HomeMy WebLinkAbout2016-01470 - plumbing , , CITY OF ORONO * Z 0 1 6 - PJ 1 4 7 0 *
2750 KELLEY PARKWAY DATE ISSUED: 1U23/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 430 BROWN RD S
PIN : 03-117-23-42-0011
LEGAL DESC : STRONGHOLD
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: �'ATER SOFTNER
VALUATION OF PLUMBING 500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUAT[ON) 0.25
CULLIGAN SOFT WATER SERVICE CO. MA[L-IN FEE 2.00
6030 CULLIGAN WAY
MINNETONKA, MN 55345- TOTAL 52.25
(952)912-7379 Payment(s)
CHECK 5107 5225
OWNER
BREHM, EDWARD&KRISTEN
430 BROWN RD S
WAYZATA, MN 55391-
AGREEMENT AND SWORIY 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 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 rype 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 constmction 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.
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Applicant Permitee Signature Date Issued By Si ature Date
11/23/2016 09:05 FAX 9529a350�9 CULLIGAN MNTKA C�002
.�p� City of Orono '. ' ,FOR,CI E N Y,�
t � . ' , .
4 P.0_Box 66 Da.e Recerved
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2750 Kelley Parkway " � .�,�r•
a Crystal Bay,MN 55323 Permit# : '�" �
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F �c,� 952 249-4600—Main ' '�' , � �,� � i , �
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CITY OF ORONO— PLUM�ING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Appr�val)
http:!lwww.dli.mn.qov/CCLD/PDF/pe plumbplanrev_app.pdf
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TION.. ��,. � „�. �,:�„
GENERAL°,iINF;ORMA �.�,;, ,�I�.��:� :�.; ,.� ,..�.,I: :�I�,�,:���I �.,: .�,. •� �;.�� �,, ,,,:
1. You may apply for plumbing permits��by�mail'or in person at�the City�offices. Applications will be'
reviewed and a permit wilf be issued within two working days.
2. Permit cards will be sent by return mail after a review is �ampleted. PERMf7S ARE NOT VAL1D
UNTIL YOU RECEIVE A PERM17. WQRK MUST NOT BEG1N UNTIL THE PERMIT CARD !S
POSTED ON TH�JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contracfors and to property awners
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 8ta�e Code requirements.
6. �Il work must be inspected and air tested before it is covered. Ga[I (952)249-4�600.
(24-4$ hour notiCe required)
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��°��,;I,;:,;°°.° ! ,TYPE��F;PERMIT,Gheck.i�ll,T�at A I °�����
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�Residential ❑ Commercial (Approval Required) [BackIIowDevice:�AVR ❑Pvs]
�„New ❑Additional ❑ Repairs [] Replace
❑ In Accessory Structure?
*You wilf need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Atticle 11/}
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Site Address: `�3 0 gr�+.��, �� -S
Owner: 1�a�c�+ �-��-.w� Mailing Address;
City: Zip:
Home Phone: 9S - �� - '7 07 � Alternate Phone:
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Contractor: Contact Person:
•rU�.�f�Af>3 1NAT�R CpNpITIONING
Address: 6Q3a CULL�GAN WAY.. State Bond #:
��f�IP16�fV�7'ONKA, Mld 55345
City: � �g�2� ���`���o Zip: Expiration Date:
Phone: Alternate Phone:
❑ lnsur�nce—Current:
pa�a �
11/2a/2016 09:05 FAX 95293a5049 CULLIGAN MnTKA �00�
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FIXTURE BSMT �sT 2ND pT�.{ER �IXTURE BSMT 1sT 2N° OTH�R
TYPE Floar Floor NP� Floor Floor
Water Closet Floor Drains
Lavatory 5ewer�jector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
pisposal Water Soffener
Dishwasher Wet�ar
Sillcocks Miscellaneous
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1. CONTRACT PR�GE �is 1.25% of contract price with a (Minimum Fee of$50.00)
x .0125 $
(contract price) (minimum �50.00)
2. STATE SURCHARGE
x .0005 �
(cantract price)
3, pQSTAGE & HANDLING (Only on Mail-In Applicatians) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
* CONTRAC7 PR10E or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, �nd other fixed costs. It is the amount fio be charged to
the customer f�r the work done. lf any material, equipment, Iabor or installations are furnished by the
owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or Contract price for permit fee purpQses. In,the event that �here is a dispute on th�
amount of the job cost, the City may tequest the submission of � signed copy of the actual contr2Ct_
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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 4f the State of Minnesota, and
certifi�s fhat all statements made on this app[ication are complete, true and correCt.
Applicant's Signature: � Date: ��` �3" �
Building Official/[nspeCtor: Date:
Page 2
C ��- ;i
DATE TIME �
CITY OF ORONO cnLLED IN �' � S I b
INSPECTION N TICE � L SCHEDULED l - �� �
PERMIT NO. -� ..-� � � �MPLETED
ADDRESS �D /%J�'Zti�l�"1-�-� ��
OWNER / TELEPHONE N0.1���� -7�7�
CONTRACTOR � t�-'
� �'' DESCRIPTION
t�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIHEPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? dWNERICO1�filiACTOR T�0 MEET Y�OIl:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED RWECTCOMPLEfE
a ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFlCATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE Ca1/ERING PERMANENT
❑CORRECTUNSAFECONDITiONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDEfi POSTED.CALL INSPECTOR ��TATION ISSUED
O INSPECTiON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: /� �
yyhlte CopYMspsctor's Fila Canary CopylSih Nodes