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HomeMy WebLinkAbout2015-00052 - plumbing " t' CITY OF ORONO * 20 15 - 00PJ52 * 2750 KELLEY PARKWAY DATE ISSUED: O1/20/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1510 GREEN TREES RD PIN : 11-117-23-23-0015 LEGAL DESC : GREEN TREES ON TANAGER LAKE : LOT 005 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�T TYPE : FIXTURE NOTE: WATER SOFTENER REPLACEMENT APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG (<$500) 5.00 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA, MN 55345- TOTAL 22.00 (952)912-7379 Payment(s) CREDIT CARD 8645 22.00 OWNER STEVENSON, SCOTT 1510 GREEN TREES 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 described and does not grant permission for additional or related work which requires separa[e permits. All provisions of Iaws and ordinances governing 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 a[any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he Sta[e Building Code.This permit may be revoked at any time for due cause. � / � �D l/5 Applicant Permitee Signature Date Issue y Signature Date U1/19'2015 13:21 FA� 9529aa5049 CULLIGAN MNTKA �002 � � FOR C1TY USE ONT.Y CiCy of Orono O¢Q�� P.O.Box 66 pnte Rcccived: Pcrmit# '+. 2750 Kellay Parkway ��� > A oved B Amount 5: 1� � t.!'��r�y� Crystnl Boy,MN 55323 PPr Y= ��'��, (952)2�9�600 � CITX Ok'ORON"O—PLUMBING PERMYT (All CornmErcial permits must be epproved by[he Building Official nr Inapector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wiil be reviewed and a germit will be issuod within two working days. 2, Permit cards will be sent by rtl.vrn mail after a review is completed. PERTvIITS AR�NOT VALID UNTIL YOU RECBIVE A PER'�11'f. 'WORK M[JST NOT BEGXN UNT'TT�TAE PER'VIIT CARD I5 POSTED ON T�TE�OB SITE. 3. Plumbing permits may be issued ONLY to liCensed plumbing Contractors and to property ovmers residing in thc dwelling. 4. Whcn any new conscruction or remodeling zs involved,a separ�tc building permit must be obtained. 5. All work must be done in acoordanCe with State Code requirements_ 6. All work must be inspeGied and ai�tested before it is covered. CaII(952)249�600. (2448 Ixour notice required) TYPE OF PERMZT Gheck All That A 1 �Residential ❑ Commercial(Approval Required) �]New ❑Addi1'ionsl ❑ Repairs ❑ReploCe ` ❑ Tn Accessory Structure? #You will need priOr ApbtOWAI Sqd m0.Y tteed C�.(Per Orono City Code,Chapcer 78,Article 3v) Job Site/Owner X���or��aation: Site Address: 1 reA Owner: �c.�� 5���� �'1 Mailing Address: Ciry: Zip: .��`� � I-�ome Phone: 15d- `I 7 I - ���5 Alternate Phone: Contractor Information: Cantractor: Contact Person: CULL1GAiV WA ER C�IVDiT10NING Addr��U �tJL�iGAI� VV',qY State Sond#: N1! P��TO , 55945 , ���,: (952� ��3-72p0 zip: Expiration Date: Phone: Alternate Phone: 950 �`� �a�— ���� ❑ Insurance—Curr�nt: 1 01/19 2015 1a:21 FAX 9529a�5049 CULLIG9N MNTKA �003 w � ;;viii�"�Mi��'1p�i�.� �'; ;;,, �v;�I..taR aF��L�11��,Ti'�i:r1��5:C,�3�D��llYl7'���ST�I:EaJ•� �T, ,�.� "(;:�;�."..,i '� : i �i:ici,.u ���i � "� i;� � �.a `M` ,;v .�j.�� FIXTURE BSMT 1' 2' OTFIER FIXTURE BSMT 1 2 OTI-iER TYPE PL PL TYPE FI. FL Watcr Closet Floor Drains Lavatory 5ewcr EjecSor Sathtub Laundry Tray Shower W ashcr Kitchen Sink Water Heatet l�isposal Water Softener � I, Dishwasher Wct Bar Sillcocks Miseellaneous ��I,.�rM1pl�"w����l�Vt�li�ih'�-.'�(�I"!r',r,!"i�r. �i°l�i"��:'1 : 4� - ,n;:'t`;:'nvn':y�.���'r•:y',,�"�'j�'�I��a�,,iH,na�m��n',1" "�'Ic��i �����ti�t�a!'µ�1� i' i N h��(�I � �( .Iw i �„ I� i> >� ,�,,(i � , tn� IM ���'�T�1' .�� � � �, � ���r,�;��r���,��c,A �o��� , � � � , ��� ���Fd � iJ� ��:l �i I� � II � I 1�' I �� 1 r � I i f , u` ��pG��:l�. ��f ��� :, '�s, � ��, ��,��s�������� ��a�a��s��A;�sT�,���� � � ��, � �� ���,� ❑ Yes,this section applies The 1'eplacement of e Residrntial fixture or a�pliance that meets a11 tliree of the following requi�ements: 1_ Does not require modification to electricaf or gas serviee. 2. Has a total cost of$500.00 or less;excludin�the eost of the fixture or applianee:and 3. Is improved,installed or replaced by the�iomeowner or licensed contraetor. 5kip next seCtion,if this applies; Cost of Permit $ 15.Op State 5urchargc $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit�'ee $ (Pcrmft I'ees Continucd On Next Page) 2 O1/19/2015 1a:22 FAT 9529a35049 CULLIGAN MNTKA 1�004 * w ��n(1'��:�yT�IJ4'�'��°`.iwiMi�'�,�,��m7��. ,.„�.G ' '+ ,,D /.'`.5r��, �rT.��.� , �F�� � .�,�--.��,.. �,`,�y.",,�7h � (� .�., ,����.,,;�q{,��`��°il`t"�„1�s�;`;ii�"iA6rLy w��q y � ,�C.���F{� ,�;�4Y,Ir������1'1��i��tix4W;� �� i.�+��S�� Y . r'���47.,��},�, .�����.�.��Y�{�'Il�,���s��;ir��.��I.^'h lf above does not apply;follow guidelines below� �. CONT_RA,C'X'�'AZXC� "'is I.25%of contract price wizh a(Minimum Fee of$50.00) x.O]25$ (concracc price} (minimum$50.00) Z. STATE SURCHARGE �*Add the State Bldg Code 177iv.Surcharge(Nlinimum�ee of55.00) x.0005 $ {contrnct price) (minimum S 5.60) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.0� 4� TOTAL PERMIT FEE(Add Lincs 1-3 Above) $ �a. �� ■ x CONTRACT PWCE or ]OB COST means the actual or estimatcd doilar amount charged for the pernllt[ed work including materiaIs,Iabor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. [f any matcrial, equipment, fabor or installations are fvrnishcd by the owner,tenant or any other party,the reasonable markct value of such items must be added to the estim3ted cost or conttact price for permit �ee purposes. In Chc cvcnt that there is a dispute on [he amount of the job cost, the City may request the submission of a signed copy of the actual contract. � *�The STATE$URCHARCrE is.0005 of the contract pricc under$1,OOQU00 or$5.00—whichevtr is groatcr. For valuations over$1,000,000 call the Building Deparhncnt at(952)249-4600 for the priec. a�i.�..*.y'��9 .�,���� �'.a ��ri IS4�M� �F w i � y���,�y � T Y�c�r 4�,��1�.y� �� �. .��n .q.,,,�aj���.���)i�i��1�,'J,.wa:r'�r� i:`+'4'�.VL4 u d.1.�-a��'�in�..x.n..�1�����J1r;l.�?��`��,�`��_�.LL,l�+7?'ll,.��. ?��)l� ���iJ.;ti'��a ,t�� ��. ;i"���';� � The undersigned hereb� applies to the CIty for issuance of a Plumbing Permit, agrees to do all work in st�-iet aeeordance with the ordinances of the Ciry and the regulations of the State of Minnesot� and certifies that all statements made on this application are eomplete, true and correct. Applicant's Signature: Date: �._� d,,, �;i���i7�nPrzt�;;� � ,;,�'����'�tf;,F�or�i';� �. 3 r �� n�� CITY OF ORONO C1ILLED IN ____.�L— INBpECT10N NOTICE SCMEDULED PERMIT NO.��S'60C��a._ coMa.ereo -!(� pppp�g /b�O G re�.c, Te�s 2a�� p�WNEp TELEPHONE NO. CONTRACTOR �sc•� �7� l���r Sm�vrc� L'�. '' DESCRIPTION l�/�'� So�c.�t� ,•i s��" 4�j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV!(iRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Zi ❑ RADON SLAB ❑ MECHANICAI RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP LON1-UP _ ❑AS BUILT-SURVEY ❑ SEWER HOOIC-UP ❑ FOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dIMN6UCCNTAACTOR TO MEET YWJ:_YES_NO � COMMENTSc a � Permit has expired per MN Building Code Sec. 1300.120 subp. 11 � Expiration, no record of a Final inspection. t 0 W � � � W W � � W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPIETE � ❑�CT WOi�C 8 PROCEED ❑ISSUE CEHTIFICATE OF OC(XIPANCY W 00 ❑�CTyYDRK,CALL FOR REINSPECTION TEMPOFiARV V BEFORE CdVERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN ��• O�iOTO TAKEN INSPEG?OR 1AfILL FETURN ❑CITATION ISSUED ❑gTpp OqOEq pOSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. ceN�«a�.���u n�s h�►�,o�. (952) 249-4600 ���: � � YIIhiN����Flls Gnsry OoVYISIb NMia