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Home My WebLink About2014-00292 - mechanical � � CITY OF ORONO * Z 0 1 4 - 0 0 2 9 2 * 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2014 ORONO,MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 1840 LAKEVIEW TER PIN : 27-118-23-42-OO10 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTENER APPLICANT MECHANICAL(<$500) 15.00 STATE SURCHARGE MECH(<$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 MERNIK,WILLIAM&LISA 1840 LAKEVIEW TER LONG LAKE,MN 55356- 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 separate permits. All provisions of laws 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 at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / � Applicant Permitee Si re D e Issu By Signature Date 04/07/2014 14:15 FAX 9529335049 CULLIGAN MNTKA I�002 OR C Y SE ONLY � Q��O City of Orono / � i'.O.Box 66 Date Receiv -` Permit�� 2750 Keltey?arkway `� ? ti�� Cryscal Bay,MN 55323 Approved By: Amount . �� (952)249-46D0 CITY OF ORONO-PLUMBING PERNIIT (All Commercial permits must be approved by the Buildmg�cial or InspecWr) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Apptications wi11 be reviewed and a permit wi11 be issued within two working days. 2. Permit cards will be sent by retum mail aftcr a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE _ 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properry 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 notfce required) TYPE OF PERMIT Check All That A I �ResidentiaJ ❑Commercial(Approval Required) ❑New ' ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need nrior a�proval and may need�.(Per Orono City Code,Chapter 78,Article IV) � Job Site/Owner Information.: Site Address: 1�`�� .-.o.�evie�,�1 �erru� Owner: t--�S q [�e�r�k Mailing Address: City: Zip: Home Phone: �Sa - y�b - q 4 aD Aiternate Phone; Contractor Infotmation: Contractor: Contact Person: N�uX CULLiGAN WATER COhfD1TdQNING Addg�gp CULLlG�AI '"�^�— 5tate Bond#: MlNNETONY(A, MN 5534 C�h'�, (g�2) 9��-?200 _ ��P� Eapiration Date: , Phone: Alternate Phone: `j'S a-- 91 a- "1,�1-] ❑ Insurance-Current: 1 04/07/2014 14:15 FAX 9529335049 CULLIGAN MNTKA �003 � i � . -.;,.;..:.. ,...:.;.: _.,..:.-.�:::::; :, ;� : .- :,,. ..,..,::...,.<<..,.i ;"x'= - ::.,-.;., ;:.a-.;: .. ,,, ,,. .; �� - - :�.= ''�'«�.: �:;��E�;IN�`I'��`�ri:`;�'',;':'':;;��-'`.=>=,=-�':::;... }; FIXTURE BSMT l 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory 5ewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener I ! Dishwasher Wet Bar Sillcocks Miscellaneous �;�?r,�, �` �t„ •�. ,:,, - 'tr:li=r ;Ik'��ii+�?"..?s�,ri,r'a�;�v��i,w'-i��'�'+;:�:�,;,k.r'r.�N. ':�, *��4��,iint;'1�'i{'�trphyj�,Y`;:l".>;d�n.{t�':�:: jltd�i'#.w��.�-.��r.'� ��t.�.;�yi�':a:,l; ��:..��.p^sn„ ,;�e, �E,�3�i:{L.,�.��,t t., ;i.';:��hT� �: �_„ . �C `,�?a: � �i?'d��.i�;-`.F:t�?,d; �t'ry#,ciy, }�;-''�'� n's, .;�;` '�YF {„ ar i4"h;PF�b!'il?�',}�� a!' �f, �^Fti;��s, s�'''J "e�: �PL'+r �f �f+i g ..i. �,.J� • ;y �)lS.;tii:.��,-y.,r�:i�` � r.�h!i�l .:� .y�.l.t� li'f+F�� _ r.��. y�� •f:�' � I:'a: x,}� �u x e. 5�,'_.. ��..1�••jLl]li i�". �•�fi�'4'.C��:til�� i`3� �'��"(,�, y�� ':4. �{i�' Y;a'A'r{�(�.'-'��t''XI. Yes,this saction applies Tha replacement of a Residential frxture or aRpliance that meeis all three of the following requirements: 1. Dces not require modification to olectrical or gas service, 2. Has a total cost of$500.00 or less; clu i the wst of the fixture or sppliance:and 3, Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchsrge $_ 5.00 Mail-In Fee(If Applicable) � 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 04l07/2014 14:15 FAX 9529335049 CULLIGAN hINTRA �j004 � � . , �✓'r.':::..:y:;�t'y ;v:,:� : N "`.LY:+� �:L1',��.�J�� .(r�. ��7�rtj' '� _y��T �.��?%� r.t1i.�`.I: .ii.; ..V.''7� �.AJi��Yl'?4, . .. F i�;,r:;4:':.'..� r........,...,......,... $; -�.�B:�,(�; :Q.�:�Q�:;:;;4�:;: .. . .. . . ... ,,; . ,:;.;>. If above does not apply;follow guidolines below: 1. CONTRAGT pRICE *is I.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (mimmum 550,00) 2. STATE SURCHARGE **Add the State B[dg Code Div.Surcharge(Mioimum Fee of 55.00) x.0005 $ (contract price) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mai1-In Applications} � 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ,oD • * CONTRACT PRICE or JOB COST means the actual or estimated do((ar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment,labor or installations are ft►mished 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 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.0005 of the coniract prica under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Departrnent at(952)249-4600 for the price. ,. �. �� ' � „�.,,,.. The undersigned hereby applics to the City for issuance of a Plumbing Aermit, agrees to do alt work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �G_ Date: y - 7 - )� ��:1�._ t�;�a'�o�. .� 3 DATE TIME � CITY OF ORONO CALLED IN �— INSPECTION NOTICE SCHEDULED � L PERMIT NO.�� -Laf�v��c:oMP�ErE� �� -/.�-15 �`� ADDRESS �6'-�fc� 1�.��yi rkJ r��/�c � OWNER TELEPHONE NO. CONTRACTOR �ifl >; DESCRIPTION ��t�'� SU�F`�f�r � � ❑ FOOTtNG PLU ING FINAL 0 EXCAV/GRADING/F�LLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. �LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/flEMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: o� `� /� `cC, � l � a �c�w�,� � e.� �, � � � �C �o� �r' � ' /lilli`/ /i✓15��C�/or� �, 7l � � �(�' C�l�� 2ri vY'l� ' W � Q �-" (��`��' �1'ti G� ��1 F1lC;.> C<�c� /�i.r l� `� 2 � � ��f"I� �(•� �� C� ��1tr f, If�ie7 e3 �/h�'�, �i� W , ? l. ) i �` �'�-�l � �1 _ �5��+� o y W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ion 24 hours in adva ce. �t' (952) 249-4600 OwnerfContractor on site: ` �. Inspector. ` � � White Copyllnspector's File Cenary CopylSite Notice