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Home My WebLink About2013-00229 - plumbing r � CITY OF ORONO * 2 0 1 3 - Pl 0 2 2 9 * 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2195 FRENCH LAKE RD PIN : 10-117-23-21-0006 LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTEN�R 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 GOTTSCHALK, ANDREW&ERIN 2195 FRENCH LAKE RD WAYZATA, MN 55391- AGREEMENT AND 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 Building Code. This permit is for only the work describcd and does not grant permission for additional or related work which req�ires separa[e permits. All provisions of laws and ordinances governing this type of work shall be compied with whe[her or not specitied 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 with the State Building Code.This permit may be revoked at any time for due cause. �/�G(�i�-f_Gr--� / � / � �J -- � l � l� Applicant Permrtee Signature Date � [ss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. a . 04/09/2013 13:28 FAY 9529335049 CULLIGAN MNTKA C�002 FOR CITY USE ONLY City of Orono o2a5 4`�� P.O.Box 66 Date Received: Permit# �..� i� ',t„ • �� 2750 Kelley Parkway a ��kr Crystal Bay,MN 55323 Appraved By: Amounl�: `� ' '�.;�.�� (952)249-4600 �� CITY OF ORONO—PLUMBING PERMIT (All Commercial permiu must be approved 6y the Building Ot3icial or Inspcctor) GENERAL INFORMATION 1. You rnay 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 VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CA.RU 1S POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed ptumbing 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, 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 ❑ ln Accessory Structure? "You will aeed prior aauroval and may need CUP.(Per Orono City Code,Chapter 78,Article 1V) Job Site/Owner Information: Site Address: 0�195 }`+�r�c� �� Gc� , - - Owner: �1��C� �c��'�o r� Mailing Address: c�Ty: z�p: ss 3 9 L Home Phone: �1� - a.$( -4 �$�, Alternate Phone: Contractor Information: ��C'.�o�+'�r�to�N��cn rr�t��i"�ITI(1NlfVC� Contact Pcrson: 6U30 CULLiGAN WAY A��jpty�,g,�,q.� ��345 State Bond#: (952} 93�-720d City: Zip: Expiration Date: Phone: Alternate Phone: 95�-� (�-73 I� ❑ Insurance—Current: 1 � b 04/09/2013 13:28 FAX 9529335049 CULLIGAN MNTKA C�003 .,;t,:, � , ' ,,, pL�B`TT1�4��'TU�S`B�II��r i'I�ST�T;��;��D - FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPB FL FL Water Closet Floor Drains Lavatory Sewer Ejector f Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener � Dishwasher Wet Bar Sillcocks Misceilaneous X � ' y - PERNT�'T.FE�:�AL�U�A.'I'ION(S) � > ��'�� , ; BASED OI�''F =20Q2 5'1''A'7'E STAIT.TE � ` Yes,this section applies 'I'he replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas sarvice. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and 3. [s improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this appiies; Cost of Permit $ 15.00 5tate Surchazge $ 5.00 Mail-In Fee{If Applicablc) $ 2.00 Total Permit Fee S (Permit Fees Continued On Next Page) 2 , . � 04/09/2013 13:29 FAX 9529335049 CULLIGAN MNTKA f�j004 ' ;:k. � ::'��R1vITT,FE�;�A�CUL'��'Tfi�N �`'`=�:T�?$�O�R.$�00:00 If above does not apply;follow guidelines below; 1. COl\'TRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125� (cont�act price) (mmimum$56,00) 2. STATE SUl2CFTARGE **Add the State Sldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contractprice) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ z.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��. �(} ■ * CONTRACT PRICE or JOB 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 [o 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 market value of such items must be added to the estimated cost or co�tract 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.QOQS of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Dcpartment at(952)249-4600 for the price. ��i.�t..,�,�: 1 ,u ;..4� n��...`�� " i iL9" . .�Jz`. `;'� .r. ,�. �"�.��tta��.'�._��.• ��• .� . i 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 a1! statements made on this application are complete, hue and correct, Applicant's Signature: � Date: � ' I - �� E_i��°;<��, 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED _ � PERMIT NO. �,��._, �TCi�� connP�ErE� - � �=-�% �� ADDRESS v�/�`� F�i''�.�'fi �t�Cc� �_ �'�I OWNER TELEPHONE NO. CONTRACTOR ��d/� ��'� j DESCRIPTION L��t��r �c?��Ee:-r.r� /r�SE�i LL - � ly ❑ 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 O WATER HOOK-UP ❑ PROGRESS ��NAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. �QLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � - / � �C�Y�✓1.� �v�cf)� r �s•��'�� /� f'�// h� � �t� 0 �ii?�r� � ✓JSG�C��LC�z:i.--� >. � O � I�U �f�c� /t vLrr� � � Q n � �J��'a Sc} �cr /� �f C:>vC� C_..�/, �o /l �- W `7 . ' . � �{ �C�c-Y�lf' �* �rc•t4� ///5/��-��/d .1 ��4' � !f/1 4�P J � ty, J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �p�CTION REQUIRED.CALLTOARRANGE ACCESS. - -v"�`�\ . ) Call forthe next inspection 24 hours in advan . (952� 249-4� �---__.... OwnerfContractor on site: "' Inspector. White Copyllnspector's File Canary CopyfSite Notice