HomeMy WebLinkAbout2017-00484 - plumbing � � CITY OF ORONO * Z 0 1 7 - 0 0 4 S 4 *
2750 KELLEY PARKWAY DATE ISSUED: 05/12/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1330 CHERRY PL
PI lY : 08-117-23-32-0026
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK O11
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: REPLACE:WATER SOFTNER
VALUATION OF PLUMBING 2499
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.25
CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00
6030 CULLIGAN WAY
MINNETONKA,MN 55345- TOTAL 53.25
(952)912-7379 Payment(s)
CREDIT CARD 5107 53.25
OWNER
SHI&LIN YAN,AMY YONGLI
1330 CHERRY PL
MOLIND, MN 55372-
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 afrer 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 Signature Date
05/ll/2017 09:10 FAX 9529335049 CULLIGAN MNTKA 1�002
� City of�rono .,FOR CiTY USE ONLY;
� Date,Received ' j r �
� fv� P.o. aaX 66
( 2750 Kelley Parkway ' ��f `;� (�?�.�1 L�
� Permrt# '
Crystai Bay, MN 55323
�'��� t � (952)249-4600—Main Approved By ��
�^xFsno'�E 952 249-4616—F� , :: , ��� :
( ) Amount$. ' "� `
CITY OF ORONO— PLUMBING PERMIT
(All Commerciai Permits Must be Approved by the State Prior to City Approval)
http.11www•dli.mn.QovlCCLD/PpFlpe plumbplanrevapp.pdf
GENERAL INF:ORMATION ,; ,; ; ' . : ; . .
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Pe TI�YOU RECEIVE A PERMIT. W,ORK MUST NO'i BEGlNtUNTIL THE ERMiT ARD IS
UN
POSTED ON THE JOB SITE.
3. Piumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4, When any new construction or remodeling is involvecf, a separafe building permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Ca11 (952}249-4600.
(24-48 hour notice required)
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� ' T`(PE OF,PERMfT(Check Alf That Applyj �
�y Residential ❑ Commercial (Approval Required) [Backflow Device:�AVB ❑PVB]
" Replace
❑ New ❑ Additional ❑ Repairs �
❑ in Access�ry Structura?
*You wili need prior approval and may need CUP. (Per Orono City Code, Chapter 7$, Article l�
Job'Site l Owner lnformation.�
_
Site Ad d ress: I 3 3 D �vY ��a�
Owner:���s Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor lnformafson:
Contractor: �U�L4�AN WATER CONDI-rlQ�ll�ntact Person:
Address: �����TaNKA, MN 55,'345 State Bond #:
� •• �
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
Page i
05/11/2017 09:10 FAX 9529335049 CULLIGAN MNTRA C�003
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FIXTURE BSMT isr 2ND OTHER FIXTT�pEE BSMT Floor Floor OTHER
'�YPE �loor F1oor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer _
Kitchen Sinlc . Water Heater
pisposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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1. C�NTRAC7 PRICE * is 1.25% of contract price with a (Minimurn Fee of$50.00)
ayq�. o� X .o,�� � 50.0�
(contract price) (minimum $50.00)
2. STATE SURCHARGE
x .0005 $ j . a 5
� (contract price)
3. POSTAGE &HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ''S'3' a'`�
" CONTRACT PRiCE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materiais, 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 furnished by the
owner, tenant or any other party, the reasonable market value of such items must be added ta 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.
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The undersigned hereby applies to.the City for issuance of a Plumbing Permit, agrees to do ali 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 comp{ete, true and correct.
� Date: �-.� s- I f = l 7
Applicant's Signature: - —
Suifding Officiall Inspector: Date:
Page 2
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DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION OTICE ,(�S� SCHEDULED Ls� '
PERMR NO.� � ``v� COMPLETED
ADDRES3 / '1 `"� � �- � � -���� /
OWNER TELEP�O. � '� '
7
CONTRACTOR -�-�-�� "
� DESCRIPTiON %�.� e `_ .f2 � - � � ha%
�y ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINQ
O ❑ FOUNDATION WATERPROOF �UMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONlREMOVAL
_
� ❑ DEMO-SITE ❑ PTIC INSTALL
i 01MNEJUCONTRACTOR TO MEET YCU:�YE8_NO
� COMMEN'T� `
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� ❑VMORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑OORRECT WORK 3 PROCEED ❑ISSUE CERTiFICATE OF OCa1PANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY
V BEFORE CWERINf3 PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�pTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �pTAT10N ISSUED
❑INSPECTION RE�UIRED.CALL TO ARRAN(3E ACCESS.
Cetl for the next inspection 24 hours in advanoe. (952) 249-4600
Owr�fContractor on sit�:
inspectoe �' ► ►�"--,�-
WMte Cop�rMspectors FIN C�nary Cop�rlSit�llotla