'IY��'`li�� I"�l"a �� y�,,��i„I��k�l i,r,7�� ��,�,,�,u s„��,,,�ni,;.Y�;� � � �,�f,,.� i ,u� � ,,,����.. �� �,�,°,� i ' �' °"��� �i��u'�,���� 1' �y�p �M.�i,�;°P n�,+I;,�'r,;,f•y G�k��rn��,�����i���.�L�IY.,�a,��������„�4�,1�;,v,.,.9J,�"P�I;!11���i iy���P�L.���iN•I;��I�I'��Uln,�'�'F�'„��.���n���,��.�ll!t{:I��!L��;,,��'���{,�F1��.����"I'w�.���1� �P"?SP,�,II�',..11�11Vi,{�.�4�u,��nl�i�a�i��w�l�iulll�,�mm��uh,l�����nnh�.l„�i �,...I,..u.,9,,.....1� ,.�.,.d6�r�„ ,,, i,.W.„_ca ... . a i I .... „ _ The undersigned hereby applies ta 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 Minnesot�, and ��rtifies th�t a11 statements made on this application are complete, true and correct. ApplicanYsSignature: Date: �'a� - �b Building Official/ Inspector: Date: Page 2 �/ Qa�s!�/� DATE TIME �� CITY OF ORONO CALLED IN �l� -//-/G INSPECTION I��OTICE SCHEDULED /�-f �� _� PERMIT NO.����—�/7� COMPLETED ADDR OWNER � � EPHONE N0.7.�3—Z2� '�3�5 CONTRACTOR � DESCRIPTION N D �— 4~j ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATiON/REMOVAL _ v ❑ DEMO-SITE - ❑ SEPTIC INSTALL 2 O'WNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: 4 � � � (.� • -5-1 y7'�c..,n, r� �- O � ,� v � r �^ �. ¢ , � o�- dt 1 p �a-' � n � � � � 1.J�-C�IL l��C -�-�.} Z5./L C�-l/l �./� . Q � W � w a� � � ❑W'ORK SATISFACTORY:PROCEED �QJECT COMPLETE W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHpTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspectfon 24 hours in advance. (952) 249-480� OwnerlContractor on s�ite: Inspector: �3�(� ' White Copyllnspacto�'s File Gnary CopYISN�Notics