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Home My WebLink About2013-00097 - plumbing CITY OF ORONO * Z 0 1 3 - 0 0 PJ 9 7 * , 2750 KELLEY PARKWAY DATE ISSUED: 02/1U2013 ORONO,MN 55356- , (952) 249-4600 FAX: (952)249-4616 ADDRESS : 3435 LIVINGSTON AVE PIN : 17-117-23-43-0063 LEGAL DESC : NAVARRE HEIGHTS , : LOT 005 BLOCK 005 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 SIECKMAN,ROBERT STATE SURCHARGE PLBG(<$500) 5.00 3435 LIVINGSTON AVE WAYZATA,MN 55391- MAIL-IN FEE 2.00 MISC FEE 0.00 TOTAL 22.00 PAID WITH CC# 0597 OWNER SIECKMAN,ROBERT 3435 LIVINGSTON AVE 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 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 cau�e. r v"1�/l �/�- / / / / Applicant Permitee Signature Date Issued By S nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O 02/11/2013 14:0 FA% 9529335049 CULLIGAN ffiVTRA 1�002 � F�R CiTY USE ONLY O��O City of Orono • P.O.Box 66 Date Received: Petmit�! 2750 KoUey Parkway '� Crystai Bay,MN 55323 Approved By: Amount S: �� (952)249-4600 • CITY OF ORONO—PLUMBING PERMIT � �� (All Commercial pennhs must be approved by the Building Officiel or lnspecror) � , � � RAL INFORMATION I�� , I. You may apply for plumbing permits by mail or in person at the City offices. Applications wip be � reviewed and a permit will be issued within two working days. I �I i 2. Permit cards will be sent by return mail after a review is completed. PEItM1TS ARE NOT ', VALID UNT7L YOU RECENE A PERMIT. WO MUST NOT BEC.IN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. i 3. Plumbing permits may be issuad ONLY to licensed plumbing contractors and to property owners residing in the dweAing. 4. When any new consU�action or remodeling is involved,a seperate buifding permit must be �' � obtained. , ,, , . -.- � _ � ., - 5:'�''�All�vildi��t iriusf 6e done in accordani;e`wit�i�$tate Cod'e�equirements. �'�`�� 6. All work must be inspected and sir tested before it is covered. Cafl(952)249-4600. (2448 6oar notice required) ' -- ,.. _ TYPE OF PERMIT r' Check All That A 1 �Residential ';, ❑Commercia)(Approval Required) . �New ❑Additional . ;.�� Repairs ❑Replace ❑ In Accessory Structuce7 � , �� " - _,*Y u wil�;��anprovel and msy need�.(Per Orono City Code,Chapter 78,Article 1V) Job Si l ORv�er�Information: Site Ad ress � '3 y 3 5 -� � ' � ,r� . �� ; � Owner: A n Mailing Address: � City: . , �� ` � Zlp, �3� I �; Home o�1"e:`-55�9 = aS� - I�b� ` Alternate Phone:" ��. , , , � ,,, , Cpntractor Information: ' I ._ _ _ _. � . , � _ _ _. CQntractor; ,_. i �.:�c,� Contact Person: _ �u«�U�� wN t CH GUNUITIUIViN�. Ad p��UGAN.WAY <- State Bond#: NET , �5345 City: , (952) 933-72pp Zip: Expiration Date: , t•; Phone: :`; .��_ , ' . Alternate Phone: �'S�- `� l�.- �3 (Z _ _ _.__ . _ _ _.❑ ., ;� .. f � , ; • . _.Ynsurance—Current: � , l �_ .. :_ �:: . . . _ 02/11/2013 14:01 FA% 95 9335049 CULLIGAN MNTRA I�003 i I I " '�4�r''r.�i'+ :,.wi. '�' �i`.: T�� ..T /� i ',2'�''.'.n•;t .i`��T ..,.. t. '�y r� .it��.;,a,��;.;,;�, ";�i �� ,j�'�. �;,,;; .•�. ,.,�,,... ,;. ,j,�;: .r.� %.`&. �'�3:Y,a .�..,� :�.t.t_'•'i+ Y�i� X�Y. =:�i•.'.�� •F-:7 �::: F[XTURE BSMT 2 OTHER FIXTURE BSMT 1 2 OTF�R TYPE FL TYPE FL FL Water Closet Floor Drains Lavatory Scwer Ejector Bathtub I.sundry Tray Shower Washer Kitchen Sink Wat�Heater . „, „ .D,�spwsal ,. - _ r__ _ , . VKatet_Softener �,„�., Dishwasher Wet Bar Sillcocks Miscallaneous � � - � � ��: .,. � c �� Yes this�section applies - � The repleCe nt of a R�sidential fixture or a,p,Qliance ttiet meets all three of the following requirements:" 1. oes not require modification to electrical or gas service. - ' 2. as a t t ost of$500.00 or less;excludir�g the cost of the fixture or appliance:and 3. s improved,installed or replaced by the homeowner or licensed contractor. kip next section,if this applies; -Cost of Permit � ]5.00 � State Surcharge $ 5.00 � - Mail-In Fee(lf Applicable) $ Z.00 Total Permit Fee S (Permit F Continued On Next Page) 2 I I � . �t� , . , 02/11/2013 14:01 FA% 9529335049 CULLIGAN MNTRA f�004 � a • r �. '•�p �.�sy�* • j n.�'�f.•f,r,i•..•��tl:. t �.a��*x:�u.'�;�' -,' r �'�'b,. ��,��.* .r��,�,.t x.�:� If above does not epply;follow guidelines below: �1. CONTRACT PRICE *is 1.25%of contract prico with a(Minimum Feo of SS0.00) X.oizs a (wnuact pnco) (minimum 550.00) ! . STATE SIIRCHARGE **Add the State Bldg Code Div.Surcharge(Minimam Fee of 55.00) x.0005 $ (contrect price) (minimum S 5.00) 3. PQSTAGE&HANDLING(Only on Mail-ln Applications) $ 2.00 I 4. TOTAL PERMIT tTEE(Add Lines 1-3 Above) S o�a,O� . n., i. , �7�� ,. .� ,�,? r �� rr _._ - - ._ _..... i('^�/. - • *'�'�0�1'i'�iAC7"�RICE or IOB COST mearis'��tie act�ial�'or estimated dollar amount charged for the permitted worlc including materials,labor,profit,and other fixed costs. lt is the amount to be charged to the customer for the work done. If any matarial, equipment, laboc or installations are fumished 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 fcx purposes. In the event that thero is a dispute on the amouni of the job cost, the City may request the..submission of a signed copy of the,actual contract. ■ M*The STATE SURCHARGE is.0005 ofthe contract price under S1,000,000 ot$5.00—whichever is greater. For valuations over$1,000,00U call the Building Department at(952)249-4600 for the price. The undersignad 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 all statements made on this application are complete, tn,�e and correct. -- Applicant's Signature: Date: �- ( (' �3 . . ., � , _ ; �� . � ,.. ir.Y i, , , , �� • � , � . . ,. . I I � ,, . . . ,, L�� . � � .�, � � . i . . if_' . . . . I� . . . , � � ' . a. �' ,�lc,- . � � „ , t, r{ I .. . a . , : . . . .4�.. . . . .._ ._ ,+� DATE TIME ��'CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�/� ` ��Q7 COMPLETED •�9� ADDRESS��` � L��'�K,fc�-��'' OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION w��/' s�� FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI O SEPTiC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEEf YiOU:_YES_NO y COMMENTS: y i �Z /fo � t � o �✓! G� �, ° Pe�w►,� W aS �r�wal,edQ a� 9-/G- !� by W � SI w�+ ' �WIOC�GJ/l e✓ �lC�f� �✓la�0/�� Q � 2 W � W � j � ❑VI�RK SATISFACTORY:PROCEED PRW ECT COMPLETE w ❑CORRECT WORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 pwnerlContractor on site: Inspector: � �� White Copyllnspector's File Canary CopylSfte Notice DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE aQdQ7 SCHEDULED PERMIT NO. a��3� COMPLETED � -' o� ADDRESS 3�35 �i`t�S�-a�c t�v�, OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ��o' ��/ � � FOOTING ,�PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: � . � P�•�►:t �to�d1�� ,i.,�v ��.a �• �;.,� � - o �r�se�.ts•�, " �. � � w�i ��✓ �r1.S�� ' W � Q - Q�� 4ap .��o u,d�► � z � !Jo r k cb�+-c.ol�� j a W� ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT YVORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAHY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: --� White Copyllnapecto►'s Ffle Canary CopylSite Noties