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. •
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Applicant Permitee Signature Date Issued By � nature Date
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CITY O� ORd►NO — PLUMBfNG PERMIT
(All Commercial Permits Must be Approved by the State Prior to Ciiy Approval)
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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)
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�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
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Site Address: ��50 Q�� �� � _ __ __
Owner:�,�a ,,,�1� �,���w..�.v Mailing Address:
City: Zip: SS 3 5�
Home Phone: ��,�=a�g - 939 S Alternate Phone:
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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
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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
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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.
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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:
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� ❑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